{"id":5016,"date":"2025-07-01T00:00:19","date_gmt":"2025-07-01T04:00:19","guid":{"rendered":"https:\/\/www.monmouth.edu\/department-of-csse\/?page_id=5016"},"modified":"2026-06-09T10:12:36","modified_gmt":"2026-06-09T14:12:36","slug":"registration-tech-camp","status":"publish","type":"page","link":"https:\/\/www.monmouth.edu\/department-of-csse\/happenings\/summer-tech-camp\/registration-tech-camp\/","title":{"rendered":"Registration: Summer Tech Camp"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_8' style='display:none'>\n                        <div class='gform_heading'>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_8'  action='\/department-of-csse\/wp-json\/wp\/v2\/pages\/5016' data-formid='8' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_8' class='gform_fields top_label form_sublabel_above description_below validation_below'><div id=\"field_8_83\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_83'>Facebook<\/label><div class='ginput_container'><input name='input_83' id='input_8_83' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_8_83'>This field is for validation purposes and should be left unchanged.<\/div><\/div><div id=\"field_8_60\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Camper<\/h3><\/div><fieldset id=\"field_8_21\" class=\"gfield gfield--type-name gfield--input-type-name gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Camper&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_21'>\n                            \n                            <span id='input_8_21_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_8_21_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_21.3' id='input_8_21_3' value=''   aria-required='true'     \/>\n                                                <\/span>\n                            \n                            <span id='input_8_21_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_8_21_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_21.6' id='input_8_21_6' value=''   aria-required='true'     \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_46\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_46'>Birthdate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input name='input_46' id='input_8_46' type='text' value='' class='datepicker gform-datepicker mdy datepicker_no_icon gdatepicker-no-icon'   placeholder='mm\/dd\/yyyy' aria-describedby=\"input_8_46_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_8_46_date_format' class='screen-reader-text'>MM slash DD slash YYYY<\/span>\n                        <\/div>\n                        <input type='hidden' id='gforms_calendar_icon_input_8_46' class='gform_hidden' value='https:\/\/www.monmouth.edu\/department-of-csse\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_8_47\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_47'>Age at Time of Participation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_47' id='input_8_47' type='number' step='any'   value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"  \/><\/div><\/div><fieldset id=\"field_8_22\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Grade Level<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_22'>\n\t\t\t<div class='gchoice gchoice_8_22_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='6'  id='choice_8_22_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_22_0' id='label_8_22_0' class='gform-field-label gform-field-label--type-inline'>6<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_22_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='7'  id='choice_8_22_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_22_1' id='label_8_22_1' class='gform-field-label gform-field-label--type-inline'>7<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_22_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='8'  id='choice_8_22_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_22_2' id='label_8_22_2' class='gform-field-label gform-field-label--type-inline'>8<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_22_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='9'  id='choice_8_22_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_22_3' id='label_8_22_3' class='gform-field-label gform-field-label--type-inline'>9<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_22_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='10'  id='choice_8_22_4' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_22_4' id='label_8_22_4' class='gform-field-label gform-field-label--type-inline'>10<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_22_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='11'  id='choice_8_22_5' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_22_5' id='label_8_22_5' class='gform-field-label gform-field-label--type-inline'>11<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_22_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_22' type='radio' value='12'  id='choice_8_22_6' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_22_6' id='label_8_22_6' class='gform-field-label gform-field-label--type-inline'>12<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_23\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Shirt Size<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_23'>\n\t\t\t<div class='gchoice gchoice_8_23_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='S'  id='choice_8_23_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_23_0' id='label_8_23_0' class='gform-field-label gform-field-label--type-inline'>S<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_23_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='M'  id='choice_8_23_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_23_1' id='label_8_23_1' class='gform-field-label gform-field-label--type-inline'>M<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_23_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='L'  id='choice_8_23_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_23_2' id='label_8_23_2' class='gform-field-label