Encourage. Enlighten. Engage. We're ENKIDS
ENKIDS SUMMER CAMP Registration Form
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Child's name
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First
Last
Child's date of birth
*
Child's gender
*
What school does your child attend?
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What grade is your child in?
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K
1
2
3
4
5
6
Please choose a grade your camper will be entering this fall.
Parent/Guardian Name
*
First
Last
Parent/Guardian Email
*
Parent/Guardian Phone
*
Where did you hear about us?
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Does your child have any allergies?
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Yes
No
If yes, please list below and be specific.
Does your child take require the need to use an epi-pen, inhaler, or other medical device (e.g., insulin pump)?
*
Yes
No
If yes, please list below and be specific with instructions.
Does your child have accessibility, behavioral, or health needs that we should be aware of?
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Yes
No
If yes, please list below accessibility, behavioral, or health needs, we will review with you at check-in.
E1 Emergency Contact
*
Relationship to Participant
*
Phone
*
E2 Emergency Contact
*
Relationship to Participant
*
Phone
*
Permission & Agreement
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I agree and give my permission
Waiver:
My child participation in the program selected is voluntary. I understand that the selected activities may involve accidental injury and hereby voluntarily assume such risks. Knowing these risks, I want my child to participate in this activity. I (on behalf of my child) hereby assume the risk, and hereby waive, release, and discharge the ENKIDS, its officers, employees, activity instructors, assistants, volunteers and all officers and employees of the school or community center sites where said activity will take place, for any and all claims for damages for personal injuries, or claims for damages to property, which my child or my child’s heirs, assigns, executors or administrators may have or which may accrue to my child’s participation in this activity.
I authorize ENKIDS staff to secure emergency medical/surgical care from a licensed physician and/or hospital for my child should such care be necessary. I understand that all reasonable efforts will be made to notify me before such action is taken, and I agree that the expense of such emergency care will be accepted by me.
PUBLICITY RELEASE:
I consent and agree the ENKIDS to use of any photo, name, voice, video or film recording that are taken of my child while participating in the activity for use for the purposes of advertising or promoting the programs, any similar events, and/or ENKIDS on its media / platforms. No payment will be made for use of these photographs and/or videos.
REFUNDS: Refunds will not be issued for cancellations or withdrawals.
WEATHER: If weather does not allow field use, alternate practice facilities may be used or a make up session scheduled.
BEHAVIOR: ENKIDS reserves the right to release, without refund of program fees, any child whose behavior becomes unmanageable.
Registration Fee
Price:
$10.00
I agree to the following charge for registering for ENKIDS SUMMER CAMP
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8/5 – 8/9 Monday – Friday @ Trail Wind Elementary School / 9:00 am – 4:00 pm – $300.00
Coupon (Code: ENKIDS10 to enjoy 10% off before 7/31)
Apply
Total
*
$0.00
Stripe Credit Card
*
Submit