I hereby give my approval for my child(ren)’s ({typeA164}) participation in any and all activities prepared by Four Points Youth Camp LLC during the selected camp. In exchange for the acceptance of said child(ren)’s candidacy by  Four Points Youth Camp LLC ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Four Points Youth Camp LLC  and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child(ren), I hereby waive all claims against  Four Points Youth Camp LLC, including all counselors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball, soccer etc. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.

As Parent and/or Guardian of {typeA164}, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child(ren), in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for {typeA164}. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the  Four Points Youth Camp LLC  and its affiliates including Directors and Counselors to provide the needed emergency treatment prior to the child(ren)’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of {typeA164}, in my absence.

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.

THE Four Points Youth Camp PHOTO RELEASE FORM

 

 

 

I hereby grant the Four Points Youth Camp permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

 

I understand and agree that all photos will become the property of the Four Points Youth Camp and will not be returned.

 

I hereby irrevocably authorize the Four Points Youth Camp to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose.  In addition, I waive any right to inspect or approve the finished product wherein my likeness appears.  Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo.

 

I hereby hold harmless, release, and forever discharge the Four Points Youth Camp from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.

 

I HAVE READ AND UNDERSTAND THE ABOVE PHIOTO RELEASE.  I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.  I ACCEPT:

• Four Points Youth Camp LLC does not issue refunds for a camp session. If there is an illness we will work with you to change the date of your session to accomodate you. 
• Four Points Youth Camp LLC has a zero-tolerance policy for bullying. This includes physical violence and emotional bullying. If this becomes an issue, the camper will be asked to leave camp for the day and may be suspended.
• Camp pick-up time is 5:00PM. You will be charged $1/minute after that. PM extended care pick-up is 5:30PM. You will be charged $1/minute after that. 
• Campers may only be picked up and dropped off by an authorized pick-up. The person picking the camper up must present a valid I.D. 
• You must be paid-in-full at least 3 days before the first day of your session or you will not be allowed to attend camp. 
• Four Points Youth Camp LLC offers a partial payment plan but you must put down ${initprice} AT TIME OF BOOKING.  
• Four Points Youth Camp LLC is not allowed to distribute medication to any camper. Someone must come to camp to distribute medicine. THIS EXCLUDES EMERGENCY EPI PENS and rescue inhalers.
• Cell phones and electronics must remain in camper backpacks throughout the day. Campers may communicate with you through our camp phone. 

CODE OF CONDUCT

Our Summer Day Camp programs strive to meet the needs of all children without ignoring the demands of any individual within the boundaries of set guidelines and rules. Four Points Youth Camp has established rules, consequences and a zero tolerance policy on specific behaviors. We reserve the right to suspend or expel a child from the program at any time based on the severity of the actions of the child.

Rules
  Keep hands, feet, body and objects to yourself.
  Show respect to staff, others and self.
  Speak for yourself, not others.
  Do not willfully destroy property.
  Do not go anywhere without a staff person.
  Always clean up after activities.
  Have fun!

Consequences

  Verbal warning.
  Re-direction to another activity.
  Time away without activities.
  Parent notification at pick up time.
  Meeting with parent and behavior contract created.
  Notice of suspension (1 Day), next day of care/without refund
  Notice of suspension (3 Days), next 3 days of care/without refund
  Conference with Program Director/Parent/Camper.
  Removal from program.

Check out our Schedule for details regarding each session.

Choose any extra care that you would like to add on to the regular 9:00-5:00 schedule.

Extra Care AM: 8:30 - 9:00 AM

Extra Care PM: 5:00 - 5:30 PM

 

Description	Price	Campers	Sessions	Total
Base Early Bird Rate	${ebbaseprice}	x{number}	x{numearlybirdsessions}	${ebbbasepayment}
Base Regular Rate	${regbaseprice}	x{number}	x{numregularsessions}	${basepaymentreg}
Discounts				${totaldiscount}
Extras	${calculation}	x{number}		${calculation129}
TOTAL				${calculation154}
Initial Down Payment (Due Today)				${calculation151}
Remaining Amount (Due 3 days before session start)				${calculation155}

 

Please review the form before you submit.