2025 Summer Camp Detailed Registration Form
  • Summer camp banner image with children
  • Redwood Recreation Center

    2025 Summer Camp Registration for kids age 6-12
  • Participant Information

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  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • 2nd Parent Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact Information

    (Not Parent/Guardian already listed above)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Additional Emergency Contact (optional)

    (Not previously listed)
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Authorized Pick-up

  • Health/Medical Information

  • Parental Notification of Procedures for Administering Medication in Salt Lake County Redwood Summer Camp: 

  • Salt Lake County Parks & Recreation staff will administer the medication necessary for your child, but only in accordance with the following guidelines:

    Parents are required to complete and sign a Release of Liability/Record of Administration of Medication form before any medication can be given. Verbal authorization is not acceptable. The Release of Liability must include the name of the child, name of medication, and possible side effects of medication or potential drug interactions.

    All medications must be handed to the Program Coordinator or Assistant Program Coordinator so that they can be safely stored in an area inaccessible to children. Drugs found in the possession of the child will be confiscated.

    Prescription Drugs: All prescription drugs must be in their original container and must be prescribed for the child to whom the medication is to be given (i.e. the child’s name appears on the prescription label). Prescription drugs must be current within 90 days of prescribed date or within the expiration date appearing on the prescription label. Staff will not administer prescription drugs dosages that exceed that prescribed unless accompanied by written instructions from a physician.

    Over-the-Counter Drugs: All over-the-counter drugs must be in their original container with the child’s name written on the product package. Staff will not administer dosages that exceed that recommended for children on the product package unless accompanied by written instructions from a physician.

    The staff who administers the medication will sign the Record of Administration of Medication form each time the child is given the medication. This record will be maintained in the child’s file.

    Parents will need to complete a separate Release of Liability/Record of Administration form for each prescription drug to be administered. A separate form must be completed once every two weeks for each over-the-counter drug to be administered.

    Salt Lake County Parks & Recreation reserves the right to refuse to administer any medication to any child at any time. The parent will be informed in advance if the medication will not be administered.

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  • Salt Lake County Parks and Recreation Division Tuition Agreement

  • 1. I will make payments on the schedule indicated below and in accordance with the polices stated in this tuition agreement:                                                       

    a. Weekly payments are due on the Monday prior to the week in which your child will be attending (7 days prior to attending.)

    2. Penalties for Late Payment: A $25.00 late fee will be charged to parents who have not paid the total tuition amount by the tuition payment due date (7 days prior to attending). Services will be terminated until tuition payments are made in full. If payment is not made by the Wednesday prior to attending, your child's spot will be given to the first child on the waiting list. Any payments that are not paid after 30 days from the due date will be sent to collections.

    3. There will be no deductions for days missed due to illness, holidays, or missed attendance. Attendance and tuition agreement changes must be made in writing (by email) two weeks in advance.

    4. A $20 fee will be assessed for any check returned by the bank; thereafter, only cash will be accepted for subsequent payments. All returned checks will be handled by the SL County auditor.

    5. There will be a late fee of $5.00 for every 15 minutes that the child is not picked up after closing.

    6. Refund Policy: It is the policy of Salt Lake County to withhold twenty-five percent (25%) from the refund of any service fee if the reason for the refund is not the fault of the County, unless the rules governing the refund are otherwise provided by law.

    7. I agree to pay Salt Lake County an attorney fee in the event that my account is referred to the County Attorney’s Office for collections. Accounts past due 30 days will be turned over to the Salt Lake County Attorney for collection.

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  • Salt Lake County Parks & Recreation Division Child Care Behavioral Guidelines

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  • Activity and Transportation Consent Agreement

  • I consent to my child's participation in Salt Lake County Parks and Recreation sponsored activities including swimming and field trips and transportation in County-operated vehicles to those activities.

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  • Parental/ Participant Statement of Agreement Assumption of Risk, Liability Release, Indemnification and Refund Policy

  •  1. Assumption of Risk:  I hereby acknowledge and agree that my child’s participation in recreational activities involves inherent foreseeable and unforeseeable risks and hazards which may expose my child, or me, to illness, injury, or death.  In consideration of my child’s participation in such activities, I for myself, my child, my heirs, my executors and administrators, freely and voluntarily agree to assume and accept any and all risks to my child or myself associated with my child’s participation in Salt Lake County recreational activities.

    2. Release:  In consideration of my child’s participation in the Salt Lake County recreational activities, I, for myself, my child, my heirs, my executors and administrators hereby release Salt Lake County and its officers, agents, and employees from any cause of action, claim, or demand of any nature whatsoever I or my child may now have, or have in the future, against Salt Lake County on account of personal injury, property damage, death, or accident of any kind, caused by, arising out of, or in any way related to my child’s participation in Salt Lake County recreational activities. 

    3. Indemnification:  In consideration of my child’s participation in the Salt Lake County recreational activities, I agree to indemnify and hold harmless County, its officers, agents, and employees from any and all causes of action, claims, demands, losses, or costs of any nature whatever cause by, arising out of, or in any way related to my child’s participation in the Salt Lake County recreational activities.  I agree that my duty to defend and indemnify the County under this Agreement includes all attorney fees, litigation and court costs, expert witness fees, and any sums expended by or assessed against the County for the defense of any claim or to satisfy any settlement, arbitration award, or verdict paid or incurred on behalf of the County arising out of or in any way related to my child’s participation in the Salt Lake County recreational activities.

    4. Refund:  Refunds may only be requested in person and must be accompanied by a written request.  As per Salt Lake County policy and procedures the Parks and Recreation Division may withhold 25% of the refund (program registration fee) for administrative costs. No refunds shall be given after the first day of the program.

    5. Collections:  I agree to pay Salt Lake County all costs incurred, together with reasonable attorney’s fees in the event that my account is referred for collection. I understand that any account delinquent 30 days or more will be turned over to collection.

    6. Emergency Treatment:  I hereby authorize Salt Lake Parks and Recreation program staff to act on my behalf in accordance with their best judgment in case of an emergency involving my child, and agree to assume full responsibility for all expenses, medical or otherwise, that may arise therefrom. 

    7. Media Consent: I hereby grant permission to Salt Lake County to use my or my children’s photograph, videotaped image, quotes/comments, or name for publicity and educational purposes in any and all publications and media without limit or compensation.

    8. Name Posting: Unless otherwise indicated below, Salt Lake County is authorized to post or publish the name of my child participating in Salt Lake County recreational activities on the Salt Lake County website.

     

    By signing this assumption of risk, liability release, and refund policy statement, I acknowledge that I have read its contents and disclosure, that I understand its contents and disclosure, and that I agree to its terms. If any portion of this Agreement is held to be invalid by a court of law, then it is agreed and intended that all the remainder shall, notwithstanding, continue in full force and effect.

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  • 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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