summer camp registration form 2014
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8/11/2019 Summer Camp Registration Form 2014
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Web of Life Field (WOLF) School Summer Nature Camp REGISTRATION FORM
Parent/Guardian Signature _________________________________________ Date____________________
Check which week your child will attend:
Week 1 August 4 th-8 th 2014_______________ Week 2 August 11 th-15 th 2014______________
Cost: $499 per week: $100 non-refundable deposit required to hold spot in camp.Full payment due July 1 st 2014
Parent/Guardian Information:Parent/Guardian Name ____________________________________________________________
Address ________________________________________ City/Zip _________________________
Day Phone ___________________________ Eve. Phone_________________________________
Email ____________________________________
1st Emergency Contact ___________________________________________________________Name / Relationship / Phone
2nd Emergency Contact ___________________________________________________________Name / Relationship / Phone
Participant Information:Child’s Name __________ ____________________________________ Grade Level __________Date of Birth _________ Age _______ Food Allergy/Special Need Information:________________
________________________________________________________________________________
Payment Informat ion:Make Check Payable to UCCR
Mail Check and Registration Form to: We b of Life Field School, 21700 Little Basin Road Boulder Creek, CA 95006
OR Fax Registration to: (831) 338-8020 www.wolfschool.org
My child/ward has my permission to attend WOLF Summer Nature Camp. My child/ward is in good health and I accept all financialresponsibility for my child’s attendance. In consideration of participation in this program, I hereby indemnify and hold harm less UCCR,WOLF School, The State of California, its officers, employees, and servants, its agents, employees and volunteers from any and allliability for any injury suffered by me and/or my child, arising from or connected with this program and I assume all risk for injury. Iunderstand that s/he will be participating in a day camp program involving physical activity, hiking and physical challenges andunderstand there are risks inherent in said program and accept full responsibility for his/her participation.IN CASE OF MEDICAL OR SURGICAL EMERGENCY, I hereby authorize the physician selected by the Program Director to secure allproper and required treatment for my child/ward. I agree that any photographs of my child taken by any WOLF School staff or othersauthorized by them, or any photographs, video, writing, artwork and/or testimonials submitted my child/myself to the WOLF School shallbe the property of the WOLF School and may be used by the WOLF School and others authorized by them at its discretion for anypublicity, marketing and/or advertising purposes, and I hereby consent to and authorize such use without restriction. CANCELLATION POLICY Please note that we plan our staffing needs according to registrations in order to provide a safe, structuredlearning atmosphere for our students. A 4-week notice is required to cancel residential camp participants. To cancel a registration ora wait list spot, send an email or written notification to [email protected]. If you cancel before this time, you will receive thetuition minus the nonrefundable deposit. After this date, the fee is non-refundable.PARTICIPATION QUOTA REQUIREMENTS WOLF School operates on a required minimum and maximum number of registeredparticipants for each session offered. If you register your child in a session and the minimum numbers cannot be met, you will benotified up to 4 weeks prior to the start of the session that it will be canceled due to low enrollment and a full refund will be offered. Weapologize for any inconvenience this may cause in your summer plans.