Elements Workspace Summer Registration Form - 2026
  • Elements Workspace SUMMER CAMP registration

    Welcome! This form registers your child for Elements Summer Camp, July 6–30, 2026 in Gerritsen Beach, Brooklyn. Camp meets Monday–Thursday, 9:00 AM – 2:30 PM, for ages 6–11. Plan on about 10 minutes — please have emergency contacts and any health/allergy notes handy. Questions? Email jenny@elementsworkspace.com.
  • Parent/Guardian & Emergency Contacts

    Please list all parents or guardians and at least one emergency contact in this section.
    • Parent/Guardian Information 
    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Emergency Contact Information 
    • Format: (000) 000-0000.
    • Is this person authorized to pick learner(s) up from the center?*
    • Format: (000) 000-0000.
    • Is this person authorized to pick learner(s) up from the center?
  • Learner Information

    Please provide details for your learner.
  • Date of birth*
     - -
  • Does this learner have any allergies?*
  • Does this learner have any emotional, mental, physical health conditions that you would like our guides to know about?*
  • Most days at camp are on-site, with regular short walks in the Gerritsen Beach neighborhood and weekly beach days (Wednesdays or Thursdays, weather permitting). Outings stay within walking distance and are always staffed by our guides.*
  • May we apply sunscreen to your child during the day?*
  • Which weeks would you like to register your child for?*
  • Do you have another learner you would like to add to this registration?*
  • Learner Information

    Please provide details for your learner.
  • Date of birth*
     - -
  • Does this learner have any allergies?*
  • Does this learner have any emotional, mental, physical health conditions that you would like our guides to know about?*
  • Most days at camp are on-site, with regular short walks in the Gerritsen Beach neighborhood and weekly beach days (Wednesdays or Thursdays, weather permitting). Outings stay within walking distance and are always staffed by our guides.*
  • May we apply sunscreen to your child during the day?*
  • Which weeks would you like to register your child for?*
  • Do you have another learner you would like to add to this registration?*
  • Learner Information

    Please provide details for your learner.
  • Date of birth*
     - -
  • Does this learner have any allergies?*
  • Does this learner have any emotional, mental, physical health conditions that you would like our guides to know about?*
  • Most days at camp are on-site, with regular short walks in the Gerritsen Beach neighborhood and weekly beach days (Wednesdays or Thursdays, weather permitting). Outings stay within walking distance and are always staffed by our guides.*
  • May we apply sunscreen to your child during the day?*
  • Which weeks would you like to register your child for?*
  • Do you have another learner you would like to add to this registration?*
  • Learner Information

    Please provide details for your learner.
  • Date of birth*
     - -
  • Does this learner have any allergies?*
  • Does this learner have any emotional, mental, physical health conditions that you would like our guides to know about?*
  • Most days at camp are on-site, with regular short walks in the Gerritsen Beach neighborhood and weekly beach days (Wednesdays or Thursdays, weather permitting). Outings stay within walking distance and are always staffed by our guides.*
  • May we apply sunscreen to your child during the day?*
  • Which weeks would you like to register your child for?*
  • Meals, Electronics, Shoes & Clothes

    Please read and acknowledge the information below about meal times, electronics use in the space, indoor shoes & extra clothes.
    • Meals 
    • We generally sit down for morning snack around 10:15am and lunch around 12pm. Please pack and bring your own lunch & a nutritious snack ideally in containers that your child can work toward opening and closing independently.  

      We try to encourage young learners to approach mealtime with intention. So please be sure you are talking to your child at home about healthy eating habits.

      We are currently not a nut or other allergen-free facility however, we’re aware that many families and children have wide-ranging sensitivities and allergies. If your child has a serious food allergy, aside from letting us know and taking appropriate precautions, please be sure to regularly discuss this with your learner at home in age-appropriate ways. This will help avoid any potential injury at the center and encourage your learner toward awareness of their own body and health.

      We can do potlucks and celebrate birthdays! Feel free to bring an occasional snack to share or birthday treats, letting us know before you do so.

    • Electronics 
    • Unless it is needed for a specific class, please keep electronic devices outside of the main learning spaces. If learners are bringing these to the workspace for safety reasons, please speak with your learner at home about proper use at the workspace and let the learning guide(s) know.

    • Shoes & clothes 
    • Please bring and leave a pair of indoor shoes (or wear non-skid socks) and a change of clothes for the younger learners. If your little one still needs toilet assistance, please be sure to let us know!

  • Media Release Form

  • During the year, we take photographs of the center's activities involving our learners to share in various forms of communications and promotions. Some photographs may, incidentally or intentionally, capture your child's participation, directly or indirectly. These photos may be published through our website, social media pages, news articles, organization bulletins and ads.

    With this, we seek your consent in allowing us to publish photos or videos which may involve your child to the said platforms.

    Please provide your response by selecting your choice below and submitting this form:

  • Photo release consent*
  • How did you hear about us?

  • How did you hear about us?
  • Activity Liability Waiver Form

    To be executed for Participants under the age of majority - 18 and under.
  • WARNING! By signing this document, you will assume certain risks and responsibilities. Please read carefully!

