Frogwarts 2017
Thank you for taking the time to fill out this enrollment form completely. If you are registering more than one child, please complete a survey for each child.

Wizard names are important. Please help your wizard select their name so that you can put it on the survey.

Once we receive your responses here, you will get an email describing the payment options or visit to make payment on-line. As we are an all-volunteer organization, this may take up to two days. We will also send out the forms that require parent/wizard signatures via muggle post. These will include Photo Release, Indemnification, Emergency Release forms, Invoice and Behavioral Contracts.

We are looking forward to another magical experience!!

First Name *
Your answer
Last Name *
Your answer
Wizard Name *
Your answer
Birth Date *
Grade in Fall 2017 *
Your answer
Gender *
Parent Email *
Your answer
Best phone number *
Your answer
Street Address *
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City *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent 1 *
Your answer
Parent 2
Your answer
Both weeks are at capacity. Please check back at early in 2018 for next summer. *
Summer Camp Cancellation Policy
Payment Information
$100 deposit per child per session is due at the time of registration in order to secure your camper's spot in camp. There is a strict limit on the number of campers per session, and for this reason, the deposit in non-refundable, barring medical issues (see below).

Refund Policy
First, we would like to encourage you to simply move to another session so your child can have the experience of summer camp. However, we understand that things come up and you may need to cancel altogether. To do so, please call or email us with this information.

• $100 Deposit is not refundable or transferable at any time unless it is a medical reason
(must have written explanation from Doctor).
• If you cancel with more than 30 days till the session start date, then you will receive all money paid,
EXCEPT $100 deposit.
• 15-30 days until the session start date, 50% refund less $100 deposit.
• 2 weeks prior to start of camp session = NO REFUND

Medical reason for cancellation
We understand that medical issues may arise over the summer or just as your child is set to attend camp. Please call us as soon as possible to inform us of your need to cancel. We will ask that you submit a written excuse from your child's physician. If you child is sick and there is time and room, we will work with you to switch your camper to a later session.

Check the box below. *
Frogwarts T-Shirts are $15. Please select your shirt size *
Does your child have dietary restrictions? Please note that Frogwarts camp is not equipped to handle special, medically-mandated dietary requirements. Vegetarian (not vegan) options are offered at every meal, but the kitchen cannot handle gluten-free diets or special foods for severe allergy. If your child has other dietary requirements, please explain in detail below.
Your answer
Information we should know about your child to better serve him or her (e.g., special needs, challenges, etc.) Is there any reason you child cannot fully participate in the program, including sports or swimming activities. If so, please explain. *
Your answer
Is your child taking any medications? Please list. (Note that Frogwarts is primarily an arts academic camp. This is not a good time for your child to take a "break" from ADHD medications. If your child takes medication for a successful school experience, s/he will probably need it at camp, too. If you have any questions, please call the camp director at 563-542-5452.) *
Your answer
Does your child have any allergies that we should be aware of? *
Your answer
Photo Release, Indemnification and Emergency Release:
o I give my permission for my child to be photographed for archival and/or publicity uses during the Frogwarts Camp.
o I understand that the Great Midwestern Educational Theatre Company and/or Camp Little Cloud and/or the Girl Scout Councils shall not be responsible for loss of personal property or personal injury sustained by the participant and I hereby agree to indemnify and hold harmless the Great Midwestern Educational Theatre Company and/or Camp Little Cloud and/or the Girl Scout Councils from such losses or injury.
o In the event that I cannot be reached in an emergency involving the above named participant, I hereby give permission to the appropriate medical personnel, selected by the Camp Director, to provide medical treatment deemed necessary by each medical personnel, including but not limited to x-rays, tests, injection, blood transfusions, hospitalization, anesthesia and surgery.
Check the box below: *
Behavioral Contract - Please discuss each of the following points with your child.
1. Campers will follow instructions of supervisors without argument.
2. Campers will remain in areas designated by supervisors.
3. Campers will respect each other and the property; disrespectful or destructive behavior will not be tolerated, whether it is to each other or to the camp property.
4. Campers will not leave the property during designated camp hours for any reason, unless approved by the supervisor.
5. Campers will stay with their group at all times.
6. Campers will be responsible for any items they bring to camp and will clean up their areas when asked to do so.
I have discussed the behavioral contract with my child and s/he understands each point. Failure to adhere to the behavioral contract may be grounds to be sent home without refund. *
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