Camp Oonie Koonie Cha

Parent's Name*

First Name Last Name

Email*

example@example.com

Confirm Email*

example@example.com

Zip Code*

Phone Number*

Please enter a valid phone number.

Second Number*

Please enter another parent or guardian's phone number.

Emergency Phone Number *

Emergency contact that is different from the parent/guardian's and who can take charge and pick up the child if the parents cannot be located or contacted. They must live within 30 minutes of camp.

Name and relationship to camper*

Camper's Name*

First Name Last Name

Birth Date*

Date

Age as of May 1*

Grade entering in the fall*

Gender*

(This is simply to balance the genders in each class. Camp is sensitive to gender fluidity and offers gender free bathrooms.)

Child's Current School or Preschool *

T-shirt Size*

Photo Permission: *

We take photos and short videos at camp to put on our website and Facebook page and for future promotional camp materials. This includes sending out a private photo album at the end of camp for you and your camper to enjoy. May we have your permission?

Medical Authorization*

I authorize Camp Oonie Koonie Cha to seek appropriate medical attention and treatment for my child in my absence, and I understand that I am financially responsible for such treatment.

Doctor's Full Name and Phone Number*

Are your child's immunizations current and up to date?*

Allergies or Medical Conditions

Severity: Does your child’s allergy/allergies require the camp staff to monitor child for symptoms, take action if a reaction occurs, or give emergency medication to your child?

Comment and Special Requests

We understand that some campers like to be grouped with a friend. Please co-ordinate with your camper's friend. Both families need to agree to a reciprocal friend request. Siblings will be grouped separately unless you request otherwise. We make every attempt to accommodate special requests for grouping campers, but will not accept requests after May 15th.

By registering your child you are agreeing to the following:

Camp OKC will follow mandated guidelines for Covid 19 and other illnesses in Boulder County that are in place at the time of camp. Your child's well being is our priority.

Coronavirus, COVID-19 and other flus and colds are viruses that spread easily through person- to-person contact. Federal and state authorities recommend social distancing as a mean to prevent the spread of the virus. Participating in Camp Oonie Koonie Cha could increase the risk of contracting COVID-19. Camp in no way warrants that COVID-19 infection will not occur through camp participation.

I also agree that if my child develops a fever, body aches and/or a persistent cough, we will withhold our child or children from further participation until the symptoms are no longer being experienced.

General Liability:

I understand and acknowledge that participation in the camp operated by Colorado Camp Oonie Koonie Cha LLC (the “Camp”), including all of its activities and the use of

its facilities and equipment, involves an inherent and unavoidable risk of injuries, harm, and loss. I understand that although the Camp takes precautions to provide proper organization, supervision, and equipment, it is impossible for the Camp to guarantee absolute safety.

I authorize the child named in this registration to participate in the camp and all the activities operated by the Camp. On my own behalf and on behalf of the child/children named in this registration, I ACKNOWLEDGE THE RISKS associated with participation in the Camp and expressly and voluntarily assume the risks of participation in the camps and activities operated by the Camp and HEREBY WAIVE AND RELEASE ALL CLAIMS, DEMANDS, ACTIONS, CAUSES OF ACTION, COSTS, LOSSES, EXPENSES AND LIABILITIES (“CLAIMS”) (WHETHER ON BEHALF OF THE CHILD NAMED IN THIS REGISTRATION OR FOR MY OWN BENEFIT) AGAINST THE CAMP (INCLUDING ITS STAFF, EMPLOYEES, AND AGENTS) THAT MAY ARISE FROM INJURIES, HARM OR LOSS RESULTING FROM PARTICIPATION IN THE CAMPS AND ACTIVITIES OPERATED BY THE CAMP.

I hereby authorize the staff of the Camp to act according to their best judgment in any situation requiring medical attention for the child named in this registration. I understand that it is my responsibility to provide medical insurance coverage for the child/children named in this registration while they are attending the Camp.

Signature*

Clear

Camp Fees
These fees apply to every camper. The fee to register is $50 (non-refundable unless camp is canceled and then $25 will be refunded). The tuition cost is $300 (refundable before April 1st). The total cost to attend camp is $350. Any questions? Email: Amy Haywood at Bouldercampokc@gmail.com

Lunch Bunch

Lunch Bunch is offered Tuesday, Wednesday, and Thursdays from 12:30-1:30. Please send a clearly marked bag lunch with your child, and put it in the color coded class room box. There is a late fee of $5 every five minutes after 1:30 due at pick up or at drop off the next morning. The daily lunch bunch fee is $20

Non-refundable $50 fee and Camp Tuition $300Tuition is refundable until April 1st., after that time tuition is not refundable unless there is a waiting list.

$350.00