gform-field-label--type-inline'>L<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_23_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_23' type='radio' value='XL'  id='choice_8_23_3' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_23_3' id='label_8_23_3' class='gform-field-label gform-field-label--type-inline'>XL<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_61\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Parent&#039;s\/Legal Guardian<\/h3><\/div><fieldset id=\"field_8_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Parent&#039;s\/Legal Guardian&#039;s Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_8_1'>\n                            \n                            <span id='input_8_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_8_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_8_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_8_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_8_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_8_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_8_2\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_2'>Parent&#039;s\/Legal Guardian&#039;s Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_8_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"email\"\/>\n                        <\/div><\/div><div id=\"field_8_3\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_8_3'>Parent&#039;s\/Legal Guardian&#039;s Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_3' id='input_8_3' type='tel' value='' class='medium'   aria-required=\"true\" aria-invalid=\"false\"  autocomplete=\"tel\" \/><\/div><\/div><fieldset id=\"field_8_4\" class=\"gfield gfield--type-address gfield--input-type-address gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Parent&#039;s\/Legal Guardian&#039;s Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_8_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_4_1_container' >\n                                        <label for='input_8_4_1' id='input_8_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_4.1' id='input_8_4_1' value=''    aria-required='true'   autocomplete=\"address-line1\" \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_8_4_2_container' >\n                                        <label for='input_8_4_2' id='input_8_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_4.2' id='input_8_4_2' value=''    autocomplete=\"address-line2\" aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_4_3_container' >\n                                    <label for='input_8_4_3' id='input_8_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_4.3' id='input_8_4_3' value=''    aria-required='true'   autocomplete=\"address-level2\" \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_4_4_container' >\n                                        <label for='input_8_4_4' id='input_8_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_4.4' id='input_8_4_4' value=''      aria-required='true'   autocomplete=\"address-level1\" \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_4_5_container' >\n                                    <label for='input_8_4_5' id='input_8_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_4.5' id='input_8_4_5' value=''    aria-required='true'   autocomplete=\"postal-code\" \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_8_4_6_container' >\n                                        <label for='input_8_4_6' id='input_8_4_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                        <select name='input_4.6' id='input_8_4_6'   aria-required='true'   autocomplete=\"country-name\" ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option> <\/select>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><fieldset id=\"field_8_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Enrollment Type<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_77'>\n\t\t\t<div class='gchoice gchoice_8_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Community Member'  id='choice_8_77_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_77_0' id='label_8_77_0' class='gform-field-label gform-field-label--type-inline'>Community Member<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Monmouth Employee'  id='choice_8_77_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_77_1' id='label_8_77_1' class='gform-field-label gform-field-label--type-inline'>Monmouth Employee<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_5\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_8_5 gfield_product_8_5 gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which Weeks will the Camper Participate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_5'>\n\t\t\t<div class='gchoice gchoice_8_5_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Week 1|600'  id='choice_8_5_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_5_0' id='label_8_5_0' class='gform-field-label gform-field-label--type-inline'>Week 1 ($600)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_5_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Week 2|600'  id='choice_8_5_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_5_1' id='label_8_5_1' class='gform-field-label gform-field-label--type-inline'>Week 2 ($600)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_5_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_5' type='radio' value='Both Weeks|950'  id='choice_8_5_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_5_2' id='label_8_5_2' class='gform-field-label gform-field-label--type-inline'>Both Weeks ($950)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_8_80\" class=\"gfield gfield--type-product gfield--type-choice gfield--input-type-radio gfield--width-full gfield_price gfield_price_8_80 gfield_product_8_80 gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >Which Weeks will the Camper Participate<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_8_80'>\n\t\t\t<div class='gchoice