2019 STEAM SUMMER PERMISSION SLIP: Camp Zehnder - July 24 (trip dates may change based on the scheduling of additional trips)
IMPORTANT NOTE: APPLICATION DATA CANNOT BE SAVED. IF YOU CLOSE THE APPLICATION BEFORE CLICKING SUBMIT, ALL INFORMATION WILL BE LOST.
Phone: (732) 707-7336
To Make Payments Visit:
WHO: Grades K-12
WHAT: Trip to Camp Zehnder facility and pool
WHERE: YMCA Camp Zehnder, 3911 Herbertsville Road, Wall, NJ 08724
WHEN: Wednesday, July 24, 2019, 10:00a-2:00p (return time may vary based on activities, weather, and traffic)
COST DUE MONDAY BEFORE EACH TRIP: $5 (MUST be returned with the permission slip or paid online
. Online payments will incur processing fee)
YMCA - CAMP ZEHNDER GUEST RELEASE & WAIVER OF LIABILITY & INDEMNITY AGREEMENT
I have read and understand this document and release.
WHAT TO BRING: I will send my child with a swimsuit and/or sports shirt, sunscreen, water bottle, and towel.
COST: I understand that I must send my child(ren) to camp with $5 (cash or check) on the Monday before the trip or pay online AT
(a processing fee will be applied).
MEALS: I understand that Breakfast will be served at camp. Lunch will not be provided. STUDENTS MUST BRING A BROWN BAG LUNCH & SNACKS.
NO CAMP: I understand that any student not attending the trip MUST be kept at home. No staff/students will be onsite at camp.
MONEY: I understand that campers may have the option to purchase snacks and lunch at Camp Zehnder if time permits and I will send my child(ren) with spending money if desired.
TRANSPORTATION: I give permission for my child to be transported by BGCM Community Center & Sportsplex staff utilizing passenger vans. Vans will leave camp at 9:30 am and return before dismissal.
I certify that my child has familiarized themselves with the field trip rules below.
All students MUST LISTEN and BE RESPECTFUL to BGCM and YMCA Camp Zehnder STAFF. Students must arrive at camp before 9:30 AM. No exceptions! A permission slip will only be accepted with payment and is due the Monday before each scheduled trip.
I agree to instruct my child to obey all rules, regulations, and instructions given by teachers and/or authorized camp personnel. I further agree that no teacher or authorized personnel shall be held responsible or liable for injuries or other mishaps caused by my child’s deliberate disobedience of rules, regulations, or instructions.
I understand that Camp Zehnder - Pool dates are subject to change based on scheduling of additional trips (ex: college tours, etc.)
My Child Will Attend the Camp Zehnder & Pool Trips and dates below ($5 each trip) and I will submit payment for this trip.
First Name (of person completing form - Must be parent or guardian)
Camper's Home Phone Number
Parent's Mobile Phone Number
Camper's Street Address
Emergency Contact#1: Name, Phone Number, and Relationship to Child
Emergency Contact#2: Name, Phone Number, and Relationship to Child
My child(ren) has/have my permission to attend/participate in this supervised field experience (ENTER CHILD(ren's) FIRST AND LAST NAME BELOW.
MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND AGREE TO THE ABOVE AND MY CHILD HAS PERMISSION TO ATTEND THE FIELD TRIP(S) MENTIONED ABOVE ON THE DATES MENTIONED BELOW:
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