I hereby give approval of my child’s participation in any and all of 

Acadiana Center for the Arts (AcA) summer program activities, and do hereby 

waive, release, absolve, indemnify and agree to hold harmless the organizers, 

supervisors, participants and persons involved in the operation of the 

AcA’s programs from any claim arising out of injury to named child.

I authorize AcA employees, contract employees and/or volunteers to use 

simple first aid procedures, such as applying pressure or ice for bleeding 

or swelling, and cleansing minor wounds with soap and water and applying 

first aid ointment and bandage.

In case of emergency, I understand every effort will be made to contact me 

or an emergency contact. In the event that we cannot be reached, I hereby 

give my permission to the physician to give appropriate treatment.

In case of emergency, I understand that every effort will be made to 

contact the parent/guardian of the child. In the event that I cannot be 

reached, I hereby authorize emergency medical care for my child during 

attendance at the AcA Summer Art Camps. I give permission for the AcA to 

obtain emergency medical treatment, including emergency transportation, 

for my child if I cannot be reached immediately. I understand that I am 

financially responsible for any expense for medical care or transportation 

incurred on my child’s behalf. I hereby release the AcA and its employees, 

contract employees and volunteers from any responsibilities from injuries 

incurred during my child’s participation in the AcA Summer Art Camps.

I give my permission for the AcA to use any photos and video taken of my 

child during camp for any and all promotional purposes of the AcA.