gchoice_8_80_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Week 1|400'  id='choice_8_80_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_80_0' id='label_8_80_0' class='gform-field-label gform-field-label--type-inline'>Week 1 ($400)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_80_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Week 2|400'  id='choice_8_80_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_80_1' id='label_8_80_1' class='gform-field-label gform-field-label--type-inline'>Week 2 ($400)<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_8_80_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_80' type='radio' value='Both Weeks|700'  id='choice_8_80_2' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_8_80_2' id='label_8_80_2' class='gform-field-label gform-field-label--type-inline'>Both Weeks ($700)<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_7\" class=\"gfield gfield--type-total gfield--input-type-total gfield_price gfield_price_8_ gfield_total gfield_total_8_ field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  aria-atomic=\"true\" aria-live=\"polite\" ><label class='gfield_label gform-field-label' for='input_8_7'>Total<\/label><div class='ginput_container ginput_container_total'>\n\t\t\t\t\t\t\t<input type='text' readonly name='input_7' id='input_8_7' value='$0.00' class='gform-text-input-reset ginput_total ginput_total_8' \/>\n\t\t\t\t\t\t<\/div><\/div><div id=\"field_8_75\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Registration and Cancellation Policies<\/h3><\/div><div id=\"field_8_76\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h4>Registration Policy<\/h4>\n<ul>\n<li>Payment must be made in full at the time of registration.<\/li>\n<li>Registration Deadline: The final day to register for camp is Monday July 1, 2026.<\/li>\n<li>Please ensure that you can attend the camp prior to registering. The camp is staffed and planned based on the number of registered participants. Any cancellation is subject to the Cancellation Policy below.<\/li>\n<\/ul>\n\n<h4>Cancellation Policy: (1 Week of Camp &#8211; $600 community price)<\/h4>\n<ul>\n<li>Cancellation and refund requests must be submitted in writing. <\/li>\n<li>Cancellations made more than 30 calendar days before the start of camp will be subject to a $75 cancellation fee ($50 for MU Employees). <\/li>\n<li>Cancellations made within 15 to 30 calendar days before the start of camp will be subject to a $150 cancellation fee ($100 for MU Employees).<\/li>\n<li>Cancellations made within 7 to 14 calendar days before the start of camp will be subject to a $300 cancellation fee ($150 for MU Employees).<\/li>\n<li>Cancellations made less than 7 calendar days before the start of camp will be subject to a $450 cancellation fee ($300) for MU Employees).<\/li>\n<li>There will be no refunds for cancellations made the first day of camp or \u201cno show\u201d registrants.<\/li>\n<\/ul>\n\n<h4>Cancellation Policy: (2 Weeks of Camp &#8211; $950 community price)<\/h4>\n<ul>\n<li>Cancellation and refund requests must be submitted in writing. <\/li>\n<li>Cancellations made more than 30 calendar days before the start of camp will be subject to a $75 cancellation fee ($50 for MU Employees). <\/li>\n<li>Cancellations made within 15 to 30 calendar days before the start of camp will be subject to a $250 cancellation fee ($175 for MU Employees).<\/li>\n<li>Cancellations made within 7 to 14 calendar days before the start of camp will be subject to a $450 cancellation fee ($350 for MU Employees).<\/li>\n<li>Cancellations made less than 7 calendar days before the start of camp will be subject to a $700 cancellation fee ($525 for MU Employees).<\/li>\n<li>There will be no refunds for cancellations made the first day of camp or \u201cno show\u201d registrants.<\/li>\n<\/ul><\/div><div id=\"field_8_63\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">Releases<\/h3><\/div><fieldset id=\"field_8_25\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Assumption of Risk and Release of Liability, Photo Consent and Release, Parent\/Guardian Permission for Youth Participant and Participant\u2019s Acknowledgement and Consent<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='gfield_description gfield_consent_description' id='gfield_consent_description_8_25' tabindex='0'>THIS IS A LEGAL DOCUMENT \u2013 READ CAREFULLY<br \/>\n<br \/>\nA. PARENT\/GUARDIAN PERMISSION: I hereby give my child named below permission to participate in the Monmouth University Camp. I understand and agree that I am solely responsible to provide transportation to and from the camp each day.<br \/>\n<br \/>\nB. RISK OF ACTIVITIES: I understand and agree I understand agree that there exist foreseen and unforeseen risks of harm associated with participating in the Monmouth University Camp which may give rise to bodily injury and\/or property damage. These risks include, but are not limited to, those hazards associated with strenuous activity, exposure to heat or cold weather, exhaustion, dehydration, broken bones, concussion, torn appendages, dislocations, bruises, cuts, and any other injuries that may result in physical contact with others. I further understand and agree that there may be risks and dangers not known or reasonably foreseeable at this time. I understand and agree that included within the scope of this Assumption of Risk and Release is any cause of action, arising from the performance of or the failure to perform maintenance, inspection, supervision or control of the activities, or the failure to warn of existing dangerous conditions not known to or reasonably discovered by Monmouth University, except to the extent that such loss or liability arises out of the gross negligence or intentional acts of Monmouth University. I understand and agree that it is strongly recommended that I consult with a physician before my child participates in the Monmouth University Camp to determine any potential hazards that may adversely affect my child\u2019s