PLEX Summer Camp 2026 — Registration (McKendree Metro Rec Plex)

PLEX Summer Camp 2026 — Registration (McKendree Metro Rec Plex)

Register your child for the PLEX Summer Hockey or Swim Camp 2026 ONLY. Please complete all required fields to begin the process.
Camper Information

Please provide information about the camper.
Camper's Full Legal Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Grade — Fall 2026*
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent/Guardian 1 (Primary Contact)

Primary parent or guardian contact information.
Parent/Guardian 1 Full Name*

First NameLast Name
Parent/Guardian 1 Cell Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian 1 Email Address*
example@example.com
Membership

Please indicate membership status.
MemberNon-Member
Emergency Contacts

Provide emergency contact information for your child.
Emergency Contact 1 Name*

First NameLast Name
Emergency Contact 1 Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Authorized Pickup Contacts (In Addition to Parent/Guardian)

Only individuals listed below will be permitted to pick up your child. A valid photo ID may be required.
Authorized Pickup 1 Full Name
Authorized Pickup 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Authorized Pickup 1 Relationship to Child
Authorized Pickup 2 Full Name
Authorized Pickup 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Authorized Pickup 2 Relationship to Child
Additional Authorized Pickup Individuals (if more than two). Please include full name, phone number, and relationship for each.
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Policies, Authorizations & Waivers (2026)

Please review the following policies and waivers carefully.
HEALTH AUTHORIZATION & MEDICAL CONSENT (2026)

I hereby grant permission for my child to participate in all activities associated with PLEX Kids Summer Camp at the McKendree Metro Rec Plex ("Facility"). I understand that participation in recreational, athletic, aquatic, field trip, transportation-related, and camp activities involves inherent risks, including but not limited to falls, collisions, equipment-related injuries, exposure to outdoor elements, communicable illnesses, and other risks that may result in serious injury, illness, permanent disability, or death.

I voluntarily assume all risks associated with my child’s participation. In the event of illness or injury, I authorize McKendree Metro Rec Plex staff, emergency medical personnel, and licensed healthcare providers to secure appropriate medical treatment for my child, including emergency transportation if deemed necessary. I understand that reasonable efforts will be made to contact me prior to treatment when circumstances permit.

I accept full financial responsibility for any medical care rendered.

I certify that all medical, allergy, medication, and behavioral information provided in this enrollment form is true, accurate, and complete to the best of my knowledge.

I agree to notify camp administration promptly of any changes in my child’s health status.
PLEASE READ EACH SECTION CAREFULLY. Your acknowledgment confirms that you understand and agree to each policy below.
TUITION TERMS & CAMP POLICIES ACKNOWLEDGMENT (2026)

I understand that enrollment confirmation, camp week selection, and payment processing are completed through the ClubAutomation system.

I acknowledge that deposits are non-refundable and that payment deadlines, cancellation policies, and refund eligibility are governed by published camp policies.

I understand that campers are expected to comply with all camp rules, safety procedures, and behavioral standards. McKendree Metro Rec Plex reserves the right to suspend or dismiss a camper whose conduct is unsafe, disruptive, or detrimental to the well-being of others. In cases of dismissal due to behavioral or safety concerns, refunds are not guaranteed.

I acknowledge that children will only be released to authorized individuals listed on this enrollment form. Proper identification may be required at pickup.

I further acknowledge that camp staff members undergo background screening procedures in accordance with applicable policies and that the program operates in alignment with relevant local and state guidelines.
I acknowledge
WAIVER & RELEASE OF ALL CLAIMS (2026):

In consideration of my child being permitted to participate in PLEX Kids Summer Camp, I voluntarily assume all risks, known and unknown, associated with such participation.

I hereby release, waive, discharge, and covenant not to sue McKendree Metro Rec Plex, its governing entities, officers, directors, employees, volunteers, agents, contractors, and representatives (collectively, the "Released Parties") from any and all claims, demands, causes of action, damages, losses, or liabilities of any kind arising out of or related to my child’s participation in camp activities, use of facilities, equipment, transportation, or premises, except to the extent caused by willful and wanton misconduct where applicable law prohibits such waiver.

I acknowledge that this release is intended to be as broad and inclusive as permitted by the laws of the State of Illinois.

I certify that my child is physically and medically able to participate in camp activities and that I have disclosed all relevant conditions.
I acknowledge
PHOTO & MARKETING RELEASE (2026):

I hereby grant permission for McKendree Metro Rec Plex to photograph, videotape, audio record, or otherwise capture my child’s image, likeness, name, or voice during participation in camp activities.

I authorize the use of such media in print publications, digital communications, websites, social media platforms, promotional materials, and other marketing or informational content without compensation.

I understand that media may be used in perpetuity and that reasonable efforts will be made not to publish identifying personal information without additional consent.
I acknowledge
Medications & Immunizations
YesNo
Medication Details (Name of medication, dosage, time(s) to be administered, storage instructions, and any special directions). Alternatively, you can complete and submit the Medication Details form after completion of this form.
All medications must be provided in original packaging and may require a separate Medication Authorization Form prior to administration.
Upload Current Immunization Record (PDF or Image Required)

Cancelof
I acknowledge
Parent/Guardian Printed Name*

First NameLast Name
Relationship to Camper*
Date*

MonthDayYear
Date
Signature*

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After you submit this enrollment form, you will be redirected to a Thank you page outlining the next steps to download additional forms and complete payment.
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PLEX Summer Camp 2026 — Registration (McKendree Metro Rec Plex)

Camper Information

Parent/Guardian 1 (Primary Contact)

Membership

Emergency Contacts

Authorized Pickup Contacts (In Addition to Parent/Guardian)

Policies, Authorizations & Waivers (2026)

Medications & Immunizations