Summer Camp Registration- Oak Ridge

Ages 5-12

May be 4 if starting Kindergarten in 2022
- June 5-9: Let the Games Begin: Is your team fierce? Let's bring out the competitive edge while having fun! This camp is a blend of classic lawn games, field day competitions, and absurd head-to-head relays you can't even begin to imagine!
- June 12-16: Mission Impossible: Get your imagination flowing and learn to become a secret agent! We will uncover what it takes to unlock the secret agent in all of us by learning the science behind spying, using our brains in challenge and solving mysteries!
- June 19-23: Under the Big Top: Come one Come all! Join us for an amazing 3-ring experience. Train like a lion-tamer, tight rope walker and be a dare devil this action packed week.
- June 26-30:Under the Sea: Join us for a week of hands-on exploration as we learn about fish, creatures, and other life under the sea. Camp activities will include art, science, outdoor time, nature, movement,and SWIMMING!
- **July 3-7: Up and Atom: Boom! Whoa! What was that?! We will find out in this wacky, weird, science themed week. We'll spend the week playing, learning, and doing the wild, strange, and unusal!- No camp On July 4th
- July 10-14: Just Dance: This is a high energy camp that emphasizes rhythm, style, and personal expression through freestyle dance battles and funky choregraphy. You will be moving and grooving and shaking the sillie out!
- July 17-21: Disney: Train to be a warrior like Mulan or a superhero like Captain America. Join us for for a magical week of fairy tales and villian competitons.
- July 24-28: Summer Blow Out: Ready , Set, Go! This week is all about celebrating the end f the summer and welcoming a new school year. Each day will be a new theme and full of high energy activities.

Monday-Friday 8:30 a.m.- 5:30 p.m.

Campers must be picked up by 5:30. There will be a $1 per minute fee assessed for every minute after 5:35. This late fee is charged per camper.
Camp fees are due 2 week prior to the start of the camp week.

Camp/Registration payments may be made at Camp Payment Site or in the club.
MEMBER:

FULL-TIME: $155 DAILY: $35
NON-MEMBER

FULL-TIME: $175 DAILY: $40
REGISTRATION FEE (1X FEE)

$69.95/CAMPER $165/3+CAMPER HOUSEHOLD
BEFORE CARE (7:30 AM-8:30 AM)

WEEKLY: $25/CAMPER

3+CAMPER HOUSEHOLD: $50

DAY: $5/CAMPER

Camper 1 Name*
Age*
Date of Birth*

MonthDayYear
Date
T-Shirt Size*
Are you a Member?
NOTE - Children need to be entering Kindergarten and cannot be over the age of 12 to be eligible to participate in day camp. Please contact Summer Camp Director or Children's Director for more information.
Camper Swimming Ability*

Non-SwimmerBeginner Swimmer (can swim on front 20ft without flotation)Advanced Swimmer (can pass swim test)
Please list any allergies:
Please list any additional information about your child that would be useful for staff to know, or medication needed during camp day and directions on how to administer it:

Let Games Begin: June 5-9
Spy: Jun 12-16
Big Top: Jun 19-23
Select Days:Games
Select Days: Spy
Select Days: Big Top
Sea: Jun 19-23
Atom: Jun 26-30
Dance: Jul 3-7
Select Days: Sea
Select Days: Atom
Select Days: Dance
Disney: Jul 10-14
Summer Blow Out: Jul 17-21
Select Days: Disney
Select Days: Summer Blow Out
Will You Need Before Care for any day attending? (Camp director will confirm days)
Do you need to add another camper?

Camper 2 Name
Age
Date of Birth

MonthDayYear
Date
T-Shirt Size
Camper Swimming Ability

Non-SwimmerBeginner Swimmer (can swim on front 20ft without flotation)Advanced Swimmer (can pass swim test)
Please list any allergies:
List any additional information about your child that would be useful for staff to know, or medication needed during camp day and directions on how to administer it:

Let Games Begin: May 29-2
Spy: Jun 5-9
Big Top: Jun 12-16
Select Days: Games
Select Days: Spy
Select Days: Big Top
Sea: Jun 19-23
Atom: Jun 26-30
Just Dance :Jul 3-7
Select Days: Sea
Select Days: Atom
Select Days: Dance
Disney: Jul 10-14
Summer Blow Out: Jul 17-21
Select Days: Disney
Select Days:Summer Blow Out
Need to add another camper?

