Camper Name*
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First Name
Last Name
Campers Birth Date
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MM
DD
YYYY
Gender
Please enter how the participant identifies
Parent Name
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First Name
Last Name
Parent Name
First Name
Last Name
Who will be picking up your camper?
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Please provide name(s) and phone number.
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Email
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Additional Household Address
Physician's Phone
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Preferred Hospital
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Phone Number
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2nd Emergency Contact
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Primary Phone
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PERMISSION & WAIVER OF LIABILITY & AUTHORIZATION FOR EMERGENCY CARE*
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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 BEHAVIOR POLICIES
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BEHAVIORAL POLICIES
We strive to provide all children attending summer camp with a safe, secure and
relaxed experience. Our goal is to create an environment of mutual respect where
all students are able to participate equally and enjoy the experience. For the
enjoyment and safety of all, your child must be able to meet the following behavioral
expectations.
- Students must be able to function reasonably well in a group of up to 25
children.
-Students are expected to treat the teachers and other students
respectfully.
-Students are expected to treat the materials and facility with care.
-Students must have the ability to follow the rhythm and routine of the
day.
-Students must be able to follow the camp rules and directions from
camp leaders.
RULES & GUIDELINES
Basic rules and guidelines will be reviewed with your child on the first day of camp.
and include:
-Being respectful with food-use manners when eating, no playing with
food or commenting on other’s food.
-Managing belongings.
-Participating in clean up.
-Following directions.
-Respecting personal privacy-only one in a bathroom stall at a time.
-No running in hallways.
-Staying with the group unless given permission.
THE FOLLOWING BEHAVIORS WILL NOT BE TOLERATED AND MAY RESULT IN A STUDENT BEING
SENT HOME OR FOR REPEATED VIOLATIONS, DISMISSED FROM THE CAMP PROGRAM. CAMP FEES
WILL NOT BE REFUNDED IN THE CASE OF DISMISSAL FOR BEHAVIOR.
-Foul language, bullying, racial slurs, and the use of other demeaning
expressions.
-Physical violence.
-Defacing property.
-Inappropriate behavior with other students.
-Repeated disruption.
-Persistent misbehavior or disrespect for camp rules.
TERMS & CONDITIONS
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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 21–25, then registration needs to be completed by 11:59 p.m. Sunday, July 13.
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.
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 at will be 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.
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.
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.
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.
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.
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.
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.
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.
Are your child's allergies life threatening?
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Asthma
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Seizures
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Please list any diagnoses or conditions that may necessitate extra accommodations or one-on-one care (e.g., ADHD, ASD, SPD, etc.).
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Any other conditions requiring observation?
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Toilet Training
