Sunshine Kids Club Camp
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1 Please offer swimming test to my child to allow him/her to swim in the deep end. I understand that a certified lifeguard must deem my child passed in order for my child to pass the rope at the 3 foot section to swim in the deep end of the pool (please see below). Please Print Child s Name: Age: Fall Grade: _ 6/20 6/24 6/27-7/1 7/5-7/8 7/6-7/10 7/11-7/15 7/18-7/22 7/25-7/29 8/1-8/5 8/8-8/12 8/15-8/19 8/22-8/26 M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F M T W TH F Please check off weeks and circle days that your child will be in attendance. Parent Signature: Date: Please advise a camp director/lifeguard if your child has a fear of the water or cannot swim. Children third grade and under will not be permitted to swim in the deep end of the pool unless they pass our swim test by meeting the following requirements: swimming pool length without break, tread water in deep end for 1 minute with arms above head, and swim the pool width underwater. If your child can pass this test they are then ready to swim in the deep end of the pool. Each swimmer who passes the deep water test will receive a bracelet or stamp to wear that will announce to the lifeguard that that camper is allowed in the deep end. If the bracelet is lost or removed, the swimmer will need to retake the deep water test at our convenience. These rules have been established in the best interest and safety of your child while at our pool. For Lifeguard Use Only: Date tested: Guard s Name: Passed Failed
2 GLP, INC (SUNSHINE KIDS CLUB CAMP) 2016 SKATE PARK PARTICIPATION AGREEMENT, RELEASE, AND ACKNOWLEDGEMENT OF RISK Skater s Name: Date of Birth: Parent s Name (If skater is under 18 years of age): Street Address: City: State: Zip: Phone Number (Home): (Work): Emergency Contact: Phone Number: READ CAREFULLY, THIS IS A GENERAL RELEASE OF CLAIMS FOR INJURY In consideration of use of the GLP, Inc. Skate Park and any related services of the facility, its servants, agents, officers, employees, volunteers, and all other persons or entities acting in any capacity on its behalf (hereinafter referred to as GLP ), the Skater, or if the Skater is a minor, the Skater s parents(s), hereby agrees to release, indemnify and discharge GLP, on behalf of the Skater and if the Skater is a minor, the Skater s parents, as follows: The undersigned acknowledges that participation in the activities permitted at the Skate Park Facility entails known and unknown risks which could result in severe physical or emotional injury, or damage to the Skater, to property or to third persons. The undersigned understands that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. The undersigned expressly agrees and promises to accept and assume all of the risks existing in this activity. The undersigned acknowledges that participation in this activity is purely voluntary and the Skater elects to participate at his/her own risks. The Skater agrees that the Skater will wear their own appropriate protective equipment when using the GLP Skateboard facility. Appropriate protective equipment will include, at a minimum, their own skateboard, a helmet, elbow and kneepads and proper shoes. The Skater agrees to obey all of the rules and requirements of the facilities. The Skater understands that the Skater will be prohibited from suing the facility if the Skater does not follow the rules. The undersigned hereby expressly and forever release GLP from all claims, demands, injuries, damages, actions, or causes of actions, and from all acts of active or passive negligence on the part of GLP arising out of or connected with the use of the services and facilities of GLP Skateboard Park by the Skater or any family member. The undersigned certifies that the undersigned has adequate insurance to cover any injury or damage the Skater may cause or suffer while participating or else the undersigned agrees to bear the costs of such injury or damage personally. The undersigned further certifies that the Skater has no medical or physical conditions which would interfere with the Skater s safety in this activity or else the undersigned is willing to assume and bear the costs of all risks that may be created, directly or indirectly, by any such condition. The undersigned further understands and agrees to report any and all injuries immediately to GLP. The undersigned hereby acknowledges that all of the information listed above is accurate and correct. Printed Name of Skater _ Signature of Skater Grade in Fall: Age: Signature of Parent (Required) _ Dated _ Dated _
3 GLP, INC (SUNSHINE KIDS CLUB CAMP) 2016 SKATE PARK RAMP RULES AND REGULATIONS All Skaters must have a signed release form in order to enter the skate park. All Skaters must provide their own skating equipment. Campers are not allowed to share equipment. Safety equipment must be worn at all times. This includes a helmet, knee and elbow pads. Gloves, wrist braces and hip pads are encouraged but not required. The number of people allowed inside the facility at any one time will be limited. If there are people waiting to use the facility, a time limit will be established by Camp Staff. In the event of an emergency or injury, all skaters must clear off equipment until directed by GLP staff. No food or beverages allowed within the fenced area. Recklessness will not be tolerated. No destroying or defacing property. No loitering after facility is closed. Skaters must follow the direction of GLP staff at all times. The GLP staff decision is final. Any camper possessing an item which may cause bodily harm to a staff member or another camper will be reported to the State Police and will result in immediate termination. Horseplay, foul language, not listening to GLP staff or any inappropriate behavior will not be tolerated. INFRACTIONS OF THE ABOVE RULES MAY RESULT IN THE LOSS OF A CAMPER S SKATE PARK PRIVILEGES.
