We look forward to welcoming iSPACE campers into our Summer Day Camp Aftercare Program! AfterCare is staff supervised, and children will be engaged in activities such as group games, art making, playing in the Children’s Garden, having time with animals and moments of reading and quiet time. Each week will have a combined total of 15 campers. 

Aftercare is $175 per week/per child.

• Aftercare runs June 3- Aug 2. There is no Aftercare for weeks July 1-5 & August 5-7.
• Hours of Aftercare are 3pm-5:30pm
• We do not offer pro-rating or daily rates.
• Please note that if you are more than 15 minutes late for pick-­up, you will be charged an additional $35 for every 15 minutes (after 5:30pm) for each camper. Thank you for your understanding.
• We do not offer Before-Care.
• Limited to 5 iSPACE campers per week. If additional space is available, we will open those spots to iSPACE campers. Please email camp@gormanfarm.org to be placed on a waitlist. Be sure to include the specific week you want to register for.

By completing and submitting this form, I am attesting that I have received permission from the parent or legal guardian listed above to complete this registration form, including all waivers and consent forms, on their behalf.

I, {nameOf}, hereby give permission for {camperName} to participate in all Gorman Heritage Farm Aftercare activities (hereinafter collectively, Gorman Heritage Farm Summer Day Camp Aftercare)

In consideration for Gorman Heritage Farm accepting my child as a participant in Gorman Heritage Farm Summer Day Camp Aftercare, I acknowledge and confirm, on behalf of myself and my child, our understanding and agreement that:

I have read all of the materials applicable to the Gorman Heritage Farm Summer Day Camp Aftercare and made available to me; my child has read all such materials and/or I have fully explained each of the relevant materials to him or her; my child will comply with the rules and guidelines set forth in the materials; I will pay any costs and fees for Gorman Heritage Farm Summer Day Camp Aftercare; and I acknowledge my child’s participation is at the discretion of Gorman Heritage Farm.

IN FURTHER CONSIDERATION OF BEING PERMITTED TO ENTER GORMAN HERITAGE FARM FOR ANY PURPOSE INCLUDING, BUT NOT LIMITED TO, USE OF FACILITIES OR PARTICIPATION IN ON-SITE PROGRAMING, INCLUDING SUMMER DAY CAMP AFTERCARE PROGRAM, I HEREBY AGREE TO THE FOLLOWING:

I, ON MY BEHALF AND ON BEHALF OF SUCH PARTICIPATING CHILDREN, HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE Gorman Heritage Farm, its directors, officers, employees, volunteers, and agents from all liability to the undersigned or such participating children and all personal representatives, assigns, heirs, and next of kin of the undersigned or such participating children for any loss or damage, and any claim or demands on account of any property damage or any injury to, or an illness or the death of, the undersigned or such participating children (or any person who may contract COVID-19, directly or indirectly, from the undersigned or such participating children) whether caused by the negligence, active or passive, of Gorman Heritage Farm or otherwise while the undersigned or such participating children are in, upon, or about the premises or any facilities or equipment therein or participating in any program affiliated with Gorman Heritage Farm. 

I agree and acknowledge that use of Gorman Heritage Farm facilities and services and participation in Gorman Heritage Farm programs including Summer Day Camp Aftercare Program may involve inherent danger and risk, including, without limitation, the risk of physical illness or injury, death or property damage. I HEREBY ASSUME FULL RESPONSIBILITY FOR, AND RISK OF ILLNESS, BODILY INJURY, DEATH OR PROPERTY DAMAGE to the myself or such participating children due to negligence, active or passive, or otherwise while in, about or upon the premises of Gorman Heritage Farm or participating in any program affiliated with Gorman Heritage Farm. I acknowledge that any illness or injuries that I or such participating children contract or sustain may be compounded by negligent first aid or emergency response of the Releasees and waive any claim in respect thereof.

I, THE UNDERSIGNED, further expressly agree that the foregoing ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT shall be governed by the state law of Ohio and is intended to be as broad and inclusive as is permitted by the laws of the State of Ohio.  If any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

I HAVE CAREFULLY READ AND VOLUNTARILY SIGN THIS ASSUMPTION OF RISK, RELEASE AND WAIVER OF LIABILITY, AND INDEMNITY AGREEMENT AND FURTHER AGREE THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENT APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE. I AM AWARE THAT BY AGREEING TO THIS AGREEMENT I AM GIVING UP VALUABLE LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES FROM GORMAN HERITAGE FARM IN CASE OF ILLNESS, INJURY, DEATH OR PROPERTY LOSS OR DAMAGE, INCLUDING, FOR THE AVOIDANCE OF DOUBT AND WITHOUT LIMITATION, EXPOSURE TO COVID-19 AT GORMAN HERITAGE FARM AND ANY ILLNESS, INJURY OR DEATH RESULTING THEREFROM. I UNDERSTAND THAT THIS DOCUMENT IS A PROMISE NOT TO SUE AND A RELEASE OF AND INDEMNIFICATION FOR ALL CLAIMS. IF SIGNING ON BEHALF OF MINOR: I ALSO UNDERSTAND THAT THIS AGREEMENT IS MADE ON BEHALF OF MY MINOR CHILD(REN) AND /OR LEGAL WARDS AND I REPRESENT AND WARRANT TO GORMAN HERITAGE FARM THAT I HAVE FULL AUTHORITY TO SIGN THIS AGREEMENT ON BEHALF OF SUCH MINOR(S).

