Aviation Summer Camp Registration Summer 2018
Please complete the information below to register for a camp. Once this form has been completed you will be directed to our PayPal area to complete registration.
Participant First Name *
Your answer
Participant Last Name *
Your answer
Participant Birthdate *
Your answer
Parent/Guardian Name *
First and Last
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
State *
Your answer
Home Phone *
Your answer
email *
Your answer
Emergency Phone *
Your answer
Emergency Contact Name *
Your answer
Camp Selection *
Required
Early Drop-Off *
A flat rate of $10 per day will be applied.
Release Information
ACKNOWLEDGEMENT AND ASSUMPTION OF RISK: The undersigned acknowledges that the
activity may involve risks and the undersigned assumes the risk of any and all bodily injury and all property loss of damage arising in any way from said activity.

RELEASE: The undersigned agrees to release indemnify and hold Unique Educational Experiences harmless from any such suits, actions or claims which may be asserted except those claims wherein Unique Educational Experiences is determined to be at fault through its wrongful act(s) or omissions(s).

INSURANCE: The undersigned is not relying upon Unique Educational Experiences for any manner of insurance from protection in connection with this activity. THE UNDERSIGNED shall be responsible for providing all insurance to be relied upon for protection in connection with this activity and the undersigned shall not hold Unique Educational Experiences responsible for providing any insurance coverage.

PHOTOGRAPHY RELEASE: I hereby give my consent to all written materials. Photographs, audio and/or video recordings taken of me or my child during the activity. I understand that any such photographs, audio, video recordings or their derivatives will be come the property of Unique Educational Experiences and may be used for future promotional purposes.

Understanding *
Initial
Required
Initial *
Your answer
Cancellation Policy
All cancellations prior to July 1st will receive a full refund less a 10% fee. All other cancellations will result in camp credit applied to a future camp. Valid for three years. A full refund will occur if some event causes a camp to be cancelled for any reason (ie. unusual weather). We will make every effort to reschedule the camp for this summer.
Payment
By Credit Card: We accept credit cards through PayPal. After submitting your registration, please see the link below to make your selection(s).
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