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Summer Camp Registration 2020

Steps

  1. 1. Step One
  2. 2. Disciplinary Policy
  3. 3. Child Pick-Up Authorization Form
  4. 4. Video Approval
  5. 5. Release and Waiver
  6. 6. Participant Travel Authorization
  7. 7. Medical Consent From & Health Care Information
  • Step One

    1. PLEASE NOTE: IF YOUR CHILD IS NOT ENTERING 1ST OR 5TH GRADE THEY WILL NOT BE GUARANTEED A SPOT IN SUMMER CAMP. PREFERENCE WILL BE GIVEN TO THE 1ST-5TH GRADERS.

    2. Consent and Waiver of Liability

      Please initial each item

    3. In consideration of accepting my child’s entry into the Burlington Parks and Recreation Department’s Burlington Summer Day Camp, I hereby, for myself, my child, my heirs, executors and administrators, waive and release any and all rights and claims for damages I, or my child may have against the Burlington Parks and Recreation Department, City Council, and its successors and assigns, its employees, agents, officers, and directors for any and all injuries suffered by myself or my child at an activity sponsored by these groups.

    4. The Burlington Parks and Recreation Department will immediately involve the authorities if any child should run away from the program. I further understand the risks inherent to the activity for which my child is entering.

    5. In the event that my child may require medical and/or surgical care wile I am out of the city or otherwise unreachable I hereby authorize the staff to seek emergency medical care. I have read and understand the above and am signing this document of my own free will.

    6. I understand that the rules of Burlington Summer Day Camp are designed for the well being and safety of the children participating, and failure to comply with these rules may result in suspension from program activities.