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Prairie Paws Animal Shelter 2019 Critter Camp
Summer Critter Camp 2019 at the Prairie Paws Animal Shelter registration is now open! Our goal is for children to develop kindness, compassion, understanding, and respect for animals. Critter Camp also provides the perfect setting for your child to learn more about appropriate animal care during their summer break. Activities include guest speakers and games as well as opportunities to learn more about Prairie Paws Animal Shelter and issues in animal welfare. We create an educational fun environment for our campers!

• Provide Extra TLC to dogs (indoors and outdoors) and cats

• Read to dogs and cats

• Make treats for the shelter dogs

• Create fun crafts for the animals, including toys for dogs and cats

• Fun guest speakers

• Field Trip

• See a Spay/Neuter surgery (Optional)

• Plus, enjoy awesome games, crafts, activities, team building and so much more!

The receipt of registration form and payment of the tuition in the amount of $200 is confirmation of enrollment. If you have paid the tuition, and find that your child cannot attend camp, a refund will be made if PPAS is notified 7 days before the start of the selected critter camp session. If you withdraw your child for any reason during the camp session, a refund will not be given.

In accordance with our Code of Conduct agreement, any camper who displays behavior that disrupts the functioning of his or her group will be subject to the following procedures:
The camper will be issued a warning by his or her group leader and/or the camp director.
If the warning is ineffective, the camper’s parents will be notified of the problem at the end of the day
If the camper’s behavior does not improve, on subsequent days the child will be dismissed from camp to ensure a positive experience for the other campers and staff. NO REFUND

Campers should wear comfortable summer clothing that is acceptable to get dirty in. We do require closed-toed shoes for the camper’s safety. Please take precautions for sun exposure by using sunscreen and wearing a hat or bandana if desired. Please label any clothing items that may be taken off or stored with your campers name on the tag.

Camp is held rain or shine. Please have your camper dress accordingly.

Camp begins at 9am and ends at 4pm each day. The check-in area will be inside the front lobby at PPAS campus. Please sign your camper in and out daily.
Campers need to bring a lunch each day. There is a refrigerator where your camper’s lunch may be stored. Campers should also bring a water bottle with them. We will have water available throughout the day and there will be opportunities to refill their water bottles as needed. Please label all lunch boxes and water bottles with your camper’s name.

Thank you for giving your child the experience of Critter Camp! We are planning on many enriching and memorable experiences for our campers at Prairie Paws Animal Shelter.

