• Summer Camp Enrollment Agreement

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  • PARENT/GUARDIAN INFORMATION

  • EMERGENCY INFORMATION

  • In the event that my child becomes ill or is injured while participating in the program, I authorize the program staff to obtain emergency medical care for my child if deemed necessary. I understand that reasonable efforts will be made to contact me or my designated emergency contacts prior to taking such action whenever possible.

    I further authorize the program staff to arrange transportation for my child to receive emergency medical treatment, including transportation by ambulance if necessary.

    I acknowledge and understand that I am responsible for any medical expenses incurred as a result of such treatment or transportation.

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  • List an individual OTHER than parents/guardians who may be contacted to pickup your child in case of an emergency.

  • *If the child does not reside with both parents, a copy of the court-ordered custody documentation must be provided and kept on file. The terms and conditions outlined in the custody order will be strictly followed.

  • AUTHORIZED "PICK-UP" INFORMATION:

  • SUMMER CAMP - REGISTRATION AND FEES

  • FEES

    • Registration Fee: $50.00 (non-refundable) – Due at the time of enrollment. (Applies to both existing and new families)

    • Pirate's Cove Fun Zone Pass: $65.00 (one-time) – Due at the time of enrollment.

    • Field Trip Fee: $40.00 per month – Due on the 1st Monday of each month.

    • Tuition: $185.00 per week – Due by close of business on Monday each week.

    PAYMENT OPTIONS

    After your enrollment application has been reviewed, a member of our administrative team will contact you to arrange payment for the registration fee and Pirate’s Cove Fun Zone pass fee. Your child’s enrollment will be considered complete once all required fees have been received.

    We accept payments via automatic bank draft (ACH), credit card, debit card, or cash. Please note that a $7 processing fee applies to all credit and debit card transactions, while ACH payments do not incur a processing fee.

    TUITION

    Tuition is due by the close of business each Monday. Payments received after 6:30 PM on Monday will result in the loss of any applicable discounts and a late payment fee of $30.00 will be applied. Failure to remain current on tuition payments may result in the loss of your child’s enrollment in the program. Non-payment may also constitute default under this agreement and may result in collection actions as permitted by law, including reasonable attorney’s fees.  The Summer Camp tuition rate is $185.00 per week, plus $40.00 per month to cover field trip expenses. If a family chooses to change their child’s enrollment program, a new Enrollment Agreement must be completed. Tuition is based on enrollment and not attendance. Therefore, no deductions or credits will be given for holidays or partial week attendance.

    LATE PICK-UP CHARGES

    Our center operates Monday through Friday from 6:00 AM to 6:30 PM year-round, excluding holidays listed in the Family Handbook. If a child remains at the center after closing time, staff will first attempt to contact the parent or guardian. If we are unable to reach the parent, we will proceed to contact the emergency contacts listed on the child’s enrollment form. A late pick-up fee of $15.00 per child will be charged for every 15 minutes, or any portion of a 15-minute period, after closing until the child is picked up. This fee must be paid at the time of pickup.

    WITHDRAWAL

    If you need to withdraw your child from the program, please review the withdrawal procedures outlined in the Family Handbook. A written two-week notice is required for withdrawal. Verbal notice will not be accepted as official notification. Failure to provide proper notice may result in tuition charges for up to two weeks.

    RETURNED ACH PAYMENTS

    If an ACH payment is returned due to insufficient funds, a fee of $33.00 will be charged. Returned ACH payments may be electronically reprocessed up to three times. If more than two payments are returned within a calendar year, future payments will be required to be made by money order, credit card, or cash.

    VACATION CREDITS

    Families who have been enrolled for more than one year may be eligible to receive one vacation credit per year per child. Vacation credits allow families to receive a 100% reduction in tuition for one full week when their child will not be attending. Vacation credits must be used in full-week increments. Credits are not available for individual days or partial weeks. If a child attends any portion of the week, full tuition will be due. Vacation credit requests must be submitted in writing to the Center Director at least two weeks prior to the requested week. Please contact the Center Director for additional details.

    ILLNESS

    For the health and safety of all children and staff, children who are ill will not be permitted to attend the center.