  • Start of agreement
     - -
  • End date of the activity
     - -
  • 1. Clarify any questions or concerns before signing. As a Participant in activities, programs, classes, services provided and events sponsored or organized by Elements Creative Workspace and Metsada and its affiliated instructors, staff, and partners (collectively the “Organization”) and physical activities, including but not limited to: outdoor activities, indoor activities, contact with nature and bodies of water, physical exercise, play, use of tools, equipment, devices and facilities, access to food and drinking water, orientational or instructional sessions or lessons (collectively the “Activities”), the undersigned being the Participant and Participant’s Parent/Guardian (collectively the “Parties”) acknowledges and agrees to the following terms outlined in this agreement: 

    2.  I am the Parent/Guardian of the Participant and have full legal responsibility for the decisions of the Participant.

    Description of Risks

    3. The Parties understand and acknowledge that:

    a) The Activities have foreseeable and unforeseeable inherent risks, hazards, and dangers that no amount of care, caution or expertise can eliminate, including without limitation, the potential for bodily injury, allergic or sensitivity reactions, and fatal accidents;

    b) The Organization may allow a parent to leave the proximity of their child for a period of time, which have different foreseeable and unforeseeable risks;

    c) The Organization has a difficult task to ensure safety and it is not infallible. The Organization may be unaware of the Participant’s fitness or abilities, may give incomplete warnings or instructions, may misjudge weather or environmental conditions, and the equipment being used might malfunction.

    4.  The Participant is participating voluntarily in the Activities. In consideration of that participation, the Parties hereby acknowledge that they are aware of the risks, dangers and hazards and may be exposed to such risks, dangers, and hazards. The risks, dangers and hazards include, but are not limited to:

    a) Contracting COVID-19 or any other contagious disease;

    b) Executing vigorous physical activity;

    c) The failure to safely use any piece of equipment;

    d) Abrasions, sprains, strains, fractures, or dislocations;

    e)  Privacy breaches, hacking, technology malfunction or damage;

    f) Concussion or other head injuries;

    g) Physical contact with other participants;

    h) Failure to act safely or within the Participant’s ability or within designated areas;

    i) Grass, turf, and other surfaces including bacterial infections and rashes;

    j) Weather conditions.

    I/We have read and agree to be bound by paragraphs 1 and 4

    Terms

    5. In consideration of the Organization allowing the Participant to participate in the Activities, the Parties agree:

    a) That the Participant’s mental and physical condition is appropriate to participate in the Activities;

    b) That when the Participant plays or learns on his or her own space, the Parties are responsible for the Participant’s surroundings and the location and equipment that is selected for the Participant;

    c) To comply with the rules and regulations for participation in the Activities;

    d) To comply with the rules of the facility or equipment;

    e) That if the Guardian observes an unusual significant hazard or risk, the Guardian will remove the Particpant from participation and bring such to the attention of an Organization representative immediately;

    f) The risks associated with the Activities are increased when the Participant is impaired, and the Guardian agrees not to allow participation if the Participant is impaired in any way;

    g) That it is their sole responsibility to assess whether any Activities are too difficult for the Participant. By the Participant commencing an Activity, they acknowledge and accept the suitability and conditions of the Activity;

    h) That Guardians are responsible for notifying limitations of the Participant; 

    i) That COVID-19 is contagious in nature and the Participant may be exposed to or infected by COVID-19 and such exposure may result in personal injury, illness, permanent disability, or death and voluntarily agree to assume all of the foregoing risks.  

    6. In consideration of the Organization allowing the Participant to participate, the Parties agree:

    a) That the Parties are not relying on any oral or written statements made by the Organization or their agents, whether in brochure or advertisement or in individual conversations, to agree to be involved in the Activities; and

    b) That the Organization is not responsible or liable for any damage or loss on the Participant’s clothing or personal items, that may occur as a result of the Activities.

    I/We have read and agree to be bound by paragraphs 4-6

    General

    7.  The Parties agree that in the event that they file a lawsuit against the Organization, they agree to do so solely in the state of New York, United States of America, and they further agree that the law of New York State will apply without regard to conflict of law rules.

    8.  The Parties expressly agree that this Agreement is intended to be as broad and inclusive as is permitted by law and that if any of its provisions are held to be invalid, the balance shall, notwithstanding, continue in full legal force and effect.

    Acknowledgement

    9. The Parties acknowledge that they have read this agreement and understand it, that they have executed this agreement voluntarily, and that this Agreement is to be binding upon themselves, their heirs, their spouses, parents, guardians, next of kin, executors, administrators and legal or personal representatives.

  • Community Agreements

    Elements Workspace is a new and unique kind of an organization. As such, we hope to attract and grow families that are aligned in our shared vision. Please read and acknowledge these important agreements about how we engage with one another at Elements Workspace.
    • Voluntarism & Conflict Resolution 
    • Every member, young and older, engages at Elements Workspace in a voluntary, participatory, and consensual way. If there is any disagreement, misunderstanding or concern, first, raise it promptly, directly and respectfully with the relevant party.

      Concerns or feedback during the camp session may be directed to Jenny Markus at jenny@elementsworkspace.com.

      While we hope to not need to, Elements Workspace reserves the right to rescind the membership of any participating family or learner.

    • Respect, Honesty, Compassion & Gratitude 
    • Elements Workspace is a learning community for families. Our goal is to provide support for parents and their children as much as we can in an effort to strengthen family and community bonds. We agree to respectfully and honestly engage with all other Elements Workspace participants. We extend compassion, love, understanding and gratitude. Let’s be friends coming together to support one another.

  • Tuition & Payment

  • Tuition tier acknowledgement
  • Date signed by Parent/Guardian*
     - -
  • Review before submitting

    Please click "Review Answers" to review your form submission and print for your records.
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