2023 Summer Camp Registration

Switch and Signal Summer Skate Camp 2023
Some Basics:

Please fill out one form per camper. Recommended ages are 5-13 years for all genders and skill levels. Camp sessions are Monday - Friday. Full Day 9:00am-4:30pm. The price is $350 for the week. We can provide all equipment (skateboards, helmets and pads) free of charge, but campers are encouraged to bring their own boards and pads. Drop-off begins at 8:30am, camp starts at 9:00am. All campers must be picked up no later than 5:00pm. (Campers picked up after 5:00pm will be charged a $20 late pickup fee).

Light healthy snacks (fruits, vegetable, nuts, etc.) will be provided each day of camp. We encourage drinking water instead of sports drinks. The park has a filtered water bottle fill up station and fountain. Allergies should be noted in medical information section below.

Lunch will be provided every day of the week but campers can bring their own lunch. If any camper has significant allergies, we may modify and advise against campers bringing their own food.

Curriculum:

Campers will start out the first day with basic lessons and skill assessments. Based on age, skill level and comfort, groups ages 5-8 and 9-13 will be separated for instruction. Campers will explore the skatepark with an instructor to offer lessons and advise in the street course, bowl, and flat ground tricks.

Other activities will include assembling and finding the right fit and feel of your skateboard, decorating your skateboard, shooting and editing a skateboard video.

Safety & Sanitation:
- All campers and park staff must have a morning temperature recording using a no-touch thermometer administered by a park employee. Anyone with a temperature of 100.4 degrees F will not be able to enter the building for 14 days. Parents/guardians must wait outside until their child has had their temperature recorded.
- We don't anticipate the use of masks during camp activities this year, however we will follow county and state masking guidelines.
Further, we will require that all parents and guardians sign a written statement on the first day of camp to confirm that their child has not exhibited any common COVID-19 symptoms within the last 72 hours (fever above 100.4 degrees F, persistent dry cough, chest tightness, etc.). If your child has tested positive for COVID-19, you must provide evidence that they have since tested negative twice. We will reschedule campers who are symptomatic or who have tested positive without documentation of a negative test result for a later camp session when possible.

I Have Additional Questions!

Email us at info@switchandsignalskatepark.com if you have any other questions.
Camper Information

NOTE: Your child must be at least 5 years old by the start of their camp week. Age cut off is 13 by the start of the 1st day of camp. Children age 5 and 6 must have some skate experience at Switch and Signal before attending their first summer camp. If your child has not been to the park previously and you would like them in camp, please send us an email.
Camper's Name*

First NameLast Name
Birth Date*

MonthDayYear
Ability Level*
Pronouns*
Camper Self Sign-In / Out ?*
Loaner Gear Needed (Select All That Apply)

HelmetSkateboardKnee PadsElbow PadsWrist Guards
Camper Medical Information
Camper's medical & behavioral history, or anything else our staff should know about your child.
Any information that will help our team staff accordingly, and or create a plan for potential behavioral or medical issues.
Documentation of Medical, Behavioral, etc. History

Choose File

Cancelof

Medical Consent & Acknowledgement (Click to Expand)
I hereby authorize and give permission, that myself / the participant may be given emergency treatment including first aid and CPR by qualified Switch and Signal Skatepark staff and volunteers. I also give permission for myself/my child to be transported by ambulance and to be treated by any physician, hospital, health care provider, or other medical personnel selected by the staff of Switch and Signal Skatepark to provide prompt medical services. I agree that once the participant is in the care of medical personnel or a medical facility, Switch and Signal Skatepark shall have no further responsibility for the participant and I agree to pay all costs associate with such medical care and transportation.

In the event that I cannot be contacted, I further authorize consent to the medical, surgical, and hospital care treatment procedures to be performed for myself/my child by a any physician, hospital, health care provider, or other medical personnel selected by a Switch and Signal Skatepark staff when deemed necessary or advisable by the medical personnel to safeguard the participant’s health. I wave my right of informed consent to such treatment.

