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KIDSPACE CAMP REGISTRATION PACKET

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Complete this registration packet after you have registered and paid for your child to attend Kidspace Camp. Only one submission is needed even if your child is registered for multiple camp weeks over spring and summer.

Not registered yet? View camp registration options HERE. Lunch is not provided during Kidspace Camp. Full Day Camp participants should arrive with a packed lunch or use this Cafe Order Form. Send your completed lunch order form to camps@kidspacemuseum.org or bring with you to check-in on the first day of camp with payment to Bean Sprouts.

 

 

CAMPER INFORMATION
PARENT/GUARDIAN #1 INFORMATION
PARENT/GUARDIAN #2 INFORMATION
EMERGENCY CONTACT INFORMATION
ADDITIONAL ADULTS (NOT LISTED ABOVE) AUTHORIZED FOR PICKUP
MEDICAL INFORMATION

I am granting my minor child the opportunity to participate in Kidspace Camp. As parent or legal guardian of the minor, I hereby agree as follows: I understand that if my child is sick and needs to be sent home, I agree to pick him/her up at the time requested by the Kidspace employee. I agree to disclose pertinent health history including overall physical, mental, and emotional health status. Should it be necessary for my minor to have emergency medical care while participating in Kidspace’s Camp programs, I hereby give my permission to Kidspace Children’s Museum to use their judgment in obtaining his/her medical care and I give permission to the medical care provider selected by Kidspace to render medical care deemed necessary and appropriate. I understand and agree that any cost incurred for such treatment shall be my sole responsibility. I agree to keep Kidspace advised if I plan to be out of contact for any period of time during the camp session and to provide additional emergency contact information.This is a required agreement of Kidspace Camp. If you do not agree to these terms, please contact camps@kidspacemuseum.org or 626-449-9144, x.5218 for a refund.

MEDICAL/OTHER NEEDS INFORMATION
LIABILITY RELEASE
I am granting my child the opportunity to participate in Kidspace’s Camp, Class or Activity. I, the undersigned, as parent or legal guardian of the minor, do hereby agree as follows: To release, waive, discharge, and covenant not to sue Kidspace Children’s Museum (Kidspace) or its affiliated entities, directors, board members, employees, staff, members, volunteers, vendors, agents, representatives, attorneys, predecessors, successors and assigns (collectively, “Releasees”) from any and all liability for any loss or damage, and any claim or demands, for any and all injuries to my child while participating in or attending Kidspace’s Camp, Class and/or Activity, whether or not caused by the negligence of the Releasees. To indemnify and hold harmless Kidspace and the Releasees against any and all claims, causes of action or lawsuits, for liability, damages, compensation or otherwise brought by me or anyone on my child’s behalf, including any attorneys’ fees or related costs or medical bills or costs which may arise related to my child’s participation or attendance at Kidspace’s Camp, Class and/or Activity.

I am granting my child the opportunity to participate in Kidspace’s Camp, Class or Activity. I, the undersigned, as parent or legal guardian of the minor, do hereby agree as follows: To release, waive, discharge, and covenant not to sue Kidspace Children’s Museum (Kidspace) or its affiliated entities, directors, board members, employees, staff, members, volunteers, vendors, agents, representatives, attorneys, predecessors, successors and assigns (collectively, “Releasees”) from any and all liability for any loss or damage, and any claim or demands, for any and all injuries to my child while participating in or attending Kidspace’s Camp, Class and/or Activity, whether or not caused by the negligence of the Releasees. To indemnify and hold harmless Kidspace and the Releasees against any and all claims, causes of action or lawsuits, for liability, damages, compensation or otherwise brought by me or anyone on my child’s behalf, including any attorneys’ fees or related costs or medical bills or costs which may arise related to my child’s participation or attendance at Kidspace’s Camp, Class and/or Activity.This is a required agreement of Kidspace Camp. If you do not agree to these terms, please contact camps@kidspacemuseum.org or 626-449-9144, x.5218 to cancel your child's registration. Please note that cancellation must happen 3 weeks prior to the start of camp for a full refund. 

PHOTO RELEASE

Children in Kidspace Camp may be photographed, videotaped, or audio-taped for sponsor and grant reporting, educational and publicity purposes. This may include print and digital materials for local advertisements, social media channels, museum brochures and websites. Please indicate if you give permission for your child to appear in these images and/or videos without compensation or approval rights.

CAMPER CODE OF CONDUCT

Our camp advocates a positive guidance and discipline policy. Camp rules are established for safety and to ensure we have a common standard of behavior. On the first day of camp, Kidspace counselors will discuss camp rules will all campers.  There may be moments during the course of the camp where a camper may be asked to “take a break” to give themselves a moment to reset.  Any issues of behavior will be discussed with parents or guardians at pick-up time.  If there are consistent behavioral issues which become disruptive for the other campers, Kidspace reserves the right to send the camper home at no refund or credit for camp payment. Please review the following code of conduct with your camper so that we can ensure a safe, positive and fun environment for all campers.                                                                          CAMPER CODE OF CONDUCT

  • I will listen to the camp staff and follow their instructions.
  • I will not use a cell phone or personal electronic device while at camp.
  • I will treat everyone, including myself, with respect. 
  • I will respect other people’s belongings by not touching their things without permission.
  • I will use appropriate language, which does not include swear words or negative remarks.
  • I will stay with the camp and not leave my group or area.
  • I will respect the property of the camp and of Kidspace Children’s Museum.
ACKNOWLEDGEMENTS
AGREEMENT