I certify that my child has my permission to participate in Junior Space Week. I hereby release the Deke Slayton Memorial Space & Bicycle Museum and their employees from any liability, claims, lawsuits, etc. from any injury or illness that may result from participation in Junior Space Week. I certify that my child is in good physical health and can participate in all camp activities. I further certify that the above camper has medical insurance in case of an emergency. Junior Space Week and the Deke Slayton Memorial Space & Bicycle Museum, the directors, and any staff shall not be held responsible for personal injury of any student or loss of individual property during the camp. I grant permission for the camp directors to act on my behalf in case of medical emergency. I understand that I am responsible for all medical expenses.

I release the Deke Slayton Memorial Space & Bicycle Museum and Junior Space Week from any liability, claims, lawsuits, etc. from any injury or illness my child may suffer during their participation in any event organized by the Deke Slayton Memorial Space & Bicycle Museum.

I grant the Deke Slayton Memorial Space & Bicycle Museum the right to take photographs of me, my child, and my family in connection with the above identified event. I authorize the Deke Slayton Memorial Space & Bicycle Museum, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that the Deke Slayton Memorial Space & Bicycle Museum may use such photographs of me, my child, and my family with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I have read and fully understand the general terms and conditions as outlined in this registration form and I give my child permission to participate in Junior Space Week.