Summer Camp 2024!
Welcome!
Welcome to our Camps! Our camps are designed with three goals in mind: 1) Keeping our kids safe 2) Providing the best opportunities for growth and learning while at camp 3) Encouraging optimal engagement and fun!
Camp Information:
Times: 9am-12pm Ratio: 1:4 Ages: 4-9 (except for 'Get Ready for 1st and K-Readiness) Cost:$295 per week.
Camp Descriptions
Get Ready for 1st!: July 15-19 (9am-12pm): This week is designed to prepare children for entering first grade! With the guidance of our skilled therapists, children will gain tools in visual perceptual skills, fine motor development, reading and writing. Kindergarten Readiness: June 17-21 & July 29-Aug 2 (9am-12pm): Small group instruction by occupational therapists for writing, phonics & motor skills to get ready for Kindergarten.
Please choose day you would like your child to participate in our camps:
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June 17-21 (9am-12pm): Kindergarten Readiness (3 spaces left)
July 15-19 (9am-12pm): Get Ready for 1st!
Participant's Full Name
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First Name
Last Name
School
*
Grade in Fall
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Please Select
prek
k
1
2
3
4
Date of Birth
*
Child's Allergies, medical or behavioral problems
Parent/ Guardian Full Name
*
First Name
Last Name
Parent Phone Number
*
Parent E-mail
*
example@example.com
Consent
I hereby attest that I am (we are) the legal parent\guardian(s) of the above-named child and hereby consent to the child's participation in the activities described above. I understand that activities of the kind described above may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in them. Further, I am aware that participation at the Tampa Kids Therapy site exposes my child(ren) to activities involving height, swings and climbing, and, as such, they pose a risk of injury. The risk of harm may be limited due to safety equipment and trained therapists, but never eliminated. I/We assume all risks associated with participation, including but not limited to falls, contact with other participants, and all other risks of injury. I agree for the participant(s) and anyone entitled to act on their behalf to hold harmless, waive and release Tampa Kids Therapy, its officers, agents, employees, representatives and contractors from any present or future responsibility, liability, demands, or claims of any kind arising out of my child(ren)’s participation at Tampa Kids Therapy. I do hereby grant the authority to the staff of Tampa Kids Therapy to render judgment concerning medical assistance in the event of an accident, injury or illness if they are unable to contact a parent or legal guardian and to take my child(ren) to a doctor or hospital if necessary.
Signature
*
Insurance
I/We understand that Tampa Kids Therapy does not carry any insurance relative to the activities or for any injury that may occur to the above-named child. I/We represent that the child is (a) covered by insurance through my own insurance carrier; or (b) that I/We am personally financially responsible for any and all medical costs incurred as a result of the child's injury.
Signature
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Emergencies
If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to and authorize the Tampa Kids Therapy activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).
Emergency Contact#1 Name
*
First Name
Last Name
Cell Phone Number
*
Relationship
*
Signature
*
Photo Release
From time to time, photos are taken of campers at Tampa Kids Therapy. I hereby grant to Tampa Kids Therapy unrestricted permission in respect of pictures taken of my child or in which he/she may be included with others in any and all media now or hereafter known, including promotion, editorial, advertising or any other purpose whatsoever without restriction as to alteration.
Photo consent:
*
I give my full consent without restrictions for the photo release of my child as outlined above
I do not give photo consent for my child/children
Signature
*
I, the parent/guardian, hereby attest that I have carefully read this Permission to Participate, understand its contents, and agree to its terms and conditions.
*
I agree
Date
*
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Month
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Day
Year
Date
Signature
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Payment:
Please note that your child's camp space is not confirmed until payment is made. *All Camps are non-transferrable and non-refundable
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