Registration – CSU Cyber Camp

Forms

Please complete this form digitally. If the student is a minor (under 18 years of age), a parent must sign. Students will not be allowed to appear in video or photography without this signed release form. Photo and Video Recording Release for Participating Minor

Please register for the cyber camp

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Emergency Contact Relation to Camp Participant(Required)

Participant Name(Required)

First Last

Participant Phone(Required)

Participant Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

School the participant attends(Required)

Participant Allergies(Required)

Other Infomation needed

MEDIA COMMUNICATION AND PHOTO RELEASE FORM(Required)

I agree to the release form

To participate in the Colorado State University (CSU) Program, I, the undersigned, give my permission for and grant CSU the irrevocable right to:
Record my child’s participation in the Program and appearance on video, audio, film, photograph or any other media, whether now known or hereafter existing (the “Recordings”). Use my child’s name, likeness, and/or voice in connection with the Recordings and in keeping with CSU policies and mission statement.
Use, reproduce, distribute, publicly display and/or publicly perform the Recordings, either electronically or by any other media, whether now known or hereafter existing, and to allow others to do the same, my child’s name, likeness or voice, in whole or in part worldwide, without restrictions or limitations, in perpetuity, for any purpose related to CSU’s mission, including without limitation, promotional or educational.
I agree to release CSU and its Board of Governors, officers, employees, students, volunteers, and agents from any liability to me or my child, and on behalf of my heirs, executors, administrators, legal representatives and assigns, based upon or arising out of use of my child’s name, likeness or voice, or the Recordings.
I agree to make no monetary or other claim against CSU for use of my childs name, likeness or voice, or the Recordings.
This release shall be governed in accordance with the laws of the State of Colorado.

Please upload your digitally signed Photo Release Form(Required)

Max. file size: 200 MB.