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Registration for Summer 2025
Virtual Cosmetic Science Camp
Proceed to the next screen for instructions.

Questions marked with a * are required
If you are under 18 years of age, then your parent/legal guardian must complete this form on your behalf.  This form will require 20 minutes of your time.  We recommend using a laptop/desktop for easier entry.  You will not be able to save your progress, so be sure to complete this form in one sitting, and do not exit your browser until submitted. This year's camp is limited to 150 students on a first come, first serve basis.  Rising sophomores, juniors, and seniors are welcome to register, as well as rising college freshmen.  The camp participation fee is $100 (total), which includes all supplies and activities.  When you complete this registration form, instructions will appear to submit your full credit card payment or to request financial aid, which must be completed at that time.  Your registration will not be accepted or processed without completing one of these options.  Financial aid (i.e., a 50% discount on the camp fee) is limited to 15 participants and will be based on supporting documentation (i.e., reduced lunch record, ACT/SAT fee waiver document, or a letter from a school counselor/teacher that details any unique circumstances).

Thank you!
Student's Contact Information (do not list parent/guardian information)
Parent/Guardian Contact Information (do not list student information)
Name of Student's High School
What will the student's grade be in Fall 2025?
Student's Preferred T-Shirt Size
Student's Personal Pronouns
Student's Gender Identity
Student's Racial Identity
How did you learn of this camp?
Emergency Contact #ONE: Who should we call in case of an emergency?
Emergency Contact #TWO: Who should we call in case of an emergency?
Please make us aware of any health/medical conditions.  If none, answer N/A.
Please make us aware of any accommodations that we can provide (e.g., interpreters, extra time, etc.). If none, enter N/A.
Within this next section, we will need your legal permission to participate.  Participation Agreement and Release of Liability:  We, the undersigned, request that Participant be granted permission to participate in the Virtual Cosmetic Science and Formulation Design Camp being held June 24-27, 2025, which may include, but is not limited to interactive games, hands-on experiments, and handling potentially harmful chemicals (“Activity”). We understand the risks inherent in said Activity, which may include but are not limited to bodily injury, death, or property damage. We further acknowledge that some risks are unforeseeable and that it is not possible to list every possible risk on this Release. It is understood that the safety of the Participant depends on the Participant’s own good judgment, adequate preparation, and constant attention. We understand that safety is the responsibility of the Participant. We hereby expressly assume all of the risks of injury, death or property damage that may result by reason of participation in these Activities. Participant agrees to comply with health requirements as established and published by the University, and recommended by the Centers for Disease Control and Prevention (CDC) and the Ohio Department of Health (ODH). By executing this Agreement, it is fully understood that Participant may be exposed to COVID-19 and other infections. Similar to other highly contagious viruses, it is understood that it is possible to contract the COVID-19 disease, even if Participant complies with all health and safety measures as required by the University and as recommended by the CDC and the ODH. It is understood that although the University is following the coronavirus guidelines issued by the CDC, ODH, and other experts to reduce the spread of infection, Participant can never be completely shielded from all risk of illness caused by COVID-19 or other infections. In consideration of my being permitted to participate in the Activity, we do hereby release, waive, forever discharge, and covenant not to sue the State of Ohio, The University of Toledo, its governing board, officers, agents, employees, and any students acting as employees (“Releasees”), from and against any and all liability for any harm, injury, damage, claims, demands, actions, causes of action, costs, and expenses of any nature which I may have or which may hereafter accrue to myself, arising out of or related to any loss, damage, or injury, including but not limited to suffering and death, that may be sustained by the Participant or by any property owned by Participant, whether caused by the negligence or carelessness of the Releasees, or otherwise, while Participant is in, on, upon, or in transit to or from the premises where the activity, or any adjunct to the activity, occurs or is being conducted. It is our express intent that this release and hold harmless agreement shall bind the members of my family, estate, heirs, administrators, personal representatives or assigns. We understand and agree that the University’s insurance may not cover any injury or loss sustained during said Activity and that Releasees may not have medical personnel available at the location of the Activity. We understand and agree that Releasees are granted permission to authorize emergency medical treatment, if necessary, and that such action by Releasees shall be subject to the terms of this Agreement. We understand and agree that Releasees assume no responsibility for any injury or damage, which might arise out of or in connection with such authorized emergency medical treatment. Any cost associated with emergency medical treatment will be the responsibility of the Participant. Pursuant to the University’s Student Health Insurance Policy (3364-40-27), we understand and agree that the Participant has sufficient health insurance coverage. In signing this Participating Agreement and Release of Liability form, we acknowledge that we have reviewed and understand what the above means and that this document is signed as a free act and deed. No oral representations, statements, or inducements, apart from the foregoing written statement have been made. We further state that there are no health-related reasons or problems which preclude or restrict my participation in this activity, and that I have adequate health insurance necessary to provide for and pay any medical costs that may be attendant as a result an injury to me. We further agree that this Release shall be construed in accordance with the laws of the State of Ohio.

For minors: I, the Participant's Parent and/or Legal Guardian, am fully competent to sign this Agreement; and that I execute this release for full, adequate, and complete consideration fully intending for myself, for Participant and Participant’s family, estate, heirs, administrators, personal representatives, or assigns to be bound by the same.

Enter "Yes" below if you have reviewed, understood, and agreed to the aforementioned conditions. "Yes" must be entered by your Parent/Legal guardian if you're under 18 years of age.
This is a legally binding Release executed by (enter Full legal name of the Student Participant below):
This is a legally binding Release executed by (enter Full legal name of the Participant's Parent or Guardian below) - if Participant is under 18 years of age.  If 18 years of age or above, answer N/A.
Photo and Film Permission and Release Form:  I hereby grant permission to The University of Toledo to use photographs and film taken of me at University-related functions or from a scheduled photo shoot or videotaping/filming session on the University’s web site, University’s social media accounts, or other University medium, and to offer the photographs and film to other University departments for use or distribution, without notifying me. I hereby waive any right to inspect or approve the photographs, film, or any electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown. I waive any right to royalties or other compensation arising from or related to the use of the photographs and/or film. I hereby agree to release and hold harmless The University of Toledo, from and against any claims, damages or liability arising from or related to the use of the photographs and film, including but not limited to any re use, distortion, blurring, alteration, optical illusion or use in composite form, either intentionally or otherwise, that may occur or be produced during the production of the finished product. I am 18 years of age or the parent or legal guardian of a person under the age of 18 and I am competent to contract in my own name. I have read this release before signing below, and I fully understand the content, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

Enter Parent/Guardian First and Last Name (if participant is under 18 years of age). If 18 years of age or above, answer N/A.
Student Participant's First and Last Name
Enter "Yes" if you have reviewed, understood, and agreed to the aforementioned conditions. "Yes" must be entered by your Parent/Legal guardian if you're under 18 years of age.
You made it! Click done to submit. A window will appear to complete full payment OR to request financial aid consideration.