Computer Mentors | KidsCode Registration Form

I, ___ the legal parent or guardian of ___ give permission for his or her participation in the TeenTech/KidsCode Program. I further attest/certify that the information contained within this application is true to the best of my knowledge. I have read the authorizations and release of liability statements on the back of this form and understand all of its terms. I execute it voluntarily and with full knowledge of its significance. *

I Agree

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In consideration of permission for my student’s participation in the TeenTech/KidsCode Program, I do hereby release and discharge Computer Mentors Group, Inc., its agents, officers, and employees from any and all claims, demands, grievances, and causes of action of every kind whatsoever, including, but not limited to, all liability for property damages and personal injury of every kind as part of said program. I agree to indemnify and hold harmless Computer Mentors Group, Inc., TeenTech/KidsCode Program, Board members, officers, employees and volunteers from any claims, liability, loss or expense, including reasonable attorney’s fees, suffered by any of the foregoing indemnities and arising out of a claim related directly or indirectly to my student’s enrollment and participation in the TeenTech/KidsCode Program. I __ understand that this hold harmless agreement also requires that Computer Mentors Group, Inc. is indemnified from any losses or damages resulting from the acts or omissions from any guest, participant, visitor or other person participating in the TeenTech/KidsCode Program herein referred to. *

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Photography Consent Form / Release: I, __,parent or official guardian of __, hereby grant permission to Computer Mentors Group Inc. to take and use: photographs and/or digital images for use in news releases and/or educational materials. These materials might include printed or electronic publications, Websites or other electronic communications. I authorize the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Computer Mentors Group, Inc. *

I Agree

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Signature (Parent/Guardian) *

Attention parents! Classes are conducted online, and require access to a computer and the internet.

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