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IDEAL
Camp
The
I.
D.
E.
A.
L.
Camp
REGISTRATION
FORM
Gender:
Age:
Home
Phone:
Relation to Child:
Work Phone:
Home Phone:
Relation to Child:
Work Phone:
Home Phone:
All
balances
must
be
paid
in
full
within
7
camp
days
of
receipt.
NO
REFUNDS
will
be
given.
Please
read
carefully
and
sign
the
following
Registration-Understanding
Waiver
In
consideration
for
being
allowed
to
participate
in
any
way
at
The
IDEAL
Camp
Summer
Program
and
related
events,
I,
the
undersigned
voluntarily
agree
to
assume
full
and
complete
responsibility
for
any
injury
or
accident
which
may
occur
to
the
above
named
child
during
or
in
connection
with
The
IDEAL
Camp
or
its
staff
while
they/I
am
on
the
premises
of
The
IDEAL
Camp.
I
acknowledge
that
at
The
IDEAL
Camp
they/I
will
participate
in
activities
that
may
involve,
among
other
things,
physical
contact
with
persons
or
objects,
including
the
ground,
and
may
incur
a
risk
of
injury.
I
specifically
waive,
give
up
and
release
The
IDEAL
Camp
and
its
staff
from
all
liability
for
any
claim
for
damages
which
the
above
named
child/I
may
have
relating
to
injuries
or
illness
that
they/I
may
sustain.
In
signing
this
waiver,
I
certify
that
the
above
child/I
is/am
in
good
health,
with
no
chronic
illness
or
abnormal
tendencies.
In
the
event
of
an
emergency
in
which
the
above
named
child/I
requires
medical
care,
I
authorize
The
IDEAL
Camp
to
act
for
me
and
obtain
whatever
medical,
surgical
or
dental
examination,
diagnosis
and/or
treatment
is
deemed
necessary.
The
IDEAL
Camp
is
not
responsible
for
the
above
named
childs/my
personal
belongings,
which
may
be
lost,
stolen
or
damaged.
I
further
understand
that
I
should
be
aware
of
the
above
named
childs/my
physical
limitations
and
agree
not
to
exceed
them.
I
agree
to
review
the
rules
and
inspect
the
facilities
and
if
I
believe
it
is
unsafe,
I
will
advise
his/her
counselor
and
refuse
to
participate.
I
UNDERSTAND
The
IDEAL
Camp
WAIVER
POLICY.
Printed Name:
____ Visa ____ MasterCard ____ Discover ____ American Express Expiration Date: Signature on Card: Charge My Credit Card for Billing ____
I understand The IDEAL Camp payment policy. I authorize The IDEAL Camp to charge my credit card for additional fees and/or outstanding balances. Signature: Printed Name:
The
I.
D.
E.
A.
L.
Camp
TUITION AGREEMENT
I
understand
the
full
payment
of
tuition
is
due
and
no
changes
or
substitutions
in
schedule
can
be
made
regardless
of
the
following
circumstances:
If
my
child
is
absent
due
to
illness
My
child
is
absent
due
to
vacation
A
holiday
falls
on
my
child's
scheduled
day
Delayed
openings/early
closings
due
to
unforeseen
weather
conditions
or
circumstances
beyond
our
control.
5. My
child
is
absent
due
to
any
other
reason
1. 2. 3. 4.
CAMP POLICIES: NO REFUNDS Payments will be made up front or in bi-weekly installments for the duration of the 10 Week Camp All accounts must be paid in full prior to the final week of camp All payment is due whether your child attends camp for the number of allotted days on the purchased plan or not Prices may include additional fees based on method of payment or tax (depending on the state) $40 returned check fee $200 of the total purchasing price agreed to is due up front the remaining balance must be paid in full upon the terms of the receipt 1 Week packs must be paid in full upon purchase At the time of registration, you must pay the required deposit per camper and a $50 registration fee per camper (not to exceed $100 registration fee per family) Any schedule changes must be made at least 1 week in advance in writing Any unpaid balance 7 camp days past the receipt date will be considered late and will be subject to a $20 late fee will be added to the upcoming payment, or will be charged to the credit card on file Sign-in/Sign-out instructions will be given to you prior to the start of camp All billing invoices will be paper statements Any billing questions should be directed to the accounting department at 732-233-1846 BEFORE-CARE/AFTER-CARE POLICY Camp starts at 9 AM If you arrive early, you can make use of our before-care services, otherwise you must remain with your child until 9 AM Camp ends at 4 PM If your child is not picked up at 4 PM, he will be placed into our after-care program If your child is dropped off before 9 AM or picked up after 4 PM, your account will automatically be billed for the before-care/after-care fees You will be charged for the full hour regardless of drop-off/pick-up time Your child MUST be picked up by 5 PM If your child is not picked up by 5 PM, you will be charged $25 per child per hour Any repeat offenders of late pick-up will be subject to additional fees or expulsion from camp By signing below, I acknowledge my responsibility to meet all of the Tuition Agreement terms and payment requirements for the duration of the package. I also acknowledge that this Tuition Agreement carries over and applies to each additionally purchased package. I understand The IDEAL Camp payment policy. I authorize The IDEAL Camp to charge my credit card for any additional fees and/or outstanding balances. Signature: Printed Name:
The
I.