The health history on this page is correct and not falsified to the best of our knowledge.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature*

Clear
Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Main Email*

Confirmation Email
Additional Email

Confirmation Email

Informed Consent & Acknowledgement (Click to Expand)
In consideration of being allowed to participate in any way in the Switch and Signal Skatepark clinic, program, related events, and activities the undersigned acknowledges, appreciates, and agrees that:

1. The risk of injury from the activities involved in these programs is significant, including potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury to me does exist, and,

2. I KNOWLINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation, and

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation and bring such to the attention of the nearest official immediately, and

4. For myself and on behalf of my/our heirs, assigns, personal representatives and next of kin HEREBY RELEASE Switch and Signal Skatepark its officers, officials, agents, and/or employees, other participants, sanctioned events, sanctioned organizations, volunteers, sponsoring agencies, sponsors, advertisers, and if applicable, owners, leasors of premises used to conduct the event (Releasees), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

5. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all of the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent of the law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT. I ATTEST THAT I AM PHYSICALLY FIT AND HAVE BEEN TRAINED FOR THIS ACTIVITY.

I assume all risks, and hazards incidental to participating in the activity and do hereby waive, release, absolve, indemnify, and agree to hold harmless Switch and Signal Skatepark, their supervisor, participants and instructors for any claim arising out of any injury to myself or the participant.

I grant full permission to use any photographs, videotapes, motionpictures, recordings, or any other record of me or my child in this program for promotion of Switch and Signal Skatepark.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature*

Clear
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Relationship to Participant*

Week 1 (6/12 - 6/16)
Week 2 (6/19 - 6/23)
Week 3 (6/26 - 6/30)
Week 4 (7/03 - 7/07)
Week 5 (7/10 - 7/14)
Week 6 (7/17 - 7/21)
Week 7 (7/24 - 7/28) Contact Us
Week 8 (7/31 - 8/4) SOLD OUT
Week 9 (8/7 - 8/11)
Week 10 (8/14 - 8/18)
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I have read and acknowledge the refund policy

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Summer Camp Refund Policy Below
GENERAL REFUNDS:
All registrations have a 15% non-refundable deposit of total paid This non-refundable deposit covers administrative registration processing. If canceling 14 days before first day of camp a full refund will be honored minus deposit. A 50% refund will be issued after 14 days cancellation. Five days or less, no refund will be given for cancellation. Refunds can only be processed (a) back to the original form of payment or (b) as a mailed check or (c) as a credit towards a future camp, classes, or skate passes.

REQUESTS TO CHANGE CAMP DATE:
If for any reason you need to change the week of an already purchased camp, this can be done up to 14 days before the start date of both the original and new camp at no charge, as long as there are still spaces available at the new camp. If a request to change camp date is made within 14 days of start date a $20 administrative charge will be processed.

INJURY POLICY:
Participants who are injured during Switch and Signal Skatepark camp hours to the point that they can no longer participate, such as a sprain or broken bone, will be entitled to a refund or program credit. This only applies if injury occurs whle skatboarding during enrolled camp and not during other sessions at Switch and Signal Skatepark, or during any other skateboard or non-skateboard acitivity.

PROGRAM CANCELATION POLICY:
In the event of program cancellation (ie: instructor illness), participants are entitled to a makeup class, program credit, or pro-rated refund equal to the class time that was missed.

DISCIPLINARY EXIT:
We do not honor refunds for youth who miss days of skate programming due to a suspension or expulsion from camp due to behavior issues. Refunds in this case will be dealt with on a case by case basis.

CAMPER CODE OF CONDUCT:
- Follow all directions given by staff and volunteers
- Respect fellow campers, ensuring that all participants feel welcome and safe
- Wear helmet at all times while skateboarding during camp hours
- Respectfully utilize any borrowed skate gear, ensuring it is returned in good condition
- Communicate appropriately by not using foul language, gestures, or unfriendly tones of voice towards staff or campers
- Do not cause deliberate harm of other campers, including pushing, kicking, hitting, or fighting
Do not leave the group you are assigned, and communicate any needs to your counselors, such as water, bathroom, snack, etc.

If campers cannot follow these rules, they will be issued a warning and parents will be notified. If behaviors still do not change after a warning, campers may expelled from camp.
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Switch and Signal Summer Skate Camp 2023

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