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About
Board Members
Our Partners
Press & HSBC Newsletter
Careers
Contact Us
Just the Facts
Hours and Location
Adopt
Available Pets
Adoption Stories
Adoption Specials
Animal Surrender
Services
Low Cost Spay/Neuter
Vaccination Clinics & Microchipping
Clinic Partnerships
End of Life & Cremation Services
Behavior & Training
Court Ordered Community Service
Get Involved
PAWS
President’s Message
Join PAWS
PAWS Board of Directors
PAWS Events
PAWS Donate
PAWS Photo Gallery
PAWS 2023-2024
PAWS 2024-2026
PAWS Contact
Foster Families Programs
Volunteer Services
WoofTrax Step up for the Shelters
Community
Animal Assisted Therapy
Register Your Facility
Register Your Event
AAT Volunteer Teams
AAT Wags & Tales
AAT News
AAT Videos & Photos
Service, Therapy and Emotional Support Dogs
Support Paws
Request a Crisis Dog Team
Snuggle Delivery
Pet Loss & Grieving
Youth Programs
Birthday Parties
Kids Club
Teen Programs
Camps
Tours & Presentations
Reading Programs
Girl Scout Patch Program
Meet the Education Department
Education Dogs
Educational Resources
Pet Press Newspaper
Upcoming Events
Adult Programs
Animal-Assisted Wellness Classes
Friends of Animals Club
Memory Mews
Rescue Readers
Group Service Day
Yappy Hour
Birthday Parties
Resources
Lost & Found
Pet Safety
Pet Health
Hurricane Preparedness
Dog Parks & Dog Friendly Parks
Pet Friendly Housing & Lodging
Preparing your Pet for a Baby
Safe Traveling
Report Animal Cruelty
Court Ordered Community Service
Ways to Give
General Donation
Personal Campaigns
Walk for the Animals
Planned Giving
PAW Pathway
Diamond Collar Society
Shop Wishlist
Donate Pet Supplies
For the Love of Paws Gallery
Shop for a Cause
Dog Water Park Sponsorship
Education Department Release Forms
Big Brother Big Sister Release Form
Child's Name
(Required)
First
Last
Child's Gender
Female
Male
Child's Date of Birth
(Required)
MM slash DD slash YYYY
Names of parent/guardian
(Required)
First
Last
Parent/Guardian Phone
(Required)
Parent/Guardian Email
(Required)
Big Brother/Big Sister Name
(Required)
First
Last
BBBS Phone
Does your child require any special accomodations?
(Required)
No special accomodations are needed for my child.
Special accomodations are needed.
Please mention anything you think we should know.
(Required)
Note about Allergies
(Required)
Please note that children may encounter a number of common potential allergens while at camp, including dog, cat, and rabbit dander, nut, wheat, and dairy products, etc. Due to the nature of our work, we cannot guarantee an environment free from any allergens. Children who bring an Epipen to camp must carry it with them at all times (a fanny pack might be helpful).
I understand
Minor Injuries
(Required)
I hereby authorize a Humane Society of Broward County camp counselor to treat any minor injury to the child I am registering, by using such means as an antiseptic or antibiotic wash and/or ointment, an adhesive bandage, and/or an ice pack. The staff member will call you to notify you of any such injury.
I do NOT authorize a Humane Society of Broward County camp counselor to treat any minor injury (no band aid, no ice pack, etc.) to the child I am registering. I hereby agree to come to the shelter immediately upon bring called to attend to said child’s injury myself.
Photo Release
(Required)
Yes, you may take photos and videos of my child
No, you may not take photos and videos of my child
The Humane Society of Broward County sometimes uses photos and videos (which may feature my child) taken during our kids programs in promotional and educational materials such as brochures, flyers, our website, social media, etc.
General Release
(Required)
I, the parent or guardian of the child I am registering (“minor”) hereby consent to the minor participating in the Humane Society of Broward County’s (HSBC) camp program and all of its activities. I understand that the minor child I am registering may have direct contact with domestic and exotic animals. I further understand that the behavior of domestic and exotic animals is sometimes unpredictable and that some domestic and exotic animals are capable of inflicting serious personal injury. The undersigned, for himself or herself and on behalf of said minor, does hereby absolutely and unconditionally release, indemnify, hold harmless and forever discharge HSBC, its officers, directors, employees, successors, assigns, agents, and volunteers, and each of them, from and against any and all claims, demands, obligations and liabilities of every nature and kind whatsoever, including, without limitation, negligence, occurring during, directly or indirectly resulting from or arising out of minor’s participation in camp. As to matters covered hereby, this release shall extinguish all claims, demands and rights which the undersigned or the minor (and/or each of their heirs, successors, and assigns) has or may ever have against the parties released hereby, or any of them, for injuries, costs or damages to the minor occurring during, directly or indirectly resulting from or arising out of minor’s participation in HSBC’s camp whether such injuries, costs or damages are known or unknown, foreseen or unforeseen, ascertainable or unascertainable.
I Agree
Initial below to show you have understood and/or agree to all statements on this form:
About
Board Members
Our Partners
Press & HSBC Newsletter
Careers
Contact Us
Just the Facts
Hours and Location
Adopt
Available Pets
Adoption Stories
Adoption Specials
Animal Surrender
Services
Low Cost Spay/Neuter
Vaccination Clinics & Microchipping
Clinic Partnerships
End of Life & Cremation Services
Behavior & Training
Court Ordered Community Service
Get Involved
PAWS
President’s Message
Join PAWS
PAWS Board of Directors
PAWS Events
PAWS Donate
PAWS Photo Gallery
PAWS 2023-2024
PAWS 2024-2026
PAWS Contact
Foster Families Programs
Volunteer Services
WoofTrax Step up for the Shelters
Community
Animal Assisted Therapy
Register Your Facility
Register Your Event
AAT Volunteer Teams
AAT Wags & Tales
AAT News
AAT Videos & Photos
Service, Therapy and Emotional Support Dogs
Support Paws
Request a Crisis Dog Team
Snuggle Delivery
Pet Loss & Grieving
Youth Programs
Birthday Parties
Kids Club
Teen Programs
Camps
Tours & Presentations
Reading Programs
Girl Scout Patch Program
Meet the Education Department
Education Dogs
Educational Resources
Pet Press Newspaper
Upcoming Events
Adult Programs
Animal-Assisted Wellness Classes
Friends of Animals Club
Memory Mews
Rescue Readers
Group Service Day
Yappy Hour
Birthday Parties
Resources
Lost & Found
Pet Safety
Pet Health
Hurricane Preparedness
Dog Parks & Dog Friendly Parks
Pet Friendly Housing & Lodging
Preparing your Pet for a Baby
Safe Traveling
Report Animal Cruelty
Court Ordered Community Service
Ways to Give
General Donation
Personal Campaigns
Walk for the Animals
Planned Giving
PAW Pathway
Diamond Collar Society
Shop Wishlist
Donate Pet Supplies
For the Love of Paws Gallery
Shop for a Cause
Dog Water Park Sponsorship
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