wBees Bushridge 2019 Summer Camp Registration Form
Child's Name
Your answer
Child's Birthday
Your answer
Parents' Names
Your answer
Parents' email address (separate by comma)
Your answer
Parents' phone numbers
Your answer
Is there any health information (including allergies) or other pertinent information that we should know about your child? *
Your answer
Who is allowed to pick up your camper other than the parents?
Your answer
Which weeks of camp are you registering for? Please write your child's name under each week you are interested in enrolling.
Your answer
w/o July 8th
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w/o July 15th
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w/o July 22nd
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w/o July 29th
Your answer
w/o August 5th
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w/o August 12th
Your answer
I authorize wBees Forest School to photograph my child, and use my child's portrait or likeness, and creative or reflective work on the web site and other selected media or wBees Forest School publications. *
If none of your children’s emergency contacts can be reached, what do you want staff to do if your child is sick or injured?
Your answer
I authorize the wBees Forest School staff / volunteers to arrange for emergency medical care for my child as needed.
I authorize wBees Forest School to take the student on supervised field trips, outings and group projects outside of the classroom.
This is a release of liability and waiver of certain legal rights. I, the undersigned parent or legal guardian of the child/children listed above (herein referred to as “Child”), provide consent for my Child to participate in the classes, workshops, activities and/or outings provided by wBees Forest House Inc. While wBees staff and family volunteers will always aim to be as careful and aware of potentially dangerous situations, accidents can happen especially when children are in the park and interacting with natural and outdoor elements. I understand these risks and declare that my Child is physically healthy and claim that my Child is safely capable of participating in these classes, workshops, activities and outings. I will not be holding wBees Forest School or any employees of wBees Forest School liable if an accident occurs involving my child during wBees camp while on-site or off-site. Indicate acceptance by typing name below.
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