Aish Camp 2020

Campers Name *

First Name Last Name
Birthday *

Month Day Year
Date
Age *
Current Grade *
School attending *
Select the session(s) your child will be attending
June Camp

Week of June 7th
August Camp

Week of August 2nd Week of August 9th Week of August 16th Week of August 23rd

Second Camper Registration

Tell us about your camper
Campers Name

First Name Last Name
Birthday

Month Day Year
Date
Age
Grade
School attending
June Camp

Week of June 7th
August Camp

Week of August 2nd Week of August 9th Week of August 16th Week of August 23rd

Emergency Contact

Emergency contact must be someone other than the parents
*
Please list any additional people that may pick up or drop off your kids (someone other than Mom or Dad who may drop off or pick up your child)

Parental Consent for Emergency Treatment

I hereby consent to allow the administrators of the Camp Aish to take whatever medical measures necessary at my expense, for my child, in the event of a medical emergency.
Signature *

Click and Drag your mouse to form your signature Clear
Date: *

Month Day Year
Date
Liability Waiver Release and Indemnification
I, the undersigned parent of *
hereby consent to my child's participation in Camp Aish activities. I hereby release, waive, discharge and indemnify Camp Aish, their affiliates, agents, officers, directors, supervisors, and employees (herein referred to collectively as "Camp Aish") from and against any and all claims for property damages, liability or personal injuries which my child may sustain. I further agree to indemnify and defend against any and all claims for property damages, liabilities, or personal injuries which a third party may sustain by reason of any act or omission of my child.

Additionally, I understand that my child or children's pictures taken while participating in any camp activities may be used by Aish for their marketing purposes.
Signature *

Clear
Date: *

Month Day Year
Date

Camp Tuition

Registration Fee $ 35.00

Enter coupon

Total $ 0.00

Parents Information