participation. I am aware of no impairment that would interfere with my child\u2019s participation in the activities. I have consulted with a medical doctor with regard to my child\u2019s personal medical needs. There are no health-related reasons or problems that prevent or restrict my child\u2019s participation in this camp. I knowingly and voluntarily assume full responsibility for these risks arising out of or related to my child\u2019s participation in the Monmouth University Camp. <br \/>\n<br \/>\nC. ASSUMPTION OF RISK AND RELEASE OF CLAIMS: Knowing the risks described above, I, the undersigned, agree to assume all the risks and responsibilities surrounding my child\u2019s participation in the activities, transportation to and from the activities and in any independent activities undertaken as a participant. In consideration of my child being permitted to participate in the Monmouth University Camp for which I have indicated my permission above, on behalf of my child, myself, my family, heirs, personal representatives, I hereby voluntarily agree to release, waive, discharge, hold harmless and defend and indemnify Monmouth University, its respective trustees, officers, directors, agents, employees, students and volunteers from any and all liabilities, claims, actions, or demands for damages, including reasonable costs and attorney\u2019s fees, for personal injury, disability, death, property loss or damage, wrongful death, loss of services, or other loss of any kind that my child or, I on behalf of my child, may sustain as a result of my child\u2019s participation in the Monmouth University Camp, from any cause whatsoever, or for which I or my child may be liable to another person, caused by, deriving from, or associated with my child\u2019s participation in the Monmouth University Camp from any cause whatsoever, except to the extent that such loss or damage is caused solely or in part by the gross negligence or intentional acts of MU, its employees, or agents, I understand that Monmouth University does not require my child to participate in this summer camp, but I want my child to do so, despite the possible dangers and risks and despite this Release. <br \/>\n<br \/>\nD. MEDICAL EMERGENCY AUTHORIZATION AND HEALTH INFORMATION: I understand and agree that Monmouth University does not have medical personnel available at the location of the activities. In the case of injury or illness or an accident to my child requiring immediate treatment or surgery while they are a participant in this activity, I fully authorize Monmouth University, through any of its representatives, to consent to whatever action they feel is warranted under the circumstances regarding my child\u2019s health and safety, including medical treatment, all at my own expense. This authority extends to any physician(s) and\/or surgeon(s) selected by Monmouth University to perform medical and\/or surgical procedures including examinations and tests necessary to preserve the health and physical well-being of my child. I understand that all efforts will be made to contact me and any emergency contacts listed in this Agreement in case of an emergency. I understand and agree that Monmouth University, its trustees, officers, directors, employees, agents, students and volunteers assume no responsibility for any injury or damage which might arise out of or in connection with such authorized medical treatment. Further, I understand that Monmouth University does not provide accident\/health insurance for participants, and I assume all personal and financial responsibility for any such medical and dental care and treatment. I understand that Monmouth University is not responsible for the cost or quality of any care that my child may receive during the course of the Monmouth University Camp, or after the Monmouth University Camp for injuries sustained during the Monmouth University Camp. I further agree to hold harmless and indemnify Monmouth University, its trustees, officers, directors, employees, agents, students and volunteers for any and all actions taken by MU to provide necessary emergency medical care to my child during the camp. <br \/>\n<br \/>\nE. PHOTO CONSENT AND RELEASE: I do hereby give Monmouth University the absolute and irrevocable right to record and use in perpetuity my child\u2019s name, likeness, voice and statements\/quotations in connection with my child\u2019s participation in the Monmouth University Camp. I also give Monmouth University the absolute and irrevocable right to use such recordings as a resource for University and archival purposes. I understand and agree that the University shall be entitled to use my child\u2019s picture, statements, or quotations as stated above subsequent to my child\u2019s participation in the Monmouth University Camp and that my child\u2019s picture, statements or quotations may be used in print, electronic and\/or digital form in a published book or otherwise. I understand that neither the copy nor edited picture, statements, recordings, or quotations will be submitted to me for inspection or approval prior to publication. I further understand and agree that this release includes, without limitation, the absolute and irrevocable right to use, reproduce, exhibit, distribute, publish and broadcast worldwide, in full or in edited version, such images and information in Monmouth University\u2019s newsletters, on the Monmouth University website, on internet sites and in social media, including, but not limited to YouTube, Apple iTunes U, and in public relations\/promotional materials such as marketing and admissions publications, advertisements, fundraising materials and any other Monmouth University-related publications for any purpose that Monmouth University and those acting pursuant to its authority deem appropriate. Such images and information may appear in any of the wide variety of formats and media now available and that may be available in the future, including but not limited to all mediums, including without limitation the following: electronic\/online media (for example, websites and electronic mailings); radio; television (local, public, cable, satellite, and\/or digital TV); video (DVD); print media (lyrics); and successor technologies (any other media, method, system, form or manner now or hereafter known invented or used). I understand and agree that all such recordings, in whatever medium, shall remain the property of Monmouth University. I understand and agree that my child nor I shall not be entitled to any compensation of any nature, monetary or otherwise, from Monmouth University in return for allowing this use. I release Monmouth University and those acting pursuant to their authority from liability for any violation of any personal or proprietary right I and\/or my child may have in connection with such use.