• 2024 Entrepreneur Summer Camp/ Parental Release / Medical Information / Code of Conduct

    Step 1: Complete this online form. You will need the student present for the Code of Conduct section.

  • General Information

  • Male/Female*
  • I give unrestricted permission for images, videos, and recordings of my child to be used in print, video, digital, and internet media. I agree that these images and/or voice recordings may be used for a variety of purposes and that these images may be used without further notifying me.*
  • I understand, that I the parent are required to provide my child with a lunch when attending camp.Kreative Thinkerz will provide snacks.*
  • Does your child have a disability?*

  • Parental Consent

  • By signing this agreement below, I agree to pay the weekly camp rate of $200 to Kreative Thinkerz via Zelle or Cash. I agree to adhere to the following pay schedule: Registration fee of $125 and first week of camp tuition due no later than Friday June 28th, 2024. Weekly camp rate for the following weeks are to be paid June 5th, June 12th, and June 19th.*

  • The Undersigned, Being a Parent or Guardian of the above named minor releases Kreative Thinkerz and, its representatives, agents, servants, and employees from liability for any injury to said minor, resulting from any cause whatsoever occurring to said minor at any time while attending the Kreative Thinkerz Summer Camp, including travel to and from camp and any field trips, excepting only injury or damage resulting from willful acts of such representatives, agents, servants and employees. Kreative Thinkerz is also released of any expenses resulting from the injury.

    This event is a summer camp. Students and parents are expected to be familiar with all camp policies.  To protect the safety of all students, Kreative Thinkerz have no-tolerance policies that could immediately result in students being sent home.  These policies include but are not limited to:

    1.      Use of violence or possession of weapons

    2.      Use of alcohol or drugs

     

    Parents or guardians of students who violate policies will be notified to pick up their child. 

    During the 4 weeks of camp , we will be taking pictures of the students that will be used in the for promotional material.  There may also be surveys conducted pertaining to the program.  Please contact us if you have a need for exclusion.

    In case of an emergency, children may be sent to a local hospital or physician if needed.

  • Date of Signature*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Student Medical Information

  • Student Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Does your child have Health Insurance coverage ?*
  • Does the child have any allergies?*
  • Does your child have an epi-pen? If so, they must keep it with them at all times!
  • Does the child have any special food restrictions?*
  • Does your child take any medications they will take during the program?*

  • IMPORTANT: All medications must be in the original package (daily sorters/pill keepers are not permitted.)

    Please only send enough medication for the weeks of the program

  • Has the child been diagnosed with asthma by a physician?*

  • IMPORTANT: If your child has been diagnosed with asthma by a physician and has medication including tablets, nebulizers, or inhalers, they MUST bring such treatment with them to the program or they will not be allowed to stay.

     

    If your child has an inhaler, they must keep it with them at ALL TIMES!

  • Does the child have any other significant health history (heart condition, diabetes, any injury) or does the child have any restrictions/medical conditions that needs to be aware of?*

  • Over the Counter Medications Permitted

    Please select Yes or No to the following medications your child may or may not be given during the program.

  • May we give your child...

  • Tylenol?*
  • Ibuprofen?*
  • Pepto Bismol?*
  • Tums?*
  • Claritin?*
  • Benadryl?*
  • Maalox?*
  • Immodium?*
  • Tussin Cough Syrup?*
  • Glucose Tabs?*
  • Visine?*
  • Neosporin?*
  • Polysporin?*
  • Hydrocortisone Cream?*
  • Mucinex?*
  • Milk of Magnesia?*
  • Zantac?*
  • Midol?*
  • GasX?*
  • Orajel?*
  • Ducolax?*
  • Aleve?*
  • OTC Ear Drops?*
  • Campho-Phenique?*

  • Emergency Contacts

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  • Medical Information Signature

  • I have read and understand the statements in this release form.  I understand that should a health problem arise, I will be notified but if I cannot be reached by telephone I consent to emergency medical treatment, which may include surgery for my child as deemed necessary by competent medical personnel.  I also consent to the release of information for insurance purposes. 

  • Date of Signature*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Student Code of Conduct

    This section must be completed by both the student and a Parent/Guardian. Please read this section together.

  • Student: If you agree and are willing to comply with all of the expectations of the Kreative Thinkerz Summer Camp, please sign at the bottom of the page.

    Parent/Guardian: Please sign the bottom of this form to show your intent to support the implementation of this Code of Conduct in regards to your child.

  • As a student of the Kreative Thinkerz Entrepreneur Summer Camp, I agree that:

    • I understand that I am attending a entrepreneur sunmet camp and will conduct myself in a manner that positively represents me, my parents, and my organization. 
    • I understand that Kreative Thinkerz Summer Camp, so policies apply.  If there is a discrepancy between workshop policies, the strictest rule will apply. 
    • I will participate in summer camp, display a positive attitude, and conduct myself appropriately at all times.
    • I will respect all students, advisors, and staff. I will follow instructions from all adults and staff.
    • I will not use a cell phone during programs and activities.
    • I will follow the dress code.
    • I will not enter rooms or buildings that I am not assigned to.
    • I will not bring highly valuable items to the program.  If I do bring valuables, I accept full responsibility for those items.
    • I will not use language or behavior that is obscene, violent, or racially or sexually inappropriate.
    • I will not possess or use tobacco products, alcohol and/or drugs.
    • I will not possess or use firearms, weapons, pocket knives and/or firecrackers.
    • I will not bring skateboards, scooters, or roller blades.
    • I will respect the property by keeping the facility clean. I accept responsibility for damages I cause. 

    I understand that failure to meet with these standards will result in these steps:

    1. I will call my parents/guardians and report my conduct not in compliance with these guidelines.
    2. At the Director’s discretion, this may result in my parents/guardians arranging transportation home.
    3. Kreative Thinkerz administration may take further disciplinary action.
    4. My parents will be billed for damages that I cause.

    I also understand that if I fail to follow no-tolerance policies, including but not limited to use of violence or possession of weapons, use of alcohol or drugs, or harassment of another student or staff, then the following steps may be taken:

    1. I will be removed from the facilities.
    2. Law enforcement will be contacted
    3. I will be suspended from all activities for the rest of camp.

  • Student Commitment:

    I have read and understand the Code of Conduct above. I agree to abide by it for the safety and enjoyment of myself and of other campers. I understand the consequences of failing to meet these guidelines.

  • Date of Signature*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty:
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