Click to add additional camper
Camper 3 Name
Age
Date of Birth

MonthDayYear
Date
T-Shirt Size
Camper Swimming Ability

Non-SwimmerBeginner Swimmer (can swim on front 20ft without flotation)Advanced Swimmer (can pass swim test)
Please list any allergies:
List any additional information about your child that would be useful for staff to know, or medication needed during camp day and directions on how to administer it:

Let Games Begin: May 29-2
Spy Kids: Jun 5-9
Big Top: Jun 12-16
Select Days: Games
Select Days: Spy
Select Days:Big Top
Sea : Jun 19-23
Up & Atom: Jun 26-30
Just Dance: Jul 3-7
Select Days: Sea
Select Days: Up&Atom
Select Days: Dance
Disney 10-14
Summer Blow Out Jul 17-21
Select Days: Disney
Select Days: Summer Blow Out

Parent/Guardian 1*

First NameLast Name
Relationship to Child*
E-mail*
Cell Phone*
Home Phone
Work Phone
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Where would you like to be reached while your child is at camp?*

Cell PhoneHome PhoneWork Phone

Add additional Parent
Parent/Guardian 2

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

Yes
Home 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 PhoneHome PhoneWork Phone

Parents cannot be listed as emergency contacts. List the name of at least 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. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

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

Add additional emergency contact
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

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

Please list any additonal persons authorized to pick-up child(ren)

Parents and Emergency contacts do NOT need to be listed again.QR Code will be required to sign child(ren) out from camp
Name
Relationship
Name
Relationship
Name
Relationship

Please Read the Following Policies Carefully.
LIABILITY RELEASE

I release National Fitness Center, Court South, and its assignees to use the likeness of (e.g. group photos of campers, action shots of campers, etc) and quotes for various publications, including but not limited to: local newspapers, commercials, nfc1.com, social media, newsletters, and brochures.

IN CONSIDERATION OF BEING ALLOWED TO PARTICIPATE IN ANY OF THE FOLLOWING PROGRAMS/ACTIVITIES: SWIMMING, MARTIAL ARTS, DANCE, TUMBLING, CHEERLEADING, BASKETBALL COURT ACTIVITIES, AND ANY OTHER SPORT OR FITNESS RELATED EVENT, THE UNDERSIGNED:

Agrees that the parent(s) or legal guardian(s) will instruct the minor participant that prior to participating, he or she should inspect the facilities, class, and equipment to be used, and if the participant believes anything is unsafe, or too difficult, he or she will immediately advise his or her coach/instructor or supervisor ofo such conditions and refuse to participate.

Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions, or negligence, but also from the actions, inactions, or negligence of others, the rules of play, training, or the conditions of the premises or of any equipment used. Furthermore, that there may be other risks not known to us to not reasonably foreseeable at this time.

Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability, or death.

Release, waiver, discharge, and covenant not to sue National Fitness Center, their other affiliate club, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners, and leaders of the premises used to conduct the event, all of which are hereinafter referred to as "releases" from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the release or otherwise.

Realizing that a sudden illness or accident may occur, I hereby ask the Camp Director and Club Manager to use their best judgment in such cases in caring for my child(ren). In the event that I cannot be reached in an emergency, I hereby give permission for National Fitness to seek appropriate medical care for my child, including consultation or care by a physician and transportation to a medical care facility/hospital.
Date Signed*

MonthDayYear
Date
How Did You Hear About Us?*
Parent/ Guardian Signature*

Clear
Should be Empty:

Ages 5-12

May be 4 if starting Kindergarten in 2022

Monday-Friday 8:30 a.m.- 5:30 p.m.

Please list any additonal persons authorized to pick-up child(ren)

LIABILITY RELEASE