<br \/>\n<br \/>\nF. COMPLIANCE WITH RULES AND POLICIES: My child and I agree to comply with all the rules, regulations, and policies of Monmouth University and those applicable generally and those pertaining specifically to the Monmouth University Camp. I understand that if my child violates any of Monmouth University\u2019s policies and standards for conduct, the instructions and guidelines given to my child by Monmouth University, or otherwise demonstrate behavior which is detrimental to the group or program, my child may be dismissed from the program and sent home at my own expense with no refund of fees.<br \/>\n<br \/>\nG. BINDING EFFECT; CONSTRUCTION; FORUM; SEVERABILITY: I acknowledge that this contract will bind my child, members of my family, my spouse, heirs, assigns, and personal representative. This contract will be construed under the laws of the State of New Jersey. I agree that any lawsuits filed under or incident to this agreement or to the Monmouth University Camp shall be brought in the County of Monmouth, State of New Jersey. I agree that, should any provision or aspect of this Release be found unenforceable, that all remaining provisions of this Release will remain in full force and effect.<br \/>\n<br \/>\nI represent that my agreement to the provisions herein is wholly voluntary, and further understand that, by signing this agreement, I acknowledge that all questions, which I raised with regard to this form, were fully and adequately responded to by Monmouth University personnel, including but not limited to an explanation of the meaning and possible legal effect of signing this form. No representations, statements, or inducements, oral or written, apart from the foregoing written statement, have been made.<br \/>\n<br \/>\nI certify that I have carefully read and understand this Assumption of Risk and Release Form before signing it. I represent that I am voluntarily signing this Form and that I was advised to seek private legal counsel regarding this Form. By signing this Form, I acknowledge that I am aware of the risks associated with my child\u2019s participation in the Monmouth University Camp.<br \/>\n<br \/>\nI further certify that my child is physically fit and able to participate fully in the above indicated Monmouth University Camp. I further certify that to the best of my knowledge, the medical information is complete and correct and the insurance information provided is current as provided in the Parent\/Guardian Medical and Insurance Information for Youth Participant.<br \/>\n<br \/>\nBy clicking Submit Order, I acknowledge and agree that I am submitting an electronic signature indicating that I have read and agree to accept all of the terms and conditions set forth in this Assumption of Risk and Release Form. I further acknowledge and agree that a facsimile copy, PDF or photocopy of my signature hereto shall be valid and shall have the full force and effect as an original.<br \/>\n<br \/>\nBy clicking Submit Order, you agree that you have read the Assumption of Risk and Release of Liability, Photo Consent and Release, Parent\/Guardian Permission for Youth Participant and Participant\u2019s Acknowledgement and Consent (\u201cAgreement\u201d), and you agree and understand the terms and conditions. By clicking Submit Order, you are permitting your child to participate in the Camp and are signing the Agreement and agree to be bound by the Agreement. You should retain a copy of the Agreement and print or make an electronic copy. If you do not have access to a printer, please contact techcamp@monmouth.edu prior to submitting your order, and a hard copy will be provided for you.<br \/>\n<br \/>\nPARTICIPANT ACKNOWLEDGMENT AND CONSENT:<br \/>\n<br \/>\nI have read and reviewed the above Assumption of Risk and Release of Liability, Photo Consent and Release, Parent\/Guardian Permission for Youth Participant and Participant\u2019s Acknowledgement and Consent (\u201cAgreement\u201d) with my parent\/guardian. I understand, acknowledge, and voluntarily agree to the risks and terms and conditions of the Agreement.<br \/>\n<br \/>\nBy clicking submit order, I acknowledge and agree that I am submitting an electronic signature indicating that I have read and agree to accept all of the terms and conditions set forth in this Agreement. I further acknowledge and agree that a facsimile copy, PDF or photocopy of my signature hereto shall be valid and shall have the full force and effect as an original.<\/div><div class='ginput_container ginput_container_consent'><input name='input_25.1' id='input_8_25_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_8_25\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_8_25_1' >Parent\/Guardian: I have read the Assumption of Risk and Release of Liability, Photo Consent and Release, Parent\/Guardian Permission for Youth Participant and Participant\u2019s Acknowledgement and Consent (\u201cAgreement\u201d), and I agree and understand the terms and conditions.