WCS Summer Camp Information/Waiver/Emergency Contact Form

WCS Summer Camp Information/Waiver/Emergency Contact Form

(STEP 2)
Child Name*

Child First NameChild Last Name
Grade in school year 2026-2027*
Date of Birth*

MonthDayYear
Date
T-Shirt Size*
Parent Name*

Parent First NameParent Last Name
Parent Email*
example@example.com
Parent Cell Phone Number*
Format: (000) 000-0000.
Parent Name

Parent First NameParent Last Name
Parent Email
example@example.com
Parent Cell Phone Number
Format: (000) 000-0000.
Child Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I give permission for the following person to pick up my child from summer camp:*

Name of Person Approved to Pick Up Phone Number
I give permission for the following person to pick up my child from summer camp:*

Name of Person Approved to Pick Up Phone Number

Permission for Medical Treatment

In the event of an accident or serious illness, I request that the summer camp contact me immediately. If I cannot be reached, I authorize the camp to make any arrangements deemed necessary for the health and safety of my child.
Medical Treatment Signature*

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Emergency Contact Information

Must be filled out completely
Name*

First NameLast Name
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Physician Name*

First NameLast Name
Physician Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Medical Insurance (if no insurance please put 000 on both policy and ID)

Policy Number ID
Please list any allergies, health problems, medications, additional instructions or write N/A:*
Please state any information about your child that we should be aware of (physical, emotional, cognitive, medication needed, custody issues, etc.)

Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Swim Activities/Summer Camp/Field Trips/Bus Transportation
Waiver: In consideration of being permitted to participate in Western Christian Schools Summer Camp, including swim Activities, field trips, and/or bus transportation (hereinafter called “The Activity”), scheduled to take place between June 10 and August 12, 2026, I, for myself, my heirs, personal representatives or assigns, do hereby release, waive, discharge, and covenant not to sue “Western Christian Schools”, its officers, employees, and agents from liability from any and all claims including the negligence of WESTERN CHRISTIAN SCHOOLS, its officers, employees and agents, resulting in personal injury, accidents or illnesses (including death), and property loss arising from, but not limited to, participation in The Activity.

Assumption of Risks: I acknowledge and understand that participation in program activities—including but not limited to swimming, field trips, bus transportation, and general summer camp activities—carries certain inherent risks that cannot be eliminated regardless of the precautions taken. These risks include, but are not limited to:

Swimming Activities:
Risks such as slips or falls on wet surfaces; collisions with other swimmers or pool structures; minor injuries including scrapes or bruises; muscle cramps or fatigue; accidental water ingestion; eye or ear irritation; exposure to pool chemicals; sun exposure; and serious risks such as difficulty swimming, near‑drowning, or drowning.

Summer Camp Activities:
Risks associated with participation in recreational or physical activities including bumps, bruises, sprains, strains, or insect bites; injuries related to sports, games, or equipment use; dehydration or heat‑related illness; allergic reactions to food, plants, insects, or environmental factors; major injuries such as eye injury or loss of sight, joint or back injuries, heart attaches, and concussions; and emotional or social stress from group participation.

Field Trips:
Risks such as slips, trips, or falls on uneven terrain; exposure to outdoor elements including heat, cold, wind, insects, or sun; potential contact with animals, plants, or environmental allergens; becoming temporarily separated from the group; loss of personal items; and hazards specific to the field trip destination.

Bus Transportation:
Risks related to travel including sudden stops, sharp turns, or movement of the vehicle that may cause falls or jostling; slips or trips while boarding or exiting; motor vehicle accidents; delays or detours; motion sickness; and exposure to weather conditions while waiting for transportation.

I have read the previous paragraphs, and I know, understand, and appreciate these and other risks that are inherent in The Activity. I hereby assert that my/my child’s participation is voluntary and that I knowingly assume all such risks.

Indemnification and Hold Harmless: I also agree to INDEMNIFY AND HOLD “Western Christian Schools” HARMLESS from any and all claims, actions, suits, procedures, costs, expense, damages and liabilities, including attorney’s fees brought as a result of my involvement in The Activity and to reimburse them for any such expenses incurred.

