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wBees 2019 "Saplings" Summer Camp Registration Form
Child's Name
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Child's Birthday
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Parents' Names
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Parents' email address (separate by comma)
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Parents' phone numbers
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Is there any health information (including allergies) or other pertinent information that we should know about your child? *
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Who is allowed to pick up your camper other than the parents?
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Which weeks of camp are you registering for (write your child's name for each week of camp you are interested in and EXT next to your child's name if you are interested in extended day camp)?
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w/o July 8th
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w/o July 15th
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w/o July 22nd
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w/o July 29th
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w/o August 5th
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w/o August 12th
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w/o August 19th
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w/o August 26th
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I authorize wBees North Brooklyn to photograph my child, and use my child's portrait or likeness, and creative or reflective work on the web site and other selected media or wBees Forest School publications. *
If none of your children’s emergency contacts can be reached, what do you want staff to do if your child is sick or injured?
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I authorize the wBees North Brooklyn staff / volunteers to arrange for emergency medical care for my child as needed.
I authorize wBees North Brooklyn to take the student on supervised field trips, outings and group projects outside of the classroom.
This is a release of liability and waiver of certain legal rights. I, the undersigned parent or legal guardian of the child/children listed above (herein referred to as “Child”), provide consent for my Child to participate in the classes, workshops, activities and/or outings provided by wBees North Brooklyn. While wBees staff and family volunteers will always aim to be as careful and aware of potentially dangerous situations, accidents can happen especially when children are in the park and interacting with natural and outdoor elements. I understand these risks and declare that my Child is physically healthy and claim that my Child is safely capable of participating in these classes, workshops, activities and outings. I will not be holding wBees North Brooklyn or any employees of wBees North Brooklyn liable if an accident occurs involving my child during wBees camp while on-site or off-site. Indicate acceptance by typing name below.
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