<\/label><input type='hidden' name='input_25.2' value='Parent\/Guardian: I have read the Assumption of Risk and Release of Liability, Photo Consent and Release, Parent\/Guardian Permission for Youth Participant and Participant\u2019s Acknowledgement and Consent (\u201cAgreement\u201d), and I agree and understand the terms and conditions.' class='gform_hidden' \/><input type='hidden' name='input_25.3' value='29' class='gform_hidden' \/><\/div><\/fieldset><fieldset id=\"field_8_81\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full participant gfield_contains_required field_sublabel_above gfield--no-description field_description_below hidden_label field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Participant&#039;s Acknowledgment<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_8_81'><div class='gchoice gchoice_8_81_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_81.1' type='checkbox'  value='Participant: I have read and reviewed the above Assumption of Risk and Release of Liability, Photo Consent and Release, Parent\/Guardian Permission for Youth Participant and Participant\u2019s Acknowledgement and Consent (\u201cAgreement\u201d) with my parent\/guardian. I understand, acknowledge, and voluntarily agree to the risks and terms and conditions of the Agreement.'  id='choice_8_81_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_8_81_1' id='label_8_81_1' class='gform-field-label gform-field-label--type-inline'>Participant: I have read and reviewed the above Assumption of Risk and Release of Liability, Photo Consent and Release, Parent\/Guardian Permission for Youth Participant and Participant\u2019s Acknowledgement and Consent (\u201cAgreement\u201d) with my parent\/guardian. I understand, acknowledge, and voluntarily agree to the risks and terms and conditions of the Agreement.<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_8_82\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3>Additional Forms (Must Be Printed and Signed)<\/h3>\n\n<p>The following forms must be completed by all participants in the Monmouth University camp offered by Monmouth University on the Monmouth University campus. Please read both forms before submitting your order, and remember that <strong>the printed and signed forms are required the first day of camp to allow for participation<\/strong>. If you do not have access to a printer, please contact <a href=\"mailto:techcamp@monmouth.edu\">techcamp@monmouth.edu<\/a> prior to submitting your order, and a hard copy will be provided for you.<\/p>\n\n<!-- wp:buttons -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"className\":\"is-style-in-page-has-chevron\"} -->\n<div class=\"wp-block-button is-style-in-page-has-chevron\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.monmouth.edu\/department-of-csse\/documents\/2025\/04\/tech-camp-medical-form.pdf\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>View &#8220;Parent\/Guardian Medical and Insurance Information for Youth Participant&#8221;<\/strong><\/a><\/div>\n<!-- \/wp:button -->\n<!-- wp:button {\"className\":\"is-style-in-page-has-chevron\"} -->\n<div class=\"wp-block-button is-style-in-page-has-chevron\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/www.monmouth.edu\/department-of-csse\/documents\/2026\/05\/monmouth-university-consent-and-release-form.pdf\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Monmouth University Consent and Release Form<\/strong><\/a><\/div>\n<!-- \/wp:button --><\/div>\n<!-- \/wp:buttons -->\n<\/div><div id=\"field_8_31\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><h3 class=\"gsection_title\">Billing Info<\/h3><\/div><div id=\"field_8_32\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_8_32'>Billing Name<\/label><div class='ginput_container ginput_container_text'><input name='input_32' id='input_8_32' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_8_33\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><legend class='gfield_label gform-field-label gfield_label_before_complex' >Billing Address<\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_8_33' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_8_33_1_container' >\n                                        <label for='input_8_33_1' id='input_8_33_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                        <input type='text' name='input_33.1' id='input_8_33_1' value=''    aria-required='false'    \/>\n                                   <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_8_33_2_container' >\n                                        <label for='input_8_33_2' id='input_8_33_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                        <input type='text' name='input_33.2' id='input_8_33_2' value=''     aria-required='false'   \/>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_8_33_3_container' >\n                                    <label for='input_8_33_3' id='input_8_33_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                    <input type='text' name='input_33.3' id='input_8_33_3' value=''    aria-required='false'    \/>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_8_33_4_container' >\n                                        <label for='input_8_33_4' id='input_8_33_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                        <input type='text' name='input_33.4' id='input_8_33_4' value=''      aria-required='false'    \/>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_8_33_5_container' >\n                                    <label for='input_8_33_5' id='input_8_33_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                    <input type='text' name='input_33.5' id='input_8_33_5' value=''    aria-required='false'    \/>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_8_33_6_container' >\n                                        <label for='input_8_33_6' id='input_8_33_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                        <select name='input_33.6' id='input_8_33_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin 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