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  • Parent/Guardian Waiver & Consent Form

  • Camper Information

  • Date of Birth:*
     - -

  • Parent/Guardian Information

  • Format: (000) 000-0000.

  • Emergency Contact Information

  • In the event that a parent or guardian cannot be reached during camp hours, Camp Alegria requires an emergency contact who is authorized to make temporary decisions regarding the child's care and emergency medical treatment if necessary.

  • In the case of a serious medical emergency or life-threatening situation where the parent/guardian and emergency contact cannot be reached immediately, I authorize Camp Alegria staff to seek emergency medical treatment and make reasonable decisions necessary to protect the health, safety, and well-being of my child until emergency services or a legal guardian can be reached.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Authorized to Pick Up Child:*

  • Medical Information

  • Format: (000) 000-0000.

  • Authorized Pick-Up Persons

  • Please list all individuals authorized to pick up your child from Camp Alegria:
  • Format: (000) 000-0000.
  • Photo ID may be requested at pickup.

  • Parent/Guardian Consent & Waiver

  • I, the undersigned parent/legal guardian of the above-named child, understand and acknowledge that participation in Camp Alegria activities involves physical activity and outdoor recreation, including but not limited to sports, games, drama activities, music activities, nature walks, playground use, and group activities. I acknowledge that while Camp Alegria will take reasonable precautions to provide a safe environment, accidents and injuries may occur. By signing this form, I:

    • Give permission for my child to participate in all supervised camp activities.
    • Release and hold harmless Camp Alegria, its owners, staff, volunteers, and program leaders from liability for injuries, losses, or damages that may occur during camp participation, except where caused by gross negligence.
    • Confirm that my child is physically able to participate in camp activities.
    • Authorize Camp Alegria staff to obtain emergency medical treatment for my child if I cannot be reached immediately.
    • Understand that I am financially responsible for any medical treatment required.

    In the event that a parent or guardian cannot be reached during camp hours, Camp Alegria requires an emergency contact who is authorized to make temporary decisions regarding the child's care and emergency medical treatment if necessary.

  • Photo & Media Consent*
  • Sunscreen & Outdoor Activity Permission*

  • Refund & Cancellation Acknowledgment

  • I understand and acknowledge that:
    • All camp registrations and payments made to Camp Alegria are non-refundable.
    • Camp Alegria is an outdoor camp and operates rain or shine.
    • Camp Alegria reserves the right to cancel, modify, adjust, relocate, or change programming, activities, schedules, or locations if necessary due to safety concerns, severe weather conditions including thunderstorms or lightning alerts, operational needs, or unforeseen circumstances.

  • Parent/Guardian Agreement

  • I have read and understood this waiver and consent form fully and voluntarily agree to its terms.

  • PLEASE NOTE:

    1 Form is required per Child. 

     

  • What Summer Camp Sessions are you Signing Up For ?*

  • TOTAL DUE

    $                                    

     

  • Payment Instructions:

    E-transfer: Please Calcualte the Total Amount (if your Child will be attending all 4 Sessions $2613) and send the total amount to alegriasummercamp@gmail.com. Use your "[Child's Name]" as the transfer memo.


    Credit Card: Please Contact us to make arrangements. Please note, there will be a processing fee charge.  

     

    Cash: Please Contact us to make arrangements. 

     

    By clicking 'Submit,' you agree to complete the payment via your chosen method within 24 hours to secure your spot.

  • Camp Use Only

  • Payment Received:
  • Should be Empty: