PAL Summer Fun Camp 2024

Registration Form 

Hockessin PAL Summer Fun Camp 2024

Please Note: All sections of this registration form must be completed in its entirety. Incomplete information may result in delays in processing your child's camp registration. Please take a moment to make sure that all information is accurate. Camper InformationNew Camper Returning Camper

Emergency Contacts (Please name two people NOT listed above - parents/guardians will always be contacted first)

Participation Agreement and Waiver Hockessin PAL Summer Fun Camp 2024

Participation Agreement: I give permission for my child to participate in the Hockessin Police Athletic League Summer, Camp. I agree that my child will abide by all rules and regulations adopted and published by the Police Athletic League of Delaware (PAL) relating to the operation and conduct of the program and the use of the facilities provided for the program. | understand that the failure of my child to observe these rules and regulations may result in his/her exclusion from participation in the program and a forfeit of all registration fees paid to the program. Photo Consent: 1 hereby give permission for images of my child, captured during regular camp activities or after care through video, photo, and digital camera, to be used solely for the purposes of the PAL in promotional materials and publications, including the PAL website, and I further agree to waive any rights of compensation or ownership thereto.

Swimming Consent: I give my consent for my child to participate in swimming activities during the summer camp program. 1 understand that all swimming activities will be conducted under the supervision of a certified life guard (as well as PAL staff) and that my child's participation in any swimming event is done at his/her own risk.

Transportation Consent: I give my consent for my child to participate in any off-site activity during the summer camp program. Transportation to and from these activities will be provided via school bus or van which will be under the supervision of at least two (2) trained camp staff members.

Discipline Policy: In order to provide a rewarding camp experience for everyone, it Is important that your child behave appropriately. In the event that disciplinary action is warranted, the following steps will be taken:

1st incident: to the best extent possible, the child will be removed from other campers to a one-on-one setting with a camp staff member. The child will receive an explanation as to why their behavior was inappropriate and will receive a verbal warning.

2nd incident: camp staff will determine an appropriate consequence for the child's action. This may include restriction from further activity or quiet time away from other campers. The child's parent/guardian will be notified of the behavioral problem.

3rd Incident: the child will be removed from camp. For incidents involving serious misconduct (including but not limited to bullying, intimidation of fellow campers, fighting, etc the parent/guardian will be required to pick up the child. The Camp Director and PAL Officer will determine the appropriate disciplinary action. Additionally, the child will not be permitted to return to camp until a meeting can be arranged between camp staff, the parents/guardians, and the camper. Any child removed from camp for misconduct will forfeit all registration fees. No refunds will be given.

Youth Waiver Agreement: I give permission for my child to participate in the Summer Camp program that he/she is currently registering for with the Police Athletic League of Delaware. I agree that my child will abide by all rules and regulations adopted and published by the PAL relating to the operation and conduct of the program and the use of the facilities provided for the program. I understand that the failure of my child to observe these rules and regulations may result in his/her being excluded from participation in the program. I represent that my child is physically able to participate in the program. I fully understand that his/her participation may entail the riskof physical injury. I agree to waive any claim of any kind whatsoever, whether resulting from an injury or otherwise, and further agree to release, indemnify, and hold harmless the program, PAL, and their respective directors, officers, employees, agents and/or representatives from any and all liability occurring as a result of his/her participation in the program. I will be personally responsible for any financial costs incurred as a result of his/her participation in the program, including, without limitation, transportation and/or medical expenses incurred as a result of any injury. Furthermore, I understand that the PAL assumes no liability for lost, misplaced, stolen, and/or damaged property and I hereby agree to release the PAL from such liability. The undersigned has read & voluntarily signed this waiver slip.

