Summer Camp
Camp Sessions will run Monday-Thursday 10am-12pm OR 2pm-4pm. For camp theme descriptions please visit www.sillyspoons.com/summer-camp
Guardian's Email
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Guardian's Name
*
First Name
Last Name
Emergency Contact Number (during class)
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-
Area Code
Phone Number
Child's Name
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First Name
Last Name
Child's Age
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5
6
7
8
9
10
11
12
ALLERGY AND OTHER INFORMATION: Does your child have any food allergies or diet restrictions?
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Yes
No
If yes, please describe
WAIVER OF LIABILITY I understand that although the facilities, equipment and services of Silly Spoons and the Program are designed to provide a safe level of enjoyment, there is an inherent risk that use of such facilities, equipment, services and participation in the Program may result in injury. Therefore, I agree to specifically assume all risk of injury for Participant while Participant is using any of Silly Spoons facilities, equipment, services or participating in the Program and hereby waive any and all claims or actions that may arise against Silly Spoons or its owner and/or representatives as a result of such injury. ASSUMPTION OF RISK Participation in the Program naturally may involve the risk of injury, whether Participant or someone else causes it. As such, the undersigned agrees that he or she understands and voluntarily accepts this risk on behalf of Participant and agrees that Silly Spoons will not be liable for any injury, including and without limitation, personal, bodily or mental injury, economic loss or any damage to Participant resulting from the negligence or other acts of Silly Spoons or anyone else using the facilities or participating in the Program. ALLERGY STATEMENT AND RELEASE Notwithstanding the Allergy Statement, the undersigned acknowledges and agrees that he/she is aware of the risks associated with allergies and that participation in the Program will expose the Participant to food, activities and persons that may result in exposure to allergens and injury and, in that regard and assuming such risks, the undersigned hereby fully releases and discharges Silly Spoons from any and all liability and/or responsibility to the Participant, the undersigned, or any third party for death and/or injuries to the Participant, and/or any direct, indirect, punitive, incidental, or any damages that arise out of or relate to Participant’s participation in the Program and/or exposure to food allergens. PHOTO RELEASE I hereby grant to Silly Spoons and its representatives the right to take photographs of the Participant in connection with the Program in which he/she is participating. I authorize Silly Spoons, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that Silly Spoons may use such photographs with or without my name and for any lawful purpose, including but not limited to publicity, illustration, advertising and Web content. I further agree to release Silly Spoons from any expectation of confidentiality for the Participant and attest that, as the parent or legal guardian of the Participant, I have the authority to authorize Silly Spoons to use his/her photographs and/or name. I acknowledge that participation in publications and website produced by Silly Spoons confers no rights of ownership whatsoever. I have reviewed the information contained in this Registration Form and Participation Waiver and the information provided is accurate to the best of my knowledge. I have further reviewed this Registration Form and Participation Waiver thoroughly and understand all of the terms herein. As the undersigned parent or legal guardian of the Participant, I hereby execute the foregoing Waiver for and on behalf of Participant and agree to bind myself, Participant and any heirs, next of kin, assigns or personal representatives to the terms of this Waiver.
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By checking this box, I agree to the above terms
CANCELLATION POLICY: Camp Tuition is FINAL and NON-REFUNDABLE. No daily reduction in the tuition will be made for late arrival, early departure, vacations, or illness.
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By checking the box, I agree to the above cancellation policy
Program Selection (theme descriptions can be found at www.sillyspoons.com/summer-camp)
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Camp Tuition (Mon-Thurs)
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Regular Rate
$
185.00
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