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Menu
About Us
Mission
About Waldorf Education
MWS History
Waldorf For All
Faculty and Staff
Board of Trustees
COVID-19 Information
Hours and Directions
Contact Information
Employment Opportunities
Programs
Growing Together
Summer Camp
Preschool
Kindergarten
Grades 1-8
Grade One
Grade Two
Grade Three
Grade Four
Grade Five
Grade Six
Grade Seven
Grade Eight
Special Subject Classes
Sports – Grades 6-8
Enrollment
Tuition
Apply to MWS
Financial Aid
Visit MWS
Community
News + Blog
Plant Sale & Fundraiser
May Faire Shirt Ordering
Order Ad for Directory
Festivals and Events
School Store
Parent Council
Bikeathon
Holiday Fair
Rent Our Facility
Support MWS
Annual Fund
Make a Donation
Everyday Ways to Give
Parents
Parent Portal
Portal Registration
Calendar
Volunteer
Make a Payment
2024 Camp Registration Form
2024 MWS Summer Day Camp – Parent Registration
CAMPER INFORMATION
Please fill out fields for each child being registered.
How many children will you be registering this summer?
*
1
2
3
4
Include any children that will be registered from June through August. You’ll only need to complete this form once.
1st Child's Name
*
First
Last
1st Child's Birthdate (Month/Day/Year)
1st Child's Age in Years
*
2
3
4
5
6
7
8
9
10
11
12
1st Child's Pronouns and Gender
1st Child's Health Information
Confirm child’s name in these comments.
Allergies
Please list all allergies and treatments if available.
Are your child's allergies life threatening?
Yes
No
Asthma
If applicable, please list all information on asthma and asthma medications.
Seizures
If applicable, please list all information on seizures and seizure medications.
Please list any diagnoses or conditions that may necessitate extra accommodations or one-on-one care (e.g., ADHD, ASD, SPD, etc.).
Any other conditions requiring observation?
Toilet Training
*
I affirm that my child is able to use the toilet independently.
All campers must be 100% able to use the bathroom independently.
Second Child
2nd Child's Name
*
First
Last
2nd Child's Birthdate (Month/Day/Year)
2nd Child's Age in Years
*
2
3
4
5
6
7
8
9
10
11
12
2nd Child's Pronouns and Gender
2nd Child's Health Information
Confirm child’s name in these comments.
Allergies
Please list all allergies and treatments if available.
Are your child's allergies life threatening?
Yes
No
Asthma
If applicable, please list all information on asthma and asthma medications.
Seizures
If applicable, please list all information on seizures and seizure medications.
Please list any diagnoses or conditions that may necessitate extra accommodations or one-on-one care (e.g., ADHD, ASD, SPD, etc.).
Any other conditions requiring observation?
Toilet Training
*
I affirm that my child is able to use the toilet independently.
All campers must be 100% able to use the bathroom independently.
Third Child
3rd Child's Name
*
First
Last
3rd Child's Birthdate (Month/Day/Year)
3rd Child's Age in Years
*
2
3
4
5
6
7
8
9
10
11
12
3rd Child's Pronouns and Gender
3rd Child's Health Information
Confirm child’s name in these comments.
Allergies
Please list all allergies and treatments if available.
Are your child's allergies life threatening?
Yes
No
Asthma
If applicable, please list all information on asthma and asthma medications.
Seizures
If applicable, please list all information on seizures and seizure medications.
Please list any diagnoses or conditions that may necessitate extra accommodations or one-on-one care (e.g., ADHD, ASD, SPD, etc.).
Any other conditions requiring observation?
Toilet Training
*
I affirm that my child is able to use the toilet independently.
All campers must be 100% able to use the bathroom independently.
Fourth Child
4th Child's Name
*
First
Last
4th Child's Birthdate (Month/Day/Year)
4th Child's Age in Years
*
2
3
4
5
6
7
8
9
10
11
12
4th Child's Pronouns and Gender
4th Child's Health Information
Confirm child’s name in these comments.
Allergies
Please list all allergies and treatments if available.
Are your child's allergies life threatening?
Yes
No
Asthma
If applicable, please list all information on asthma and asthma medications.
Seizures
If applicable, please list all information on seizures and seizure medications.
Please list any diagnoses or conditions that may necessitate extra accommodations or one-on-one care (e.g., ADHD, ASD, SPD, etc.).
Any other conditions requiring observation?
Toilet Training
*
I affirm that my child is able to use the toilet independently.
All campers must be 100% able to use the bathroom independently.
PARENT INFORMATION
Parent/Legal Guardian #1
*
First
Last
Primary Phone
*
Email
*
Parent/Legal Guardian #2
First
Last
Primary Phone
Email
Household 1
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Household 2
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
AUTHORIZED PICK-UP
Children will not be released to anyone not recognized by the staff without picture identification.
Name of person other than parents who is authorized to pick up your child(ren).
First
Last
Relationship to Child
Aunt
Uncle
Grandmother
Grandfather
Friend of family
Other
Phone
Additional Authorized Pickup
First
Last
Relationship to Child
Aunt
Uncle
Grandmother
Grandfather
Friend of family
Other
Phone
EMERGENCY AND HEALTH INFORMATION
Physician's Name
*
Physician's Phone
Preferred Hospital
Emergency Contacts
Please list persons who will care for child in case parent/guardian cannot be reached.
Emergency Contact
*
Primary Phone
*
2nd Emergency Contact
*
Primary Phone
*
MEDICAL AUTHORIZATION
Medical Authorization Agreement
I agree to the statement below.