Medical Information and Authorization Form

Hockessin PAL Summer Fun Camp 2024

Due to the state of Delaware Public Health requirements, we are REQUIRED to have on file current immunization records for all campers attending our camp. You must provide a photocopy of your child's ENTIRE IMMUNIZATION RECORD that indicates they are up to date on the following immunizations: -DTP (Diptheria, Tetanus, Pettusis) -HIB (Hemophilus Influenza) -MMR (Measles, Mumps, Rubella) -OPV/IPV (Polio Oral & Injected) hereby give my consent to the Police (Please Print) I, Athletic League of Delaware, who will be caring for my child, to arrange for emergency/medical/surgical/dental care and treatment (including diagnostic procedures) necessary to preserve the health of my child. I acknowledge that I am responsible for all reasonable charges in connection with any care and treatment rendered. I understand that the Police Athletic League of Delaware (PAL) will not assume responsibility for accidents and/or medical or dental expenses received as a result of participation in the camp. I give permission to the PAL to dispense the medication(s) listed below, if any, to my child according to the information provided. In the event that the emergency contacts cannot be reached, I hereby grant the PAL permission to give whatever immediate treatment is necessary and/or take my child to the nearest Hospital Emergency Room. On behalf of myself and my child, I release the Police Athletic League of Delaware, its trustees, officers, faculty, and employees from any and all claims arising from emergency treatment and/or administration of medication with respect to my child.

Medical Instructions If it is necessary for your child to receive medication during camp, please do the following: 1. Give the medication to the camp coordinator (or send the medication to the camp with an adult if you are unable to bring it yourself 2.Send medication in the original container (with date) properly labeled with the following information: -Correct name of individual receiving medication -Time medication is to be taken -Amount of dosage individual is to receive

Please indicate below any medications your child will be taking

I have carefully read all of the information, policies, and procedures above and I agree to all the terms and conditions. I am the legal guardian of the camper.

Payment Form Hockessin PAL Summer Fun Camp 2024 A registration form, medical form, and participation agreement must be completed for EACH CHILD attending camp. Only ONE payment form is needed PER FAMILY. All camp changes and/or cancellations must be submitted to the camp director in writing. Verbal cancellations, changes, or additions will not be accepted. Please see payments, refund, and transfer policies below for more information. Payments: See below for payment information. Deposits: We no longer require a deposit since we are taking online payments weekly. This is hopefully easier for all parties involved. This process is still fairly new, so please ask all deserving questions if there is any confusion. Refund: If your child is unable to attend a camp week in which he/she is enrolled, you will still have to pay if she/he attended camp at any point during that week. If for some reason you went ahead and pre-paid for camp or paid in full beforehand, you can request a refund at any point before the Tuesday prior to the week of camp. You must make your request in writing to the Hockessin PAL Camp Director via US Mail, fax, or email. Transfer Policy: If your child is unable to attend a camp in which he/she is enrolled, you may request a transfer of the amount paid against that camp to another camp week, within the same camp year. You must make your request in writing to the Hockessin PAL Director via US Mail, fax, or email. The request for the transfer of a payment must be received by the close of business on the Tuesday prior to the Monday of the camp week that your child was scheduled to attend. Payment Calculator Summer Camp Cost (per "Individual Week") = $220 If 2 or more siblings attend camp the same week, the first child will be the full individual week rate, and any additional children will be the discounted "Sibling Week" rate of $180. If siblings attend separate weeks of camp, each week will be considered an individual week, and cost $220. Number of individual weeks requested: Number of sibling weeks requested: Total Cost for Camp: (a) + (b) = $ How To Pay We will be using QuickBooks to send out weekly email invoices to the address you provided on the front page of this packet. The invoices will be sent out on each Monday of the week(s) that your child(ren) attend camp. This payment is due Friday of that same week. PLEASE PROVIDE AN EMAIL THAT IS IN USE AND ABLE TO RECEIVE

All payments MUST be completed at the latest by the conclusion of Hockessin PAL's Summer Fun Camp in full.

-All campers will be given a camp t-shirt. Shirts will be required on certain field trips during the summer. We will let your children know in advance if they are to wear their t-shirts the next day. If your child forgets their shirt on the day of the field trip, they will be required to purchase one to wear.

-Additional shirts cost $8/each.

P: (302) 239-8857 F: (302) 239-8865

Attn: Summer Camp 7259 Lancaster Pike Hockessin, DE 19707