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Child's Name *
Which camp session will your child attend? *
Child's Nickname
Parent's Name *
Address *
City *
State *
Zip *
Phone *
Age *
 Camper's DOB *
Parents email *
Campers t-shirt size *
Emergency contact name     *
Emergency contact's primary phone number   *
Relationship *
Cancellation Policy: Cancellations must be received and confirmed a minimum of two weeks prior to the first day of the registered camp session in order to receive a refund. *
As the parent/legal guardian of the camper listed on this form, I understand that I am surrendering certain legal rights by signing this agreement. In consideration of permission granted by Prairie Paws Animal Shelter to my child to participate as a camper in Critter Camp, I release and discharge Prairie Paws Animal Shelter—on my own behalf and on behalf of my child—from all claims, demands, actions, judgments, and executions which the undersigned ever had or now has, or may have in the future, or which the undersigned heirs (including but not limited to my child), executors, administrators, or assigns, may have, or claim to have, or have in the future, against Prairie Paws Animal Shelter, its successors or assigns, for all personal injuries, negligence claims, emotional distress, and claims for damages, known or unknown, as well as injuries to property, real or personal, caused by or arising out of the above-described Critter Camp. I understand that said child will be participating in activities at Prairie Paws Animal Shelter and this includes certain risks including but not limited to direct contact with domestic animals.  I understand that my child will be in contact with cats and dogs during Critter Camp, and I understand the risks associated with contact with such animals, including but not limited to bites, scratches, diseases, and possible parasites. I understand, also, that direct contact with domestic animals will be minimal. I further understand that the behavior of domestic animals is unpredictable and that some domestic animals are capable of inflicting serious personal injury, as well as extensive property damage. Knowing the risk of handling domestic animals, on behalf of the minor and myself, I agree to assume those risks and to release, indemnify, and hold harmless Prairie Paws Animal Shelter and/or any of its Officers, Directors, Employees, Agents, Volunteers, or Contractors for any and all personal injury and property damages resulting from said child’s participation in activities. If my child leaves the property during participation, with or without permission from a staff member, I release, indemnify, and hold harmless Prairie Paws Animal Shelter for any and all personal injury and property damages resulting from said child leaving Prairie Paws Animal Shelter property. I give Prairie Paws Animal Shelter authority to seek emergency medical treatment for said child. I know of no medical or other condition that would prevent said child from participation in activities at Prairie Paws Animal Shelter. This waiver, release of liability, and assumption of risk agreement is executed without any reliance upon any representation by any person or Prairie Paws Animal Shelter, and I have carefully read and understand the contents of this agreement, and I execute the same as my own free act. I understand fully the significance of this agreement. *
Camper pick-up: Anyone who will be picking up your camper from camp, including a parent/guardian, must be listed.Siblings attending camp at the same time may be listed on the same form.NOTE: For campers’ safety we will be checking identification and requiring signatures at pick-up. Campers will only be released to the individuals listed below.No child will be released to a person not included on this list. *
List camper's primary pick up       *
primary relationship to relationship to camper   *
phone number for primary pick-up                               *
alternate phone number for primary pick-up   *
email of primary pick-up                                     *
Alternate Custody Camper Release: I hereby authorize the following person(s) to pick up my child from camp: Children will not be released to any parent or guardian unless listed above or expressly permitted in this below section. Alternate custodians will be required to show a valid driver’s license. Please provide for each custodian: Name, Address, Phone Number and Driver's License        
Will your child need to be picked up early?               *
If so what day and time?    N/A
Disclaimer: Children with allergies to pet fur/dander as well as nuts such as peanuts are highly cautioned and not recommended to attend Critter Camp.* *
Camper's physician's name       *
Physician's phone number       *
Camper's health insurance     *
policy number   *
camper's dentist name     *
phone number     *
hospital preference *
current medications *
list of allergies *
Other concerns or disclosures  
In the event I cannot be reached for an emergency, I hereby give permission to the medical personnel selected by Prairie Paws Animal Shelter staff and/or emergency personnel to order any necessary treatment and transportation for my child. I agree to be financially responsible for all such medical treatment and any incurred expense related to such medical treatment.   *
Parent and Camper Code of Conduct: Prairie Paws Animal Shelter Critter Camp has rules that we follow to make sure everyone has a safe and fun experience at camp. This Code is our guide for behavior at Critter Camp. It is to be read and signed by both the parent/guardian and child participant.I understand that rules are made to protect me and others; to help make sure program activities are safe, fun, and successful, and to create a welcoming camp community.I will treat other people, myself, animals, property, and equipment with respect. Camper Will: Be Responsible•Be Respectful•Be Safe•Be Prepared. Parents Will: Make sure medication is turned in to the Camp Director• Arrive promptly for drop-off and pick-up the camp staff will strive to create a successful and positive camp experience for every camper.• Prairie Paws Animal Shelter reserves the right to send any camper home who exhibits unsafe and/or unacceptable behavior that endangers other campers, staff, animals, or property.• Should this occur, parents/guardians are responsible for picking up their child in a reasonable time frame as deemed necessary by the Camp Director. Persons listed as emergency contacts may be notified if parents/guardian cannot be reached.• No refund will be given if a camper is sent home due to unacceptable behavior.Both the camper and parent/guardian have read, understand and agree to comply with the Code of Conduct Agreement while at Critter Camp. *
I hereby consent to the use and reproduction by Prairie Paws Animal Shelter of my child’s photographic image while attending the 2019 Critter Camp. Future publication includes newspaper stories, Prairie Paws Animal Shelter’s website, social media, brochures, and publications.I agree not to hold the publication or its agents responsible, under any circumstance, for any action, which occurs as a result of this advertisement. I understand that my child’s photographic images taken during camp will become the exclusive property of Prairie Paws Animal Shelter and will be used only for promotional purposes.I agree that I will not be compensated for the use of my child’s photographic image. Check ONE of the following and fill out the information below: *
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