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HEALTH & SAFETY


1. The Parent or Guardian certifies that the child is healthy and able to participate in all activities at the time of making this application. This application is accepted subject to a signed medical form or physical examination of the child by a physician no earlier than September 2009.


2. I give consent for my child to be treated/assessed by camp staff in case of illness or injury. 3. The Camp Director is authorized to use their judgement in arranging for the camper any medical care not available in the camp and the parent agrees to pay all expenses involved.


4. Although fullest safety precautions are taken, the camp does not assume responsibility for any accidents.


REGISTRATION (ONE APPLICATION PER CHILD) 1. Each registration form must be accompanied by the appropriate deposit. Participant’s family must have a $0 balance with the JCC in order for camp registration to be processed. The registration form and payment forms must be completed.


2. Public registration does not allow for JCC Member privileges (you must be a full member to use JCC facilities). 3. All registrations are subject to availability of space within session, age groups and gender. 4. Campers are grouped by grade they will enter in fall 2011.


FEES


1. I am enclosing the $50.00 required non-refundable deposit per child per week up to $200 which will be applied toward camp fees.


2. Camp fees are to be paid in full by May 15th. If registering on or after this date, fees must be PAID IN FULL at the time of registration.


* A $25.00 camp change fee per child. Per request will be applied when two or more changes are requested. * A $25.00 processing fee will be charged for camp registrations taken LESS THAN 1 WEEK prior to the start of camp.


CANCELLATIONS & REFUNDS


We acknowledge and agree that if, for any reason, the enrollment must be cancelled, we will advise the camp of this in writing. We understand and agree to pay service charges as follows: ** Cancellations at least 14 days prior to start of camp will result in a full refund, less the non-refundable deposit. ** No refund for any programming that begins within 14 days of cancellation notice.


After reservation, the camper is enrolled in the program until the end of the session. NO PRO-RATED OR FULL REFUND shall be permitted if the child leaves before the end of the period for which he or she has been registered. NO REFUNDS for missing camp due to illnesses. We do not off partial payment for days missed.


REQUIRED - PLEASE SIGN ACKNOWLEDGING THAT YOU HAVE READ AND AGREE TO ALL SECTIONS ABOVE.


Signature of Parent or Guardian Required _________________________________________________ Date _______________________


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