2024 Beach Camp Day Camp Registration Form

2024 Beach Camp Day Camp Registration

Day Camp is available only for students in grades 2, 3, 4 & 5 now at time of registration. Older students please visit the Sunset Bay Wharf website (Sunsetbaywharf.com) for overnight camp options
Select Program*

Day Camp (Grades 2-5 now at time of registration)
With Approved Parent Helper (Special permission required)Please contact me about being a Parent Helper if opportunities arise
Student Information
Student Name*

First NameLast Name
Birth Date

MonthDayYear
Gender

BoyGirl
Grade in School (now - at time of registration)*
Current School*
Click here if you attended last summer

OvernightDay
Select Day Camp Week

(Grades levels are your grade in school now at time of registration)
Day Camp Week(s)

Full ClosedFull ClosedFull ClosedFull ClosedFull ClosedFull ClosedFull ClosedFull Closed
Parent - Primary Contact
Primary Contact Parent Name*

First NameLast Name
Phone/Text Number*

Area CodePhone Number
Primary Contact E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Secondary Contact (If we can't reach the primary)
Name*

First NameLast Name
Relationship
Phone/Text Number*

Area CodePhone Number
Secondary Contact Email
example@example.com
Friends Requests: If you have a friend request enter name(s) in this box.
If you will be purchasing hot lunch please indicate special diet? Meals are served buffet style with Gluten free and Vegetarian/Vegan options available but not forced, and not guaranteed against contact with other foods in the cooking or serving process.

Gluten free (no wheat)Vegetarian (no meat or fish)Vegan (no cheese, eggs, dairy, meat or fish)
Health Information
If student has medical conditions or medication needs we should know about describe here. (Please wait until check-in to list ADHD medications which might not be taken in the summer)
If camper is bringing an inhaler or epi pen describe here. Two inhalers or epi pens are required to accept camper at drop off.
Informed Consent Waiver and Release

By submitting this form below I acknowledge that I am the parent or legal guardian of the Student being registered, I have reviewed the materials on the Beach Camp website including activity videos and ackknowledge the risks inherent in the Beach Camp program including but not limited to the following risks and hazards: Communicable diseases including Covid, parking and crossing parking areas, roadways and railroad crossings, beach combing, swimming, diving, sailing, kayaking, canoeing, paddleboarding, outboard powered Zodiacs, biking, e-bikes, skateboarding, skimboarding, snorkeling, snuba/bubbleheads, ziplines, rope swings, ninja obstacle courses, team sports, clam digging, crabbing, fishing, boatbuilding, creek walks, wilderness hikes, rock climbing, other outdoor and/or water related activities, overnight accomodations, encounters with or actions by boaters or general public, food and refreshments. I hereby accept these risks to the Student as well as myself and family members, and give my permision and approval for the above referenced Student's participation and encountering of these risks and others associated with the Beach Camp program.

In exchange for Beach Camp's acceptance of the Student's registration and attendance, I agree to assume all risks and hazards of accidents or injury, including property loss, bodily injury, and death, which may arise from any cause, including mistakes and errors or violation of laws or procedures, and I agree on behalf of myself, spouse, heirs, executors, and administrators, to waive and release any and all rights, claims, and causes of action, and to release from liability, as well as to defend and indemnify against such liability, all persons and entities providing, or involved with providing, the Beach Camp programs, as well as the owners of property upon which program activities may be held. These released persons and entities ("Releasees") include but are not limited to Beach Camp LLC, Sunset Bay Wharf, Save Our Shorelines, SSB Properties Inc., and each of the forgoing's owners, officers, employees, volunteers, helpers, guests, agents, representatives, and parent, subsidiary, successor and affiliated persons and organizations. I attest that I have read, fully understand, and agree to this assumption of risk, release of liability, and indemnification agreement.

This application and registration also constitutes permission for use of photo and video recordings of said Student by Beach Camp and its sponsors and affiliated entities in advertising and promotion of Beach Camp programs and related activites and events.
Medical Release and Authorization

As Parent and/or Guardian of the named Student, I hereby authorize the rendering of first aid for said student in the event of a medical emergency which in the opinion of Beach Camp staff requires immediate attention to prevent further endangerment of the Student's health, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted for attending medical personnel to proceed with medical treatment for said Student. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made to contact me in the most expeditious way possible and this authorization presumes reasonable effort will be made to reach me if time permits.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child Student, in my absence.
Agreement Confirmation

BY SELECTING "SUBMIT FORM" AT THE BOTTOM OF THIS PAGE I AM AGREEING TO ALL TERMS AND CONDITIONS SET FORTH HEREIN, AND AGREE THAT THIS SUBMISSION CONSTITUTES DELIVERY OF AN ELECTRONIC SIGNATURE WHICH HAS THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE, AND THAT THIS ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Payment Section

Overnight Camp - 1. Select the Program 2. Click the "Payment Method" button below; 3. Enter your cc information; 4. Click "Submit Form"

*Forms submitted without payment will not secure your spot*

**Hot Lunch and Camp Store Credit Links will be sent to you as your camp week approaches**

***This deposit is non-refundable. You must purchase separate trip cancellation insurance to obtain cash refunds. Week changes are accomodated on space available basis.
Select Program
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Day Camp $575.00
Nonrefundable Deposit

Quantity

Total $0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

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2024 Beach Camp Day Camp Registration

Select Day Camp Week

Health Information