    Symptoms that require a child to remain at home include, but are not limited to:

    -Severe cough or sore throat
    -Undetermined rash or spots
    -Fever (see Parent Handbook for temperature guidelines)
    -Severe headache
    -Vomiting or upset stomach
    -Pink eye
    -Diarrhea


    Children must be fever-free for at least 24 hours without the use of fever-reducing medication before returning to the center. If a child is diagnosed with a communicable disease, a written release from a medical provider may be required before the child can return. Parents will be notified if a reportable illness has been identified within the center.

    MEDICATION

    Medication may only be administered once per day and must be checked in at the front desk. Medication may not be placed in a child’s bag. Prescription medication must be in the original pharmacy-labeled container and must include the physician’s name, child’s name, dosage instructions, and expiration date. Over-the-counter medications must be provided in the original, unopened manufacturer’s packaging and will only be administered according to the directions on the product label. If the label instructs to “consult a doctor,” written authorization from the child’s physician will be required before the medication can be administered. For safety reasons, Benadryl or its generic equivalent will not be administered.

    SIGNING IN AND OUT

    Parents or guardians are responsible for escorting their child into and out of the center each day and for signing their child in and out according to center procedures. When children are transported on field trips or other approved activities, staff members will escort children to and from the transportation vehicle and will ensure appropriate supervision during transport.

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  • PHOTOGRAPHY, VIDEO & SOCIAL MEDIA RELEASE


    I grant permission for the program, its employees, agents, and authorized representatives to photograph, video record, and/or create audio recordings of my child for educational, promotional, marketing, and publicity purposes. These images, videos, or recordings may be used in print materials, publications, websites, electronic media, social media, or other forms of communication. I understand that these materials may be used without compensation and may be reproduced, distributed, or displayed in various formats for promotional or informational purposes. I agree to release and hold harmless the program, its employees, agents, and representatives from any claims or liability related to the use of such photographs, videos, or recordings. I understand that my child’s name or identifying information will not be used without additional written consent.This authorization will remain in effect unless revoked in writing. I understand that I may withdraw my consent at any time by submitting a written request to the program administration.

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  • Parent/Guardian Acknowledgement


    I acknowledge that I have read and understand the terms and agreements outlined in this enrollment packet. I confirm that I have received, reviewed, and agree to comply with all policies and procedures contained in the Parent Handbook and any applicable addendums, which are incorporated herein by reference.

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  • SUMMER DAY CAMP ENROLLMENT AGREEMENT

  • Summer Day Camp Program Agreement


    1. I understand that I am enrolling my child in the Summer Day Camp Program. The program operates Monday through Friday from 6:00 a.m. to 6:30 p.m.


    2. I understand that I am responsible for the following fees:
    • Registration Fee: $50.00 (non-refundable) – Due at the time of enrollment. (Applies to both existing and new families)
    • Pirate's Cove Fun Zone Pass: $65.00 (one-time fee) – Due at the time of enrollment
    • Field Trip Fee: $40.00 per month – Due on the first Monday of each month
    • Tuition: $185.00 per week – Due by the close of business each Monday

    3. I understand that the Summer Camp Program will operate for approximately 11 weeks, beginning May 26 and ending August 7, 2026.


    4. I understand that on scheduled field trip days, my child must arrive no later than 8:00 a.m. in order to participate in the field trip, as transportation departs on a strict schedule. Children arriving after 8:00 a.m. may remain on-site and will participate in supervised classroom activities for the day.

    5. I understand that on scheduled field trip days, I am responsible for providing my child with a lunch. All lunches must be packed in a gallon-size Ziploc-style bag so that it may be disposed of after lunch. Please do not include peanut butter or any foods containing nuts. It is the responsibility of the parent/guardian to ensure their child arrives with a lunch on field trip days. If a lunch is forgotten or not provided, the program will provide a lunch for the child and a $7.00 lunch fee will be charged to the parent/guardian’s account.


    6. I understand that if my child exhibits unsafe behavior or behavior that is disruptive or disrespectful toward staff or other campers, I will be notified and asked to address the behavior with my child. If the behavior continues, my child may be suspended from participating in field trips for up to four (4) field trips. During any suspension period, I understand that I remain responsible for full tuition and monthly field trip fees. If behavior continues or is determined to pose a safety concern to staff, other campers, or the child, the program reserves the right to disenroll the child from the Summer Camp Program. No refunds will be issued for any remaining enrollment period if disenrollment occurs.


