Mission H.Y.D.R.O. Explorer Registration

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Mission H.Y.D.R.O. Explorer Registration

MISSION H.Y.D.R.O. EXPLORER
REGISTRATION

Summer Experience Details
Dates: Monday, June 2, 2025 – Friday, June 6, 2025
Time: 9 a.m. to Noon
Location: 2800 U.S. Hwy 281 N San Antonio, TX 78212, Tower 2

Parent/Guardian Information

Your Name(Required)

First Name Last Name

Home Number

Cell Number

Email Address

Participant Information

Child's Name

First Name Last Name

Birth Date

Month

Day

Year

Age (must be between 8-11 years old)

Grade Level for 2025-2026 School Year

Medical Information

Does your child have any medical conditions we should be aware of?

Yes

Medical Conditions

If yes, please describe the condition(s) and any necessary accommodations:

Does your child have any allergies? (food, medication, etc.)?

Yes

Medical Conditions

If yes, please specify the allergies and necessary precautions:

Emergency Contact Information

Emergency Contact's Name

First Name Last Name

Relationship

Phone Number

Alt. Phone Number

Informed Consent and Acknowledgement

I consent to my child attending SAWS Mission HYDRO Explorer Program from June 2, 2025 to June 6, 2025. I understand that they will be participating in outdoor activities, environmental exploration, and hands-on learning at SAWS Headquarters located at 2800 US Hwy 281 North, San Antonio, Texas 78212, which may include physical activities or interactions with nature that carry inherent risks. These risks include, but are not limited to, the risk of injury from outdoor play, environmental hazards or accidents during program activities. I fully assume any and all risks associated with my child’s participation.

Yes, I consent.

Untitled(Required)

I understand that photos/video may be taken during the summer experience for promotional purposes and consent to my child’s image being used by SAWS in any manner or medium related to conducting its business. I understand no personal information will be shared along with the photos or video.

Yes, I consent.

No, I do not consent.

Untitled(Required)

In the event of an emergency where my child requires medical attention, I authorize the program staff to seek medical care and treatment for my child, including but not limited to first aid, transportation to a medical facility, and treatment by healthcare providers. I understand that I will be notified as soon as possible if my child receives medical treatment.

Yes, I consent and will accept responsibility for any and all medical or other related expenses incurred because of such treatment.

Untitled(Required)

I agree to SAWS Mission H.Y.D.R.O. Explorer waiver of liability and acknowledge that my child will be supervised by trained staff at all times during the program. I hereby release and hold harmless SAWS Mission H.Y.D.R.O. Explorer, its employees, officers, trustees, volunteers, and affiliated organizations from all claims, demands, actions, or cause of action which I, my heirs, executors, administrators or assigns may have arising out of or relating to any injury, loss, or damage my child may sustain during the course of participation in the program.

Yes, I agree.

Confirmation

By submitting this form, you confirm that you have read and fully understand the waiver, andthat you are the legal guardian of the child being registered or have permission from the legalguardian to provide such confirmation and consent. You confirm that your agreement to thisform is done voluntarily, under no duress or coercion and with full knowledge of its legalconsequences. You give full consent for your child to participate in SAWS Mission H.Y.D.R.O.Explorer and agree to the terms and conditions outlined herein. Once your registration isreceived, you will receive a confirmation email with further instructions. If you have anyquestions please contact Gabriela Diaz at [email protected].