Morro Bay Little Guards 2023

Parents' Information

Parent/Guardian 1
Parent/Guardian 1*

First NameLast Name
Relationship to Child*
E-mail*

Confirmation Email
Cell Phone*
Home Phone
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's Work Name*
Or enter N/A if not applicable
Parent's Work Phone
Parent/Guardian 2 (optional)
Parent/Guardian 2

First NameLast Name
Relationship to Child
E-mail
Cell Phone
Home Phone
Home Address Same as Parent/Guardian 1?

Yes
Home Address (If different that Parent/Guardian 1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent 2's Work Name
Or enter N/A if not applicable
Parent 2's Work Phone
Parent 2's Work Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would parent/guardian 2 like to be reached while your child is at camp?

Cell PhoneWork PhoneHome Phone

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. The person listed must be within one hour of the camp/home and be able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age.
Emergency Contact
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Relationship to Child*

Medical / Health Information
Does your child have any food, medication or environmental allergies?*

YesNo
Please list and explain any allergies

0/150
Does your child have a special health or medical condition?*

YesNo
Please explain

0/150
Is your child currently using any medication, food supplement or medical food (such as electrolyte solution)?*

YesNo
If yes, please explain.

0/150
List any additional information about your child that would be useful for staff to know, such as fears or special routines. This information should not be medical or health related, as that information should be included in the previous questions.*

0/200

Liability Waiver

Please read the following and sign at the bottom.
Participant Name*

First NameLast Name
I understand that the beach and ocean carry a degree of risk that no amount of care, caution, instruction, or expertise can completely eliminate.
I agree to release from liability Morro Bay Little Guards and all of its affiliates from any and all legal action, liabilities, or claims by myself, or any representatives, third parties or heirs, for any injury, death, or loss occurring to myself, my minor, or my property while participating in, or traveling to or from any camp session or event offered by the “released parties”, including any loss of life, personal injury, or damages which may occur as a result of the released parties negligence, any third party, any animal or wildlife, nature, or the conditions of the beach, parking lot, and premises. I voluntarily assume all risk of loss of life, personal injury, or loss of property that may occur while participating in, or traveling to, or from, any camp sessions or events conducted by or sponsored by the “released parties”. I will not sue or bring legal action against the “released parties” and indemnify and hold harmless the “released parties” from all claims judgments and costs. By signing my name below, I attest that this release of liability is binding and cannot be changed by oral agreement.

If signing for a minor, I hereby acknowledge by signing below, to be the lawful parent and/or guardian of the above-mentioned minor and I, therefore, acknowledge my qualifications to sign the agreement on behalf of the said minor I am registering for the program.
Signature*

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Signee Name*

First NameLast Name
DateTime

Deposit and Refund Agreement

Please read the following and sign at the bottom.
DEPOSIT POLICY

$100 of the payment per session registered will be considered a non-refundable deposit. For example, if Child A is registered for Session 1 AM and Session 2 PM, there will be a $200 non-refundable deposit.

REFUND POLICY
No refunds will be given after 05/01/2023

Session Switching Policy

Switching sessions after your initial registration will require an additional $100 charge prior to completion.

By my signature, I acknowledge that I have read, understand, and agree to the policies stated above.
Signature*

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Signee Name*

First NameLast Name
DateTime

Photography Release

Please read the following, select the appropriate choice below and sign at the bottom of the page.
Morro Bay Little Guards Photo Release

I grant permission to Morro Bay Little Guards, its agents, and its employees the irrevocable and unrestricted right to produce photographs and video taken of my child while at Morro Bay Little Guards for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium by Morro Bay Little Guards. I hereby release Morro Bay Little Guards and its legal representatives from liability for any violation or claims relating to said images or video.

Furthermore, I grant permission to use the statements of my child, myself, or my family members given during an interview or evaluation with or without my name for the purpose of advertising and publicity without restriction to time limit or geographic area. I waive my right, my child’s rights, and my family’s rights to any and all compensation stemming from the use of these materials.
Please Select from the following choices:

Yes to the Photo Release as stated above.No to the Photo Release as stated above.I would like to have more time to think this over and will be ready to make my decision on the first day of my child's session.
Signature*

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Signee Name*

First NameLast Name
DateTime

Session Selection and Payment

Select your chosen session(s).*

Session 1 Morning$348.00

Monday - Friday6/12/2023 - 6/23/2023 9 AM to 12 PM

Session 1 AFTERNOON$348.00

Monday - Friday 6/12/2023 - 6/23/2023 1 PM to 4 PM

Session 2 MORNING$348.00

Monday - Friday 6/26/2023 - 7/7/2023 (no MBLGs on 7/4) 9 AM to 12 PM

Session 2 AFTERNOON$348.00

Monday - Friday 6/26/2023 - 7/7/2023 (no MBLGs on 7/4) 1 PM to 4 PM

Session 3 MORNING$348.00

Monday - Friday 7/10/2023 - 7/21/2023 9 AM to 12 PM

Session 3 AFTERNOON$348.00

Monday - Friday 7/10/2023 - 7/21/2023 1 PM to 4 PM

WAITLIST Session 3 Morning $ Free

When openings become available we will contact you.

Session 4 MORNING$348.00

Monday - Friday 7/24/2023 - 8/4/2023 9 AM to 12 PM

Session 4 AFTERNOON$348.00

Monday - Friday 7/24/2023 - 8/4/2023 1 PM to 4 PM

Enter coupon

Subtotal $0.00Tax $0.00Total $0.00

Credit Card

How did you hear about us?*
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Morro Bay Little Guards 2023 Registration

Participant Information

Parents' Information

Emergency Contacts/Authorized Pickup

Emergency Contact

Medical / Health Information

Liability Waiver

Deposit and Refund Agreement

Photography Release

Session Selection and Payment

Credit Card