4 Dear Parents, Swimming lesson spaces are limited and fill up quickly. If you know you want swimming lessons for the duration of the weeks your child is enrolled, we strongly recommend signing up for them now to reserve your spot. Swimming lessons are weather dependent. The fee is $55.00 for 3 one-half hour sessions, per week. They are offered during camp each week on Tuesdays (1/2 hour), Wednesdays (1/2 hour) and Thursdays (1/2 hour) from 12:00 to 12:30. There will be no make ups or refunds given for no shows, child not responding when their name is called for lessons, or if your child refuses to take a lesson. Sessions that you sign up for are final and no refunds can be given. Please make swimming checks separate from tuition. Sessions must be used in the week you signed up for. I have read the swimming lesson policy stated above, and I understand that there will be no refunds or make up lessons (unless canceled by the camp due to weather). Please fill out one form per child. Thank you! Parent Signature: Date: Child s Name: Age: Fall Grade: _ Please check the weeks and circle the day(s) you would like your child to take lessons: T u W Th 7/25 T u W Th 6/27 T u W Th 8/1 T u W Th 7/5 T u W Th T u W Th 7/11 T u W Th 8/15 T u W Th 7/18 T u W Th 8/22 T u W Th Please indicate Payment Method: 8/8 Check # Amount: Total Sessions: Please write your child s name in the Memo section of the check. Credit Card Note: All charges will show up as GLP, INC. or SUNSHINE KIDS CLUB on your credit card statement. There is a 2% handling fee on balance each time a charge is run through. Credit Card Type: Amount: Total Sessions: Credit Card #: Printed Name Exp. Date: _ 3 Digit Code: Signature: Sunshine Kids Club Camp Where your child makes memories that last a lifetime
5 All Day BMX Permission Slip Camper s Name: Age: Fall Grade: I give my child permission to participate in All day BMX. I understand that my child may miss regularly scheduled camp activities. All day BMX is available on days announced, or during times where the track is not scheduled for a group. Child must have a helmet and protective gear as well as their own bike. Signed: Date: Please initial on line and circle your child s camp schedule for the BMX roster. 6/20 6/27 7/5 7/11 7/25 8/1 M T Th F 8/8 8/15 7/18 8/22 Sunshine Kids Club Camp Where your child makes memories that last a lifetime
6 Information and Sign-Up Sheet Parents: Please represent your child s skill level honestly on this sign-up form. There is no benefit to the child if they are placed in a level above their skill. They become overwhelmed, even frightened, and riding stops being the fun, healthy activity it is. Additionally, the child s riding level is ultimately determined by the instructor after they have assessed the child s ability. Thank you for your understanding in this matter. Level # 1 BEGINNER RIDER A beginner rider is one that has little or no experience with horses. They are not able to ride the horse securely at any gait (speed of movement) faster than a walk. A beginner will be shown how to hold the reins and sit properly in the saddle, etc. from the first time they ride; until the instructor feels they can handle the horse on their own, however, the instructor will use a lead rope to maintain primary control of the horse. The child will also learn how to tack up and groom their horse correctly, including learning the parts of the horse and tack. The child will advance levels as necessary at the sole discretion of the instructor(s). Level # 2 INTERMEDIATE RIDER An intermediate rider is one that has had fairly consistent previous riding experience, specifically, having learned to walk and trot (or jog if Western) correctly in another lesson program. An intermediate rider will be able to perform the posting and sitting trot or jog, and know the diagonals. In this level of riding, they will be learning