APPLICATION FORM CÍJARA SUMMER CAMP 2017
Email address
SELECT SESSION DATES
Required
CAMPER´S FULL NAME
Your answer
GENDER
BIRHTDAY
MM
/
DD
/
YYYY
SCHOOL NAME
Your answer
ADDRESS
Your answer
ALLERGIES/ILLNESSES
Your answer
COMMENTS
Your answer
FATHER´S FULL NAME
Your answer
FATHER´S CELL
Your answer
FATHER´S OCCUPATION OR BUSINESS
Your answer
MOTHER´S FULL NAME
Your answer
MOTHER´S CELL
Your answer
MOTHER´S OCCUPATION OR BUSINESS
Your answer
HOW DID YOU FIND OUT ABOUT OUR CAMP?
Your answer
REQUIREMENTS
PAYMENTS: 1.000€ with application. Final Payment: Due by April 15th.
Your answer
TERMS: Tuition is non refundable after January 15th. Tuition covers in-camp program and trips. CÍJARA CAMPS reserves the right to cancel acknowledged placements if accounts are not paid in full by May 15th.The directors reserve the right, at their discretion, to withdraw any camper whose influence or actions are deemed unsatisfactory to the Camp or who will not live within the rules or policies. If this occurs, no reduction or return of fee, or any part thereof, will be made. Due to fixed costs based on enrollment, no refund or reduction can be made for arriving late or leaving early. Camp is not responsible for additional cost of travel etc. if child leaves early. My child has permission to participate in all camp programs, trips and special outings planned and supervised by CÍJARA CAMPS. Consent is given for using photos/audio/video of the camper by CÍJARA CAMPS for promotional purposes. I understand that part of the camping experience involves activities and group interactions that may be new to my child, and that they come with uncertainties beyond what my child may be used to dealing with at home. Such risks include uneven terrain, standing and moving water, forested and other areas that may result in wildlife encounters including mammals, reptiles and insects that could result in infections and various insect-transmitted diseases. I am also aware that I am aware that my child may participate in off-campus activities such as trips and hikingthat involve additional risks. In addition, there are certain unavoidable risks associated with various game and play activities such as collisions, wayward objects such as balls and other equipment and other risks. I am aware of these risks, and I am assuming them on behalf of my child. I realize that no environment is risk-free, and so I have instructed my child on the importance of abiding by the camp’s rules, and my child and I both agree that he or she is familiar with these rules and will obey them. In the event I cannot be reached in an emergency, I hereby give permission to the nurse or physician selected by the Camp Director to secure proper treatment for my child. Although reasonable efforts are made to safeguard camper’s personal property, the camp is not responsible for lost belongings or items damaged due to fire, theft , shipping & transport, laundry, water, or acts of God. This application constitutes an enrollment agreement, and shall be constituted in and under the Spanish laws. Jurisdiction for any legal action involving CÍJARA CAMPS and any employee, camper, camper family, or other parties will be in Madrid, Spain. I have read and agree to the terms outlined above. Signature:
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of ASOCIACIÓN CULTURAL CÍJARA. Report Abuse - Terms of Service - Additional Terms