Summer Camp Detailed Registration Form Logo
  • Summer camp banner image with children
  • 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.
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  • Enhance your experience

    Note: Premium medical insurance for the duration of the camp is required and included at $80/week per student.
  • Student Information

  • Parent/Guardian Information

  • Emergency Information

  • 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.

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