Severability: The undersigned further expressly agrees that the foregoing waiver and assumption of risks agreement is intended to be as broad and inclusive as is permitted by the law of the State of California and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgement of Understanding: I have read this waiver of liability, assumption of risk, and indemnity agreement, fully understand its terms, and understand that I am giving up substantial rights, including my right to sue. I acknowledge that I am signing the agreement freely and voluntarily and intend by my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.
I am the parent or legal guardian of participant*

First NameLast Name
Signature*

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Cell Phone/Electronic Device Policy

Phones and Smart Watches are not allowed on campus. If they are brought on campus, they must remain in camper’s backpack, not in their pockets. Campers may not have their cell phone/electronic device out, visible, or audible for calls, texts, or web data. The only exception to this rule is during field trips. While we are on fieldtrips, students may have their cell phone with them. While we are on the bus, all cell phones and/or smart watches must be put away. Failure to comply with cell phone and/or electronic device policy will have device removed and held until time of pickup. Any future electronic privilege will be revoked.
I will abide by the cell phone/electronic policy*

Clear
Tuition and Fees

Registration and summer camp fees are listed on the school website. Families are to setup an account with Blackbaud Tuition Management to pay tuition, registration and other fees for summer camp. Registration fees are non-refundable. Payments are auto deducted each month from your Blackbaud student account. Summer camp fees for weeks 1-3 are due June 15, weeks 4-7 are due July 15, and weeks 8-10 are due August 15. Changes to schedule can be made on the following dates without incurring additional fees: June 1 for weeks 1-4, July 1 for weeks 5-8, August 1 for weeks 9-10. Making changes to schedule beyond set dates noted above will incur a $30.00 late fee for each schedule change. Student accounts must remain current for students to remain enrolled in summer camp.
I understand that the registration fee is non-refundable*

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Student Code of Conduct

The following is a partial list of behaviors the administration of WCS has deemed inappropriate. Instances of any of the following behaviors may result in immediate discipline, suspension or dismissal from summer camp: Attempting to injure, degrade, defame, or disgrace any fellow camper. Defacing or destroying school property. Leaving campus, class, lunch, chapel or fieldtrip without administrative permission. Disobedience, disrespect, or open defiance to Camp Leader or Director. Use of verbal or non-verbal profanity, obscene language or using God’s name in vain. Hitting or Fighting. Harassment of any kind, including bullying. Stealing. Chapel/Classroom disruption, disobedience, or disrespect.
I understand the student code of conduct*

Clear
Language

English is my child's first language
Please select below*
Acknowledgement of Photo Release

I acknowledge and hereby give permission on my behalf and on behalf of my student(s) that our name and photo to be used in the newspaper, on the internet, and/or in other print or digital advertising or publication by Western Christian Schools.Please select below:
Please select below*
Sunscreen Permission Form

We ask that you please apply sunscreen to your child every morning before drop-off. For reapplication purposes, we encourage you to send your child with sunscreen with child's name written on it. For reapplication purposes, we ask that you please select from below:
Special Instructions:*
How did you hear about us (WCS Summer Camp)?*

K-8th Field Trip Permission Form
Group: Western Christian Schools K-8th Summer Camp

Date(s) of Trip: 6/10/26 to 8/12/26 – including:

Monday Raging Water Days, Wednesdays Field Trip Days, Friday Lancer Walks and Walks to June Vail Park

Destination: Refer to Summer Camp Calendar

Departure Time: Varies (see attached)

Return Time: Varies (see attached)

Cost: Field trips are included in weekly camp fees. Optional to bring extra cash for food and other purchases.

Sack Lunch: Will advise if sack lunch is needed

Group: Western Christian Schools TK Summer Program

Date (s) of Trip: 6/10/26 to 8/12/26, Walks to June Vail Park
My child, First Name Last Name has permission to attend the above trips. I understand that my K-8th grade child will be transported by bus on field trip days and Raging Water Mondays, and that my TK child will walk to June Vail Park. In case of an emergency, I hereby authorize Western Christian Summer Camp to make necessary arrangements for emergency treatment. I understand that I will be contacted as soon as possible.
Field Trip Permission Form Signature

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Thank you for completing Step 2!

Now it's time to choose the weeks of attendance. Please go back to the STEPS TO REGISTER page and complete STEP 3 "Weekly Schedule"

Please hit SUBMIT button to turn in your completed forms
Should be Empty:

WCS Summer Camp Information/Waiver/Emergency Contact Form

Permission for Medical Treatment

Emergency Contact Information

Waiver of Liability, Assumption of Risk, and Indemnity Agreement

Cell Phone/Electronic Device Policy

Tuition and Fees

Student Code of Conduct

Language

Acknowledgement of Photo Release

Sunscreen Permission Form

K-8th Field Trip Permission Form