Permission, Release and Contact Form
updated 5/30/2025
Email *
Please enter Child's name and age (or children's) *
Please enter today's date *
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Pleaser enter Parent or Guardian name   *
I understand that I am not entitled to a refund or credit for days that my child is ill or not attending because of unplanned absences, vacations, scheduled or unscheduled. I understand that in the unusual event of closure due to extreme weather conditions or serious illness a refund will not be issued.  

Weather, smoke, and Unsafe Conditions Cancellation Policy:
If I find it necessary to cancel due to inclement weather, smoke, unsafe conditions, or circumstances out of our control, I am unable to offer refunds. 

Excessive heat Cancellation Policy :
If temperatures outside reach 104 degrees Fahrenheit or greater for 2 hours or more camp will be cancelled. 

Withdrawal, Cancellation, and Refunds:
*  Withdrawing more than 21 days prior to the program start date you are entitled to a refund of 70% of the program cost aside from the deposit.
*Withdrawing 15-20 days prior to the program start date, you are entitled to a refund of 50% of the program cost aside from the deposit. 
*Withdrawing 14 days and less prior to the program start date, no refunds will be given. 
* If any duration of a program is canceled due to inclement weather, unsafe conditions, or circumstances out of our control including illness, I am unable to offer refunds.
 *
Required
I hereby authorize Tamara Jouval and Lauren Tremper to take my child on field trips for the days I have chosen for my child/children to attend. I know the transportation will be walking, Metro bus, Charter bus, or car.  *
Required
Emergency contact and phone number *
Home Address *
Phone number *
Please list five words that describe your child.
*
Is there anything I should know about your child (i.e. health concerns or sensitivities)? *
I hereby give permission for my child to be given first aid and emergency treatment by Tamara Jouval and or my co-worker Lauren Tremper. I also give permission for my child to be transported by ambulance or aid car to an emergency center for treatment. In the event that I cannot be contacted, I further consent to medical, surgical, and hospital care, and treatment procedures to be performed for my child by a licensed physician or hospital when deemed immediately necessary or advisable by the physician to safeguard my child's health. *
Required
I hereby agree and consent to the use of any photographs, video or artwork of my child for recreational purposes such as our projects and activities, advertising or publicity. The items may be used in media such as my website, Facebook group, and Instagram. I waive all claim to compensation for such use.  *
Required
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