Aish Camp 2020

Is this your family's first experience with Aish Camp?

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Parents Information
Moms Info*

Mom's First NameMom's Last Name
Mother's Email*
We like to tag parents in pictures on our social media! What is your Instagram handle(s)? (optional)
Mother's Cell*
Dad's info

Dad's First NameDad's Last Name
Father's Email
Father's Cell
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

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*

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Date:*

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Liability WaiverRelease 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.
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Date:*

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Camp Tuition

Registration Fee$35.00

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Total $0.00

Parents Information