waiver – The Experience Camp

The Experience Camp - Final Registration & Liability Waiver

Step 1: Student Information

Student Full Name * First, middle, and last name — exactly as it should be printed on the certificate.

Student Email *

Student Phone (with Country Code) *

Student Date of Birth *

Passport Number *

T-Shirt Size *

Tell us a little about yourself *

Experience in Coding & Robotics *

Step 2: Travel & Arrival Info

Arrival Transportation *

Arrival Date *

Estimated Arrival Time *

Arrival Airline, Flight Number, Airport, or Transfer Details *

Departure Transportation *

Departure Date *

Departure Time *

Departure Airline, Flight Number, Airport, or Pick-up Details *

Step 3: Medical & Dietary Info

Dietary Restrictions

None

Vegetarian

Halal

Gluten-Free

Lactose Intolerant

Allergies & Dietary Details *

Medical Conditions & Daily Medications *

Step 4: Boston University & Camp Liability Waiver

Boston University Required Parental Consent and Release from Liability

Required terms for participation in a third-party program using Boston University facilities. In this section, "Program" means The Experience Camp.

I hereby consent to the participation of my child in all activities of The Experience Camp (the "Program"), taking place from August 01 to 07, 2026, at Boston University campus facilities and residence halls, as applicable, and at other scheduled Program locations in Boston. I understand that the Program is organized and operated by GLE Global Learning Experiences and is not run by Boston University. I understand, recognize and acknowledge that many different programs may be ongoing at the same time that my child's Program is being held and that, if the Program involves overnight accommodation in a University residence hall, adults may also be housed in the same residence hall.
I understand, recognize and acknowledge that the Program involves activities including academic workshops and sessions, campus activities, walking tours, museum and educational visits, public transportation, group games and other scheduled activities that may involve inherent risks, including accidents, illness, loss of consciousness, physical or emotional injury, property damage, and other serious or unforeseen medical emergencies. It is my responsibility to ask questions about any aspect of the Program activities that has not been explained to my satisfaction. I hereby voluntarily assume any and all risks, including injury to person and property, related to my child's participation in the Program.
In consideration of the University allowing my child to participate in the Program, I, on behalf of myself, my child, and anyone claiming on behalf of me or my child, hereby release Trustees of Boston University (the "University") and its departments, officers, directors, board members, representatives, agents, and employees from any and all claims, demands, causes of action, judgments, damages, expenses and costs, including attorneys' fees and claims of negligence, on account of personal or bodily injury, property damage, serious medical emergencies, or, in rare or extreme circumstances, death, sustained by my child that arises out of or is related in any way to participation in the Program. This release applies to claims which I may now or hereafter have and which the above-named minor has or hereafter may acquire, either before or after reaching majority.
In signing this Parental Consent and Release from Liability, I hereby acknowledge that I have read this entire document, that I understand its terms, that I have signed it knowingly and voluntarily, and that I intend it to bind me, my minor child, and anyone claiming on behalf of me or my child.
I further acknowledge that I am the parent or legal guardian of the minor identified in this form, with legal authority to sign this document.

I have read, understand, and knowingly and voluntarily agree to all five Boston University terms above.

1. Laptop / Tablet Requirement: I understand that participants must bring their own working laptop or tablet, charger and any required accessories for academic workshops. The organization will not provide individual devices and is not responsible for loss of or damage to personal equipment.

I agree and acknowledge.

2. Transportation, Off-Campus Activities & Personal Belongings: I authorize my child to participate in supervised off-campus activities and to travel by subway, public bus, charter bus, van, rideshare or other transportation arranged or approved by the Program. I understand that the participant is responsible for safeguarding personal belongings, including passports, money, phones, laptops and luggage, and that the organizing team is not responsible for items that are lost, stolen or damaged.

I agree and acknowledge.

3. Internet & Communication: I understand that Wi-Fi availability and quality may vary in residence halls, classrooms and off-campus locations. The family is responsible for ensuring that the participant has a working phone and an active international data plan, eSIM or local SIM card so that the participant can receive Program messages and be contacted throughout the camp.

I agree and acknowledge.

4. Medical Information, Medication & Emergency Care: I certify that I have disclosed all relevant medical conditions, allergies, dietary restrictions and daily medications. Any medication must be supplied in its original or clearly labeled packaging with written instructions. Program staff do not prescribe or routinely administer medication. If I cannot be reached in an emergency, I authorize the Program to arrange appropriate evaluation, emergency transportation and treatment for my child. I accept financial responsibility for medical, pharmacy, ambulance and related expenses and understand that travel or health insurance is strongly recommended.

I agree and authorize.

5. Behavior Policy & Dismissal: I understand that my child must follow Program rules, safety instructions, curfews, residence hall requirements and directions from Program staff. Serious or repeated misconduct, behavior that endangers any person, possession or use of prohibited substances, harassment, violence, theft, unauthorized departure from the group or material disruption of the Program may result in dismissal. If dismissal is required, the family is responsible for prompt pickup or return travel and all related costs.

I agree and acknowledge.

6. Media & Image Release: I grant GLE Global Learning Experiences and The Experience Camp permission to photograph, film and record my child during Program activities and to use the resulting images, video, audio and statements for educational, informational and promotional purposes, including websites, social media, presentations, brochures and future Program materials, without financial compensation. The organization will not intentionally publish sensitive personal information such as passport, medical or contact details.

I agree and acknowledge.

Emergency Contact Name *

Emergency Phone (with Country Code) *

Parent or Guardian Full Name *

Relationship to Student *

Parent Email *

Parent Phone (with Country Code) *

Parent / Guardian Electronic Signature *

Student Printed Full Name *

Student Electronic Signature *

Date of Signing *

I state under penalty of perjury that I am the parent or legal guardian of the student, and I legally accept all terms above.

Submitting information and generating the signed PDF...