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SUMMER CAMP ENROLLMENT APPLICATION CAMPER Fist Name and Last Name Grade in Sept. 2021 Gender Date of Birth Parent/Guardian First Name Last Name Relationship to Camper Home Address Home phone DATES & RATES**Campers must be entering 1st grade through 7th grade this upcoming fall 2021** Please check desired week(s)  • Weekly Rate: First child is $350.00/week - Each additional sibling is $325.00/week• Camp runs daily from 9:00am - 2:00pm• There is no before or after care available to prevent the intermingling of campers• We have a limited number of spots available - enrollment will be on a first come, first served basis• Completed registration forms can be dropped off along with retuned Chrome books or scanned and emailed [email protected]• All campers are required to bring a lunch each day - Lunch will not be provided – Individually wrapped snacks will be provided daily PAYMENT INFORMATION & REFUND POLICY• Payment must be paid in full by Tuesday, June 30th• Payment can be made one of two ways:• Mail to the school address • If neither of these options work, please contact us at [email protected]• If for any reason Summer Camp is unable to run, you will receive a full refund EMERGENCY CONTACT INFORMATIONIn case of an emergency, and the camper's parents cannot be reached, please contact: Emergency Contact - Name Emergency Contact - Phone ADDITIONAL INFORMATIONImportant information we should know about your child: Medical Social/Emotional Does your child require a special diet or have any food allergies MEDICAL DISCLAIMERABC Camp will have our school nurse this year. In the event a child complains of feeling ill, the parent/guardian or emergency contact will be called and asked to pick up their child as soon as possible from the camp. In the event of a severe injury or medical emergency, the nurse will call 911 immediately and the parent/guardian or emergency contact will be notified immediately.We are implementing the following protocols and best practices, in accordance with the Washington Department of Health’s guidelines for camps, to ensure the ongoing safety of all campers and staffDrop off and dismissal times will be staggeredFace coverings must be worn by staff and campers when social distancing cannot be maintainedAll staff and campers will be screened daily for fever and any COVID-19 related symptoms prior to be being admitted into our facility each morningGroups not exceeding 8 campers will be assigned to specific classrooms for the week, with mixing of groups restricted Classrooms, bathrooms and touch points will be cleaned and sanitized throughout the dayHand washing will be required upon arrival and throughout the day by all staff and campers I hereby give permission for my child to participate in all camp activities. I hereby give permission for photographs and videos to be taken of my child. I have read and agree to all terms, conditions and permissions on the enrollment application. Email Your signature