KINDkamp Sign Up Form

I hereby give KINDkamp and its affiliates consent to use and reproduce my child's name/image for promotional purposes related to KINDkamp. My child's first name/image may be published or used in newspapers, promotional videos, commercials, program brochures, social media ads, posters, on our website (kindkamp.org) or otherwise displayed to the public or used for other educational/fundraising purposes, either in whole or in part by KINDkamp, its members, and/or their affiliates. I release KINDkamp and its agents from any and all claims, of any nature, based on any uses mentioned above.*

I, the parent/guardian of the child mentioned above give full permission for my child to participate in the programs and services of KINDkamp, and consent to any necessary first aid or emergency medical treatment being given or provided for my child, waive any claims against KINDkamp, the sponsors of said programs, or any of the KINDkamp representatives, employees or volunteers, in respect to any personal injury to my child or to any other person of any loss of or damage to property, arising in any way at, from or in connections with the programs and services of KINDkamp. I am providing this waiver on behalf of my child and on behalf of my spouse and my other family members or other persons who might be entitled to assert such a claim as well as on my behalf.*

Kamper Code Of Conduct

This is an adolescent day function. Kampers and parents are expected to be familiar with policies. To protect the safety of all students, KINDkamp has no-tolerance policies that could immediately result in students being sent home. These policies include but are not limited to:

Use of violence or possession of weapons
Use/possession of drugs or alcohol
Leaving the Kamp site unsupervised
Using inappropriate language
Destroying or vandalizing the property and facilities of the Kamp or its affiliates

Parents or guardians of Kampers who violate policies will be notified to pick up their Kampers immediately. Parents or guardians will be held liable for any acts of vandalism or destruction of property committed by their child(ren).

KINDkamp has a stringent attendance and pick up policy. Campers are not permitted to leave the site without a parent or guardian. IDs will be checked. KINDkamp will not be held liable in any way for off site activities conducted by any camper who leaves the site without permission.

By signing this I agree I have completed this form honestly and to the best of my knowledge. I also agree to have read and reviewed the code of conduct with my kamper.

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Kamper Donation*

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Please click one of the PayPal options to complete payment and submit the form.

KINDkamp Sign Up Form

Parent/Guardian Information

Adult Emergency & Authorized Pick Up Contact Information

Kamper's Health Information

Kamper Demographics

Photography, Media Release, and Waiver.