2015 Bowdoin College Day Camp Registration Form

 

             
Complete this web form and mail the check, payable to Bowdoin College, to:

    Bowdoin College Day Camp
    Events and Summer Programs
    3275 College Station
    Brunswick, ME 04011-8423
 
Applicants will not be guaranteed a spot until payment is received. If your last name differs from that of your child, please write the child’s name on the check.

For questions regarding registration, please contact the Office of Events and Summer Programs at 207-725-3433 or at summerprograms@bowdoin.edu. For all other questions and/or information, please contact Coach Slovenski at pslovens@bowdoin.edu.

Waitlist Policy: Please check the website at bowdoinsummerdaycamp.com for all the most up to date information on which weeks have openings and which have gone to waitlist. If you've signed your child up for one of the full weeks, he or she will be added to the waitlist.

All registrations received by May 15 will be accepted. Some weeks fill up in May, so May 15 serves not as a deadline, but a date of guarantee. Children who apply for weeks that are full after May 15 will be placed on waiting lists.
 
Items marked with a red asterisk (*) are required.
 

             
Bowdoin College Day Camp will run for 5 weeks from July 6 through August 7.

*Please check the week(s) you wish your child to attend:
 
 
 
 
 
 
$70 deposit × 0 weeks = $0
 
Please note: The deposit will not be refunded (unless a week is already full), so do not send a deposit unless you are certain you wish to reserve a space. All outstanding balances must be paid by the first day of your child’s week. You may also pay the entire fee at the time of registration.
 

             
*Participant’s First Name
Middle Name
*Last Name
*Age
* Grade Next Yr
*Address
*City
*State
*Zip
 

             
*Parent/Guardian
*Home (or Primary) Phone
Work Phone
Cell Phone
*Email Address
An email confirming submission of this form will be sent to this address.
 

             
Parent/Guardian
Home Phone
Work Phone
Cell Phone
Email Address
 

             
If we cannot reach you in an emergency, who should we call?
 
*Name
*Phone
*Relationship
 

             
Your child will be allowed to leave camp only with the person(s) listed below. There will be no exceptions. No child will be permitted to leave camp unsupervised without written permission. Any changes must be documented in a note signed by you and given to the Administrator on that particular day.
 
Name and phone number of person(s) permitted to pick up your child:
 
Name
Phone
   
Name
Phone
   
Name
Phone
   
 

             
If your child will be walking or biking, please grant your permission, and acceptance of your responsibility for his/her safe arrival and departure (no skateboards on campus). We will not allow these attendees to come and go as they please.
 
Please indicate the expected arrival and departure time:
 
Arrival Time
Departure Time
     
 
Check this box to give permission for your child to walk or bike to camp.
 

             

Release and Indemnity Agreement

In consideration of Bowdoin College (the “College”) accepting the Participant into the Bowdoin College Day Camp Summer Program (“the Summer Program”), the undersigned agrees as follows:

1. The undersigned understands that the Participant’s involvement in the Summer Program at the College poses risks of personal injury, loss or damage to property, or loss of life. The undersigned knowingly assumes any and all risks connected with Participant’s involvement in the Summer Program and hereby waives any right to make any claim against the College, its officers, employees, Trustees, or agents.

2. The undersigned, on behalf of himself/herself and the Participant, hereby releases the College, its employees, and agents from any claim. The undersigned further agrees to indemnify and hold harmless the College, its officers, employees, Trustees, or agents from any such claim.

3. This indemnity, waiver and release includes, without limitation, any claim arising out of negligence or alleged negligence on the part of the College, its officers, employees, Trustees, or agents.

4. For purposes of this Agreement, the term “claim” means any claim, cause of action, damage or liability, specifically including attorney’s fees, relating to or in connection with the Participant’s involvement in the Summer Program.

5. This Agreement shall be governed by Maine law and shall be binding on the heirs, personal representatives and assigns of the undersigned. If any part of this Agreement is found to be unenforceable by a court or other body having jurisdiction, the provisions shall be altered and not eliminated as may be considered reasonable, and as amended shall be enforced.

6. As a condition of, and in consideration of, the acceptance of this application, therefore, the undersigned parent/guardian consents to have administrators of the Summer Program act in his/her behalf should an emergency arise, and hereby grants permission to said administrators to authorize medical attention and treatment. The consenting guardian or parent understands that any medical treatment is not payable by the College.

7. The undersigned understands that it is a requirement of the Summer Program that all Participants be covered by health insurance.

THIS IS AN INDEMNITY AND RELEASE AGREEMENT

READ AND UNDERSTAND IT BEFORE SIGNING

*Check this box to indicate that you have read and understood the above agreement.
 

             
Please list any medical issues (including allergies and prescriptions) or special needs.
 

 
Insurance is required to attend the Bowdoin College Day Camp. By signing the Assumption of Risk Statement and Indemnification/Release Agreement, you are confirming that the participant is actively enrolled in an insurance program.
 

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