D.
E.
A.
L.
Camp
SCHEDULE
FORM
Date
of
Birth:
Initial Purchase must include AT LEAST Two Weeks Before-Care/After-Care Rate: $10 per hour
Purchased
(Write
in
Number
of
Weeks
under
Appropriate
Column)
Week # 1 2 3 4 5 6 7 8 9 10
Dates 5/27 5/31 6/3 6/7 6/10 6/14 6/17 6/21 6/24 6/28 7/1 7/5 7/8 7/12 7/15 7/19 7/22 7/26 7/29 8/2
MON BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC
TUES BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC
WED BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC
THURS BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC BC AC
FRI
Registration Fee: $50 per child. $100 maximum per family Required Deposit: $200 per camper Late Fee: All bills need to be paid in full upon receipt. If payment is not received within 7 camp days of billing, a $20 late fee will be applied to the account & the credit card will be charged for the full balance. Change of Schedule: Any schedule changes must be made at least 1 week in advance in writing NO REFUNDS
Amount AC/BC BC $ AC BC $ AC BC $ AC BC $ AC BC $ AC BC $ AC BC $ AC BC $ AC BC $ AC BC $ AC
The
I.
D.
E.
A.
L.
Camp
Circle YES or NO Emergency Contact YES NO Authorized Pick-Up YES NO Relationship to Child:
Circle YES or NO Emergency Contact YES NO Authorized Pick-Up YES NO Relationship to Child:
Circle YES or NO Emergency Contact YES NO Authorized Pick-Up YES NO Relationship to Child:
The
I.
D.
E.
A.
L.
Camp
The
I.
D.
E.
A.
L.
Camp
Medical
Information:
State
any
medical
problems
(if
none
leave
blank):
Allergies
to
medicine,
food,
insects,
animals
etc.:
List
any
and
all
medications
your
child
is
taking:
Physician/Insurance
Information:
Physicians
Name:
Address:
Insurance
Carrier:
Address:
ID
#:
Phone:
Policy #:
Phone: Group #:
By signing below, I state that I, the parent/guardian, have legal custody of the above child and attest that the information above is correct. I authorize The IDEAL Camp Director or Directors designee to obtain emergency treatment for my child. I consent to an x-ray examination, anesthetic, medical or surgical diagnosis or treatment, and hospital care to be rendered to the minor at a recognized medical facility, under the general or special supervision of a licensed physician or surgeon. THE FOLLOWING STEPS WILL BE FOLLOWED IN AN EMERGENCY: 1. The Parent/Guardian will be contacted immediately 2. The childs physician will be contacted 3. We will attempt to contact you through all emergency persons listed on the childs application form 4. If we cannot contact you or your childs physician, we will do any of the following: a) Call for emergency first aid b) Call another physician c) Have the child transported to an emergency hospital in the company of a staff member
Signature:
Date:
The
I.
D.
E.
A.
L.
Camp
EXPULSION
POLICY
Unfortunately,
there
are
situations
in
which
we
have
to
expel
a
child
from
our
program,
either
on
a
short-term
or
permanent
basis.
We
will
do
everything
possible
to
work
with
the
family
of
the
child
in
order
to
prevent
this
policy
from
being
enforced.
The
following
are
reasons
we
may
have
to
suspend
or
terminate
a
child
from
our
program:
1. Parental
Actions
for
a
Childs
Expulsion
Failure
to
pay
and/or
habitual
lateness
in
payments
Failure
to
complete
required
forms
including
immunization
records
Physical
and/or
verbal
abuse
of
staff
or
campers
2. Childs
Actions
for
Expulsion
Poor
medical
conditions
Conduct
detrimental
to
themselves
or
fellow
campers
and
staff
Behavior
or
influence
deemed
unsatisfactory
The
IDEAL
Camp
reserves
the
right
to
expel
a
child
at
any
point.
No
refunds
will
be
issued
in
the
event
of
expulsion.
Name
of
Child:
Parent/Guardian
Signature:
Date:
The
I.
D.
E.
A.
L.
Camp
PHOTOGRAPHY
CONSENT
This
form
gives
The
IDEAL
Camp
permission
to
photograph
my
child
for
the
sole
purposes
of:
Use
on
The
IDEAL
Camp
Website
Insertion
in
camp
photography
projects
Camp
Brochures
News
Releases
Print
&
Digital
Media
Advertisement
I
understand
that
this
is
the
policy
of
The
IDEAL
Camp,
that
unless
expressly
permitted
by
a
parent
at
the
time
a
photograph
is
used
or
printed
that
the
names
of
the
children
will
never
be
associated
with
their
photograph.
Name
of
Child:
Parent/Guardian
Signature:
Date: