Mentored Learning Parental Approval

Dear Parent

Your child has expressed an interest in attending one of our Skill-Builds. Details are in the email sent to you.

Please complete the form below to give permission for your child (please be sure to enter the correct child’s name) and to provide us with an emergency contact if not you.

Waiver of Claim

I understand some of the activities in the Skill-Builds involve an inherent risk, and understand that although unlikely, injury or death can result. I agree to release the Lake Champlain Maritime Museum, its staff, volunteers, board members, and sponsors from any and all rights and claims for damages that occur while my child uses the facilities at the Lake Champlain Maritime Museum. By submitting this form you signify the information provided is correct to the best of your knowledge and that you acknowledge and release Lake Champlain Maritime Museum from any and all rights and claims for damages.

Image Permission

By checking the box below you authorize the Lake Champlain Maritime Museum to photograph and/or videotape your child for publicity purposes. If you do not want your child to be photographed, please uncheck the box and submit the form.
I have read and agree to the Terms of Service.