By checking above, you agree to the following Parent’s Statement: I accept responsibility for notifying the school of any changes of home or business address or phone number. In the event of serious illness or accident and I cannot be immediately contacted, I give permission to have my child moved by ambulance or other conveyance to a doctor’s office or hospital for immediate attention. I also assume responsibility for payments of same. In case of an accident or illness where immediate treatment is not needed, but where my child is unable to remain in school, I request the school to contact me. If I am unable to be reached, I request that one of the persons listed under Emergency Contacts be contacted to care for my child until I can be reached. These persons have permission to transport my child.
Medical Authorization Signature
*
First
Last
Date
*
MM slash DD slash YYYY
How did you hear about MWS Summer Camp?
*
Facebook
Instagram
Niche.com
MWS Website
MWS Family (Current or Past)
Google Search
Other
MWS SUMMER CAMP AUTHORIZED SIGNATURE
By checking below, you agree to the terms of the Minnesota Waldorf School Program described in this agreement/registration form.
Terms and Conditions
*
I have read and agree to the terms and conditions.
Minnesota Waldorf School (MWS) 2024 Summer Camp Terms and Conditions
1) Camp fees are due, in full, at the time of registration. The deadline for registration is 11:59 p.m., 8 days prior to the start of each camp week. For example, if you are signing up for camp the week of July 22–26, then registration needs to be completed by 11:59 p.m. Sunday, July 14.
2) Camp registration is charged per session and payment and registration is non-transferable to other parties or for other services. Charges are not prorated by day or hour.
3) At the end of each camp day, campers must be picked up on or before the time their camp session ends. Late pickup will result in a late fee billed in quarter hour increments at the rate of $17.00 per hour, which will begin one minute after the registered pick-up time, e.g.. late fees for 3:30 p.m. pickup will begin at 3:31 p.m.
4) A $50 administrative change fee for each occurrence will be assessed to switch registered camp week(s) or decrease the number of days your child(ren) attend(s). Addition of time and/or days must be paid in full at minimum two days prior to the date of service. ALL changes are allowed only as space permits and at the discretion of MWS staff.
5) Refund policy: Cancellations made at least 30 days prior to the start of a session will be issued a full refund. Cancellations within 30 days of a registered camp week are non-refundable. MWS is unable to provide partial refunds or exchanges for absences due to illness, vacation, cancellations caused by weather, or late matriculation.
5) Please indicate on the Family/Child Information form any diagnoses or conditions that may require extra accommodations. While we strive to meet the individual needs of each camper, some accommodations may fall outside our program’s capacities. If we cannot accommodate your child’s individual needs in a manner that allows them to be successful in our environment, we reserve the right to discontinue registration/enrollment. If MWS deems that it cannot meet a child’s needs prior to the start of camp, a full refund will be issued. Once a camper begins attending camp, a full or partial refund may be offered at the discretion of MWS, but is not guaranteed.
6) Minnesota Waldorf School reserves the right to cancel the registration of any camper whose actions are deemed dangerous or disruptive. If this occurs, no reduction or return of registration fees, or any part thereof, will be made.
6) By accepting the above Terms and Conditions, I confirm that my child has permission to participate in all camp programs, camp trips, and special outings planned and supervised by Minnesota Waldorf School summer camp staff.
7) These terms and conditions shall be governed by and construed in accordance with the laws of the state of Minnesota, U.S.A. without regard to conflict of laws or provisions.
8) In the event any suit or other action is commenced to construe or enforce any provision of this agreement, the prevailing party shall be awarded reasonable attorneys’ fees and court costs, in addition to all other relief to which such party shall be entitled.
Liability Waiver
*
I have read and accept the liability waiver.
Minnesota Waldorf School (MWS) 2024 Summer Camp Liability Waiver
Wishing my child to participate in the Minnesota Waldorf School’s [MWS] Summer Camp [Activity] and knowing there are certain dangers related to this Activity hereby I state and affirm that:
1. My child(ren)’s participation is voluntary. I know and am aware of all the dangers associated with participation in this Activity and acknowledge that it is NOT an ESSENTIAL service provided by MWS.
2. I understand and agree that neither MWS nor any person acting on behalf of MWS, may be held liable in any way for any event, which occurs in connection with the Activity, which may result in harm, death, injury, or other damage to me or my child(ren).
3. In consideration of being allowed to participate in this Activity, I hereby personally assume all risks in connection with this Activity and I hereby release and hold harmless MWS and any person acting on behalf of MWS in this Activity from any liability for harm, death, injury, or other damage which may befall me during this Activity, whether foreseen or unforeseen, however caused and whether or not caused by the negligence of MWS or any person acting on behalf of MWS.. This release does not apply to injuries as a result of willful, wanton, or intentional misconduct.
4. The terms of this agreement shall serve as a release and assumption of risk for my heirs, executor, administrator, and all members of my family.
5. I further state that I understand that the terms herein are contractual and not a mere recital and that I sign this document as my own free act.
I have fully informed myself of the contents of this affirmation and release statement by reading it before I signed it.
Camp Policies
*
I have read and agree to the camp policies.
Camp Policies: https://mnwaldorf.org/wp-content/uploads/2024/01/2024-Summer-Camp-Policies.pdf
Camp Policies
*
I have read and agree to the camper behavioral policy.
Behavioral Policy: https://mnwaldorf.org/wp-content/uploads/2021/03/Behavioral-Policies-.pdf
Authorized Signature
*
First
Last
Date
*
MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.
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