Lamoni Summer Academy Adventures Registration - 2020
Free summer programming for youth completing k-4th grades. (Lamoni residents only)
Monday-Friday from July 20th - August 14th
Week 1: July 20th-24th - Splash into Academy
Swimming and water activities at North Park! Have your child wear a swimsuit and bring clothes to change into or put over their swimsuit for the second part of the morning.
8:30 am: Drop off at North Park shelter
9 -10 am: Pool time
10-10:30 am: Free snack (provided)
10:30-11 am: Outdoor activities in the park
11 am: Pick up at North Park
Week 2-4: July 27th - August 14th - Summer Academy Adventures in science, reading, and math!
Students will get participate in reading and math programs and dive into science with Mr. Brett and Miss Dixie with our new STEM kits at the high school!
9 am: Drop off at WEST high school entrance
9-10 am: Groups (Stem, reading, math)
10-10:30: Free snack (provided)
11:30: Pick up at west high school entrance
Summer Academy Adventures will be following the CDC protocols for schools and summer camps to protect your child while participating. This includes cleaning and sanitizing procedures as well as putting youth into smaller groups. The use of masks by participants will be optional, please use your own discretion for your child.
Child's Name(s) attending (please list all children)
Does your child have any allergies or medical conditions we should be aware of?
Emergency Contact Phone number
Secondary Emergency Contact & Phone number
Please check which week(s) your child(ren) will attend Summer Academy
Week 1 | July 20-24 | 8:30-11 am | North Park | Swimming and water games!
Week 2 | July 27-31 | 9-11:30 am | High School | Science, reading, and math!
Week 3 | August 3-7 | 9-11:30 am | High School | Science, reading, and math!
Week 4 | August 10-14 | 9-11:30 am | High School | Science, reading, and math!
After Summer Academy Plans for your child
Who will pick up your child from Summer Academy? (please list all people that have your permission)
I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing. I further acknowledge that Summer Academy Adventures has put in place preventative measures to reduce the spread of the Coronavirus/COVID-19. I further acknowledge that Summer Academy Adventures can not guarantee that my child will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, staff, other children and their families. I voluntarily register my child for Summer Academy Adventures and acknowledge that I am increasing their and my risk of exposure to the Coronavirus/COVID-19. I acknowledge that my child must comply with all set procedures to reduce the spread while participating. I attest that:* Myself and my family members are not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.* We have not traveled internationally within the last 14 days.* We have not traveled to a highly impacted area within the United States of America in the last 14 days.* We do not believe we have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.* We have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non-contagious by state or local public health authorities.* We are following all CDC recommended guidelines as much as possible and limiting our exposure to the Coronavirus/COVID-19. By checking below, I hereby release and agree to hold Summer Academy Adventures harmless from, and waive on behalf of myself, my family, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the program, or that may otherwise arise in any way in connection with participationg in Summer Academy Adventures. I understand that this release discharges Summer Academy Adventures from any liability or claim that I, my family, or any personal representatives may have against the program with respect to any bodily injury, illness, death, or medical treatment that may arise from, or in connection to Summer Academy Adventures. This liability waiver and release extends to the Lamoni School District together with all staff and employees.
I have read and agree with this waiver statement.
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