Camp Registration Week 2 2023

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PARENT INFORMATION* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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Phone Number* This field is required.

Please enter a valid phone number.

4

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

5

EMERGENCY CONTACT * This field is required.Please provide a different contact from the primary parent listed.

Please enter a valid phone number.

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EMERGENCY CONTACT #2Please provide a different contact from the primary parent listed.

Please enter a valid phone number.

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CHILD'S INFORMATION* This field is required.

First Name

Last Name

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Child’s Birthday * This field is required.We accept children age 4 1/2 years-rising 2nd Grade. Child MUST be 4 by MARCH 1.

xx/xx/xxxx

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CHILD'S Sex* This field is required.

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Grade Entering in the Fall* This field is required.

Pre-K

K

1st

2nd

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Child's Current School or Preschool* This field is required.

14

May we take photos of your child during camp?* This field is required.Photo Permission: We take photos and short videos at camp to put on our website and our Facebook page. Please check yes, unless you really do not want any photos taken of your child. This includes sending out a private photo album at camp at the end of each week. If you check "NO" we will have no photos of your child to share with you.

YESNO

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Severe Allergies or Medical Concerns* This field is required.Please include FOOD allergies and provide any information regarding action plans if necessary.

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Doctor's Name and phone number* This field is required.

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Comments or Special Group Requests* This field is required.You may request one friend to be in the same group with your child. Siblings will be grouped separately unless you request otherwise. We make every attempt to accommodate special requests for grouping campers, but will not accept requests after May 15th.

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Fee Type* This field is required.This does NOT include lunch bunch fees - you will add Lunch Bunch at Checkout.

Registration $60 (Non-refundable) & Tuition $235 (Tuition refunds until Apr. 1.) Total Today: $295.00

Registration ONLY (Non-Refundable. Remaining Tuition MUST be paid by April 1). Total Today: $60

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Covid-19 Liability * This field is required.COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Camp Oonie Koonie Cha (Camp OKC) has put in place preventative measures to reduce the spread of COVID-19; however, Camp OKC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Camp OKC could increase your risk and your child(ren)’s risk of contracting COVID-19. By completing this registration, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Camp OKC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Camp OKC may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Camp OKC employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Camp OKC or participation in Camp OKC programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Camp OKC, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Camp OKC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Camp OKC program.

ClearPlease sign to acknowledge you have read and understand.

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Select Your Desired Fee Type* This field is required.Click through to select your preference.

My Bag

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Lunch Bunch - TUESDAY, WEDNESDAY, THURSDAYThis is for 3 Days of Lunch Bunch - If you are only wanting 1 or 2 days, you will be able to add those at Open House.
$30.00+Edit
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Registration (Non-Refundable) and Tuition (Refundable before April 1)
$295.00+Edit
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Registration ONLY (Non-Refundable)
$60.00+Edit
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Credit Card

First Name

Last Name

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Please verify that you are human* This field is required.

22

Invoice ID