Summer Camp Detailed Registration Form

Camper Information

Camper's Name *

First Name Last Name

Birth Date *

Month Day Year

Grade (for 2020-2021 school year) *

Gender

Male Female Nonbinary Prefer not to say

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Parent/Guardian Information

Name *

First Name Last Name

Home Number

Area Code Phone Number

Cell Number *

Area Code Phone Number

E-mail *

Emergency Information

Emergency Contact's Name *

First Name Last Name

Relationship *

Phone Number *

Area Code Phone Number

Alt. Phone Number

Area Code Phone Number

What session are you registering your camper for? *

LIT (High School) Session 1 (5th-6th Grade) Session 2 (7th-8th Grade)

What is one activity you would love to see happen at virtual camp? *

General Release:

I give permission for my child to virtually attend EVkids Camp and participate in the scheduled program. I recognize the possible risk involved for my child in participating in online activities, including risks associated with online piracy, security, and invasion of privacy. I release, discharge, and otherwise agree to indemnify EVkids Camp, its affiliated organizations and sponsors, its officers, directors, employees, volunteers, and agents against any claim by or on behalf of myself or my minor child as a result of my child's participation in any program or activity sponsored, coordinated, or supervised by EVkids Camp.

I give permission on behalf of myself and my minor child for photographs to be taken of my child to be used for publicity purposes by EVkids Camp. I agree on behalf of myself and my minor child that photographs are the property of EVkids Camp and EVkids Camp shall have the right to reproduce, publish in print, online, and/or via social media these photos and videos as they desire free and clear of any claims on my, or my minor child's, part. I further give permission and consent on behalf of myself and my minor child that any photographs may be published and used by EVkids Camp and its agents, to illustrate and promote the camp experience, EVkids Camp, and its camp programs.

I give permission for the EVkids Camp staff to discuss my child's health and any information I provide in the camper registration forms as needed for the proper operation of Camp.

Camper Code of Conduct:

Our hope is that EVkids Camp will be a place for campers to make friends and find support. In order for EVkids Camp to be safe, fun and enjoyable for everyone, there are some expectations to discuss with your child.

1. I will Soar like an Eagle while at EVkids Camp.

2. Alcoholic beverages, illegal drugs, smoking or tobacco products are not allowed during the hours of virtual camp. EVkids Camp has the right to remove a camper from the Zoom meeting without warning if the Camp Directors suspect these products have been used.

3. Sexual or suggestive behavior/comments/conversations is not appropriate or acceptable at EVkids Camp.

4. Campers will only use the Zoom platform to contact camp staff and fellow campers during the scheduled camp times.

5. Screen shots, recording, and private, separate chats by campers are not allowed during virtual camp sessions.

6. Campers’ background will be appropriate, such as, but not limited to, a blank wall, or virtual background image.

7. I will follow the guidelines for appropriate group chat conversations.

a. If you ever feel uncomfortable, tell your trusted adult.

b. No secrets. (Surprises are different. Surprises make us feel good and are intended to share eventually. Secrets are not ever meant to share and can feel bad.)

c. Good messages are ones that parents/guardians are excited to see and hear and the person sharing it with you would want your parents/guardians to see and hear the message.

d. Cussing, swearing and foul language is not acceptable at EVkids Camp.

Recording on the Virtual Platform *

Yes, I give permission for EVkids Camp to record virtual sessions where my child is present. No, I do not give permission for EVkids Camp to include my child when recording virtual sessions (The camp director will disable your child's camera and mute his/her audio during all recorded sessions.)

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Virtual Summer Camp Registration