EmailMe Form - Summer 2024 Chess Camp Registration

Child's Name *

First Last

Select the dates of the camp you want to enroll in. *

June 10-14

July 22-26

I understand this camp includes off site field trips. *

Yes

My child is entering second grade or higher *

Yes

No - please choose a different camp.

Age *

Birthdate *

Grade *

Refunds *

I agree to the terms listed:

• Refunds: Refund or credit requests must be emailed.

• Full refund before Feb. 1, 2024 minus a $25.00 fee. 50% refund before March 1, 2024 minus a $25.00 processing fee. No refunds after March 1, 2023.

• Credit option: Credit requests must be emailed. If we can find someone to take your spot you can have a full credit less $50.00. Credit must be used in one year.

• Extended Care: Credits can not be used to pay for extended care. There are no refunds or credits available for unused Extended Care days, unless it is before camp starts.

CONTACT INFORMATION

Family Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Primary Parent Contact *

First Last

This person is the parent that should be contacted if there is confusion at pick-up time or about billing concerns.

Phone *

### - ### - ####

Primary Parent's Email *

Secondary Parent Contact

First Last

Phone

### - ### - ####

MEDICAL

Special Needs *

I understand it is my responsibility to contact the office prior to enrolling if my child has special needs that may require additional support. Failure to do so may result in needing to withdrawl from the camp without a refund option

Special needs include but are not limited to: physical limitations, challenges using the restroom, impulse control issues, ADHD, developmental delays, etc.

OFF SITE WALKING EXCURSION FOR PICNIC LUNCH / FIELD TRIPS

Permission to be transported on field trips *

Yes - I give my permission for my child to participate

POLICIES REGARDING REDUCING THE RISK OF COVID-19 TRANSMISSION

Illness Policy *

I understand and agree to adhering to this policy

Too sick to attend camp: If you child has Covid we need a photo of the positive test emailed to us and we will provide a full credit for the camp less an $25.00 administrative fee. If your child does not have have Covid but has active symptoms that are not 80% resolved, we need a doctor's note confirming the illness in order to provide a full credit available for a full year less a $25.00 administrative fee. As space allows, we will try to get you into another camp this summer.

Prior to camp: If your child is starting camp while recovering from and illness we must be notified 24 hours BEFORE camp, they must have symptoms 80% resolved with no persistent coughing/runny nose, and we need proof of a negative covid test taken the morning of the first day of camp. It is up to the discretion of staff to determine whether symptoms are mild enough to attend camp.

During camp: If campers become ill during a camp day, they must be able to be picked up within an hour. For any illness during camp, a Covid test is required and campers can not return unless symptoms are 80% resolved. If staff did not observe the onset of symptoms, we will require a doctor's note to confirm the illness in order to provide a prorated credit available for a full year for the days missed of camp.

Covid Exposure *

I understand and agree to adhering to this policy

I will inform you immediately if my chlld has had potential exposure to Covid. If a household member has Covid and isolation is not possible we agree to withdraw from camp. Daily testing will be required if still attending camp.

Commitment to Following Safety Protocols *

Yes - I understand and agree to adhering to this policy

Our Covid policies will vary depending on the rates of infection at the time of camps. Clarification of requirements will be provided in your camp newsletter sent two weeks before camp. Covid tests prior to camp starting and the use of KN95 masks may be required. Please be aware of this possibility before signing up a camper that may not be able to comply with this requirement. Credits or refunds are not guaranteed if your child can not comply.

Campers in musical theater may have to test prior to the show in order to go mask free for the performance. It is highly likely that, regardless of Covid rates, audience members will be required to wear mask.

Behavior Policy *

I understand the behavior policy and understand that my child may be removed from the program without a refund for severe or repeated violations of the policy.

In the interest of creating a safe and fun for campers, all are required to follow staff directions, act respectfully to staff and other campers, not compromise the emotional and physical safety of others and follow Covid safety protocols. Parents will be informed if a camper has been unable to meet these expectations. If the behavior does not improve Onstage Kids N Dance N Theater Arts has the right to remove the camper from the program with no refund.

ALMOST THERE ......

Payment Required to Complete Enrollment READ CAREFULLY *

I understand that I will be directed back to the website to select the camp. I will need to scroll through the camp descriptions, find my camp, and press the "sign up button" to pay

Setting up a Mind Body Account *

I understand that in order to pay I will be directed to set up a Mind Body Account (if you do not already have one) I UNDERSTAND I NEED TO SET THE ACCOUNT UP UNDER EACH CHILDS NAME SEPARATELY. PARENT'S NAMES SHOULD NOT BE USED.

REGISTERING MORE THAN ONE CAMP - FOR THE SAME CHILD OR A DIFFERENT CHILD? *

SIBLING REGISTRATION: I understand that I must go back to the website and start from the beginning. DO NOT PAY FOR A SECOND CAMP FOR A SIBLING WITHOUT STARTING FROM THE BEGINNING.

MORE THAN ONE CAMP FOR SAME CHILD: You can fill in one form but must pay for each camp AND ENROLL. Just because you pay for two camps it does not mean you are enrolled in both. Email to confirm if needed or look at your child's schedule.

DOES NOT APPLY

Signature

IMPORTANT

Completing this form DOES NOT mean you have registered for for the camp. ENROLLMENT IS COMPLETE ONLY AFTER PAYMENT IS MADE *

Clear

Your signature indicates agreement to our registration terms It also signifies consent for items indicated in this completed form.

Printed Name *

First and Last Name of person that completed the form and signed above.