By typing my name below I acknowledge and represent that I have read the foregoing Agreement, understand it and sign it voluntarily as my own free act and deed; I am at least 18 years of age and fully competent; and I execute this document for full, adequate and complete consideration fully intending to be bound by the same. 

If, in the opinion of Gorman Heritage Farm, immediate medical attention is necessary for {camperName}, I, {nameOf}, do hereby authorize Gorman Heritage Farm to take such action as it deems reasonable and appropriate under the circumstances. I do further authorize and consent to the administration of treatment deemed necessary and appropriate by the responding emergency medical technicians and to such treatment deemed medically appropriate and necessary by licensed physicians or other health care professionals called upon to provide emergency care to my child. I assume the risk and financial responsibility for an injury or illness that may occur as a result of my child's participation in Gorman Heritage Farm Summer Day Camp Aftercare activities. I acknowledge that no guarantees have been made to me as to the effect or outcome of any examinations or medical treatment of my child and that I am responsible for all reasonable charges in connection with the care and treatment rendered to my child during the camp. I understand that nothing in this form shall be construed to impose liability on Gorman Heritage Farm, its officers, directors, employees, agents, and successors for any medical treatment provided or not provided during camp.

Campers are expected to be able to follow directions, rules, and expectations independently, to play well with others, and to follow safety rules with and without adult prompts. For some campers we are able to accommodate and adapt activities to support specific needs, and for others, we are not. As we are responsible for the safety and well-being of all participants, it is important that we fully understand the needs of your camper to ensure that participation in our Aftercare program does not put the camper or staff in uncomfortable or unsafe situations. We ask that custodial parents or guardians contact us directly in the event a camper may have a particular medical need, so we may ensure that we are able to accommodate your camper safely. Please email us at camp@gormanfarm.org.

American Camp Association standards require us to have physician and dentist information on file in case consult is required.

Photo/Video/Research Release

I hereby grant Gorman Heritage Farm my irrevocable permission to photograph, film, record, and otherwise capture and reproduce in any manner my child's name, voice, likeness, image, and silhouette, and/or use my child's written words ("Recordings") for use in printed publications, advertisements, videos, audience research, and/or other audiovisual or printed works. This consent is granted without monetary compensation and is given as an inducement for Gorman Heritage Farm to potentially include my child in the Recordings. I understand and acknowledge that all Recordings shall constitute the sole property of Gorman Heritage Farm, which has my permission to edit, alter, reproduce, or use the Recordings in any medium now known or hereafter devised throughout the world in all languages and to freely assign the rights granted herein, including, without limitation or reservation. I further hereby waive any rights I may have to injunctive relief and legal claims in connection with the Recordings and rights granted herein, including, without limitation, those claims based upon defamation (including libel and slander) and invasion of privacy. I represent and warrant that I am either a parent or the legal guardian of the minor child and that I have complete authority to enter into this Release on the minor child's behalf.

Permission to Apply Sunscreen

 I hereby give my permission to the Staff at Gorman Heritage Farm to apply a sunscreen product of SPF 30 or higher to my child, as specified below, when he or she will be engaging in outdoor activities between the times of 3:00pm and 4:00 PM. I understand that sunscreen may be applied to exposed skin, including but not limited to the face, tops of ears, nose, bare shoulders, arms, and legs.

Permission to Apply Insect Repellent

Depending on the Aftercare activities at camp, Gorman Heritage Farm Aftercare may request that insect repellent be applied to your camper.  Aftercare camp staff may find it necessary to apply it, especially if the activity calls for it.  For example, we will encourage insectant repellent Aftercare activities include time spent sitting in the grass or on the forest floor, or time spent gardening, as these locations carry the risk ticks and chiggers. 

I hereby give permission to the Staff at Gorman Heritage Farm to apply a bugspray product to my camper, which will contain no more than 7% deet.  This will be applied no more than once per day.  You may also choose to send your camper with their own insect repellent to apply once they are at camp, or apply insect repellent yourself prior to sending your camper to camp.

Who will be picking your camper up from camp?  Please list ALL names and contact information of people authorized to pick up your camper from camp, including yourself, the person filling out this form.  Please list names as the names will appear on their photo ID.  Please select if the person should be contacted in the event of an emergency (emergency contact.)  We will contact people in the order listed here.  

Please refer to our FAQ's for information about when we contact families for an illness or injury, and information about pick-up procedures.  Any person picking up a camper will need to show a photo ID.

Cancellation Agreement

Cancellations with refunds can be processed until two weeks prior to the selected week for Aftercare. After that time period, we cannot offer refunds for cancellations of any week. Cancellations with refunds will be charged a $15 processing fee per camper per session.  If you wish to change dates, you will only be able to do so if there is space available for that week. 

By submitting this registration, you agree to our cancellation agreement.

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