Summer Camp Detailed Registration Form

Valencia Summer Camp Registration

Please complete one registration form for each student attending
Choose your Camp and week/s

Make sure there is availability on the weeks that you chose and that your student is old enough to attend the camp that you chose.

Top row: month and week number of the month (Ex: Jun 4: fourth week of June)*

	Jun 4	Jul 1	Jul 2	Jul 3	Jul 4	Aug 1	Aug 2	Aug 3	Aug 4
Tennis and Pool Fun Adventure
Business Experience: Build Your Startup
Soccer Stars: Valencia Soccer club!
Ocean Odyssey: Discover Sailing
Surf and More: Valencia’s Water Adventure Camp!
Fun in the Sun: Valencia’s Best School Camp!

Enhance your experience

Note: Premium medical insurance for the duration of the camp is required and included at $80/week per student.
Choose your add/ons

Airport Greeting and Transfer: excellent convenient choice ($65)24/7 Care & Support: phone assistance from a local at any time of day or night to address concerns, emergencies or any questions. ($120)Family weekend tourism package 1 ($460 + $40 per person): Saturday: Round-trip taxi service, Guided tour of the Horchata Museum, Personalized guided tour of Valencia's historic downtown. Sunday: Visit to the Oceanographic and Museum of Arts and SciencesFamily weekend tourism package 2 ($460 + $50 per person): Saturday: Round-trip taxi service, Boat tour of Albufera Natural Park, Authentic lunch at a renowned Albufera restaurant. Sunday: Family sailing and nautical activities, Personalized guided tour of Valencia's historic downtown

Student Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Gender*

MaleFemaleNon-binary
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.*
Is the student prescribed an inhaler? If yes, please explain any instructions.*
Do you have any questions/concerns? Is there something else you would like us to know?
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by the organizations operating the summer camps facilitated through Uniq Journeys LLC. I understand that Uniq Journeys LLC acts solely as an intermediary to coordinate travel arrangements and enrollment with each organization running the selected camp.

In exchange for the acceptance of my child’s participation by the organization operating the specific camp, I assume all risks and hazards incidental to the conduct of the activities. I release, absolve, and hold harmless both Uniq Journeys LLC and the respective organizations, including their officers, agents, and representatives, from any and all liability for injuries to my child arising out of traveling to, participating in, or returning from the selected camp sessions.

In case of injury to my child, I hereby waive all claims against Uniq Journeys LLC and the organization operating the camp, including their staff, affiliates, participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the activities. I acknowledge that there is a risk of injury inherent in many camp activities, including but not limited to risks such as fractures, paralysis, or death.
Medical Release and Authorization

As the Parent and/or Guardian of the named participant, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional of the minor child in the event of a medical emergency. This authorization applies if, in the opinion of the attending medical professional, immediate treatment is necessary to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering, or discomfort if delayed.

I acknowledge that Uniq Journeys LLC has included medical insurance as part of the trip package and understand that this insurance is intended to provide coverage for medical emergencies. Permission is hereby granted to the attending physician to proceed with any necessary medical or minor surgical treatment, x-ray examination, or immunizations for the named participant.

In the event of a serious medical emergency requiring major surgery or treatment for significant accidental injury, I understand that every effort will be made to contact me as quickly as possible using the information I have provided. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the organizations operating the summer camps, as well as their staff, affiliates, and representatives, to provide necessary emergency care to stabilize the child prior to admission to a medical facility.

This authorization applies for the duration of the camp session and is executed of my own free will, with the sole purpose of ensuring prompt medical treatment in emergency situations for the protection of the named minor child in my absence.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date*

MonthDayYear
Date
Signature*

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Valencia Summer Camp Registration

Choose your Camp and week/s

Enhance your experience

Student Information