how to use cavaletti (trotting poles) and the two- and three-point positions in preparation for learning how to canter and jump (or lope if Western). The child will switch levels at the sole discretion of the instructor(s). Rates/Requirements: Horseback riding lessons are weather-dependent and on a first come first serve basis. Rainout days will be rescheduled, but not refunded. Lessons will be offered on Wednesdays. The lessons are 30 minutes long, and are $40.00 each. In order to ride, the child must have long riding pants and sturdy boots with a defined heel (hiking boots, cowboy boots, or riding boots of some kind are a must no high heels, snow boots, Uggs, or fashion boots!). A.S.T.M./SEI certified equestrian helmets are provided by the camp. Please return the below portion of this form in an envelope with payment. Please fill out one form per child. Thank you! Sessions (please circle number of sessions you would like): Child s Name: Age: Level: B I Amount $ Please check the weeks your child will be taking lessons: 6/20 8/1 7/5 8/8 7/11 8/15 7/18 7/25 8/22 All sessions must be paid in full and are final, thank you. Refunds will not be given for no shows or missed sessions. Check # Amount: Total Sessions: Please write your child s name in the Memo section of the check. Credit Card Note: All charges will show up as GLP, INC. or SUNSHINE KIDS CLUB on your credit card statement. There is a $5.00 handling fee each time a charge is run through. Credit Card Type: Amount: Total Sessions: Credit Card #: Printed Name Today s Date: Exp. Date: _ 3 Digit Code: Signature:
7 2016 Snack Shack Form This form allows you to set up a Sunshine Snack Shack account for your child so that they do not need to carry their ice cream or snack money around with them. The camp is not responsible for lost or missing money. Snack Shack Forms turned into the camp in the morning will not be credited until the next business day. Note: Snack Shack checks must be separate from all other checks. Snack Shack prices range from $0.25 to $5.00. Today s Date: _ Camper s Full Name: = $ allowance Camper s Full Name: = $ allowance Camper s Full Name: = $ allowance Please circle ONE: Payment Method: (Credit cards not accepted for Snack Shack.) Check # Total $: Camper s Name on check: Credit Card Total $: #exp: 3dig: Signature to charge: Date: Most families choose a $3 limit per day per child. Parent must notify camp of any food allergies in writing ( s not accepted), prior to admission. Refund requests on any snack balances left over from the summer must be done in writing or via no later than August 30, 2016, or the money will go back into the camp. Credit charges must be over $10.00 Thank you! Sunshine Kids Club Camp 2016 Snack Shack Form This form allows you to set up a Sunshine Snack Shack account for your child so that they do not need to carry their ice cream or snack money around with them. The camp is not responsible for lost or missing money. Snack Shack Forms turned into the camp in the morning will not be credited until the next business day. Note: Snack Shack checks must be separate from all other checks. Snack Shack prices range from $0.25 to $5.00. Today s Date: _ Camper s Full Name: = $ allowance Camper s Full Name: = $ allowance Camper s Full Name: = $ allowance Please circle ONE: Payment Method: (Credit cards not accepted for Snack Shack.) Check # Total $: Camper s Name on check: Credit Card Total $: #exp: 3dig: Signature to charge: Date: Most families choose a $3 limit per day per child. Parent must notify camp of any food allergies in writing ( s not accepted), prior to admission. Refund requests on any snack balances left over from the summer must be done in writing or via no later than August 30, 2016, or the money will go back into the camp. Credit charges must be over $10.00 Thank you!
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