    7. I understand that program fees are based on reserved enrollment space, not actual attendance. Therefore, I remain responsible for all applicable fees regardless of absences. Weekly tuition will remain the same even if my child is absent for one or more days during the week.


    8. I understand that I am responsible for notifying program staff in advance if my child will not be attending the program. Voicemail is available to leave a message if necessary. I agree to provide two (2) weeks written notice if I choose to withdraw my child from the program prior to the end of the camp session. During this notice period, I understand that I remain responsible for all applicable fees.

    9. Program staff will assume reasonable responsibility for the supervision and care of my child from the time my child arrives at the program until my child is signed out and leaves the program.

    10. In the event of a medical emergency, program staff will attempt to contact me first. If I cannot be reached, staff will contact the emergency contacts listed on my child’s enrollment form. If immediate medical attention is required, my child may be transported by ambulance or emergency vehicle to a medical facility.


    I acknowledge that I have read and understand the terms outlined above and agree to comply with all policies and procedures of the Summer Day Camp Program. I give permission for my child to participate fully in all program activities.

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  •  SUMMER DAY CAMP PROGRAM

    RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT

    Please read carefully before signing.

    By signing this agreement, you acknowledge that you are voluntarily allowing your child to participate in the Summer Day Camp Program and that you are releasing certain legal rights. By signing, you agree that you and your child waive the right to hold the program, its owners, employees, agents, volunteers, affiliates, transportation providers, or any individuals or organizations assisting with program activities (collectively referred to as the “Released Parties”) legally responsible for injuries, illness, damages, or losses that may occur as a result of participation in program activities.


    Participation in Activities
    I acknowledge that I have voluntarily chosen for my child(ren) to participate in the Summer Day Camp Program. The program may include a variety of activities, including but not limited to recreational games, sports, arts and crafts, science projects, cooking activities, outdoor play, and field trips to various locations. Participation may also involve transportation to and from off-site activities.

    My child may also be present in or utilize facilities, equipment, transportation, and other locations provided or arranged by the Released Parties in connection with program activities.

    These activities are collectively referred to as the “Program Activities.”


    Acknowledgment and Assumption of Risk
    I understand that participation in Program Activities involves inherent risks that cannot always be eliminated or controlled. These risks may include, but are not limited to, the possibility of injury, illness, property damage, or, in rare circumstances, serious injury or death.

    I acknowledge that I am fully aware of these risks and voluntarily allow my child to participate in the Program Activities. I knowingly and willingly assume all risks associated with my child’s participation in the Program Activities and the use of any facilities, equipment, or transportation associated with the program.


    Release of Liability
    I am the parent or legal guardian of the child(ren) listed on the enrollment agreement. In consideration for my child being permitted to participate in Program Activities, I voluntarily agree to release, waive, discharge, and hold harmless the Released Parties from any and all claims, demands, damages, actions, or causes of action arising out of or related to my child’s participation in the Program Activities.

    This release includes claims resulting from negligence, fault, recklessness, or other acts or omissions by the Released Parties that may result in injury, illness, death, or damage to personal property.


    Knowing and Voluntary Agreement
    I certify that I have carefully read this agreement in its entirety and fully understand its contents. I understand that by signing this document, I am assuming certain risks on behalf of my child and releasing certain legal rights.

    I understand that this agreement constitutes the entire agreement between myself and the Released Parties regarding participation in the Program Activities and that it cannot be modified except in writing.

    By signing below, I voluntarily agree to all terms and conditions stated in this agreement on behalf of myself and my child.

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  • Summer Camp 2026 Sunscreen Permission Form

    Providing a safe and enjoyable summer camp experience for our campers and staff is a top priority. To simplify procedures and help protect children during outdoor activities and water play, sunscreen will be applied to campers as needed throughout the day.

    The program will provide the following sunscreen products at no additional cost:

    • Neutrogena Beach Defense Water + Sun Protection Sunscreen Stick – SPF 50+
    • Neutrogena Beach Defense Sunscreen Spray – SPF 70

    Staff will assist children with sunscreen application as needed during outdoor activities, field trips, and water play.

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