Book a Camp Book for Summer Camp at BOUNCE Play-n-Create You may fill out multiple children on the same form if they have the same legal guardian. Parent/ Guardian #1 Name* First Last Parent/Guarndian #2 Name First Last Daytime Phone*Daytime PhoneEmail* Enter Email Confirm Email Email Enter Email Confirm Email How many children would you like to enroll?*You may fill out multiple children on the same form if they have the same parent or legal guardian.123456Child's Name* First Last Child's Date of Birth* Month Day Year Child's Age at Time of Camp*567891011Child's Gender* Male Female Prefer Not to Say 2nd Child's Name First Last 2nd Child's Date of Birth Month Day Year 2nd Child's Age at Time of Camp5678910112nd Child's Gender Male Female Prefer Not to Say 3rd Child's Name First Last 3rd Child's Date of Birth Month Day Year 3rd Child's Age at Time of Camp5678910113rd Child's Gender Male Female Prefer Not to Say 4th Child's Name First Last 4th Child's Date of Birth Month Day Year 4th Child's Age at Time of Camp5678910114th Child's Gender Male Female Prefer Not to Say 2024 Summer Camp*Please choose one option below (Regular or Extended Hours). All 2024 Summer Camp options are Monday thru Friday (except holidays) from June 10 to August 16. There is a required one-time deposit in the amount of $500 which will be applied to your weekly tuition for the final two weeks of Summer Camp (August 5 - August 16) if your child is still in attendance at that time. If your child leaves the Summer Camp for any reason prior to August 5th, 2024, the $500 deposit becomes non-refundable and will not be applied to your weekly tuition. Your child's spot is not reserved until the $500 deposit is paid. Regular Hours: 9am-5pm; $250/week + one time deposit of $500 (the $500 deposit is refundable if child attends entire duration of Summer Camp) Extended Hours: 8am-6pm; $299/week + one time deposit of $500 (the $500 deposit is refundable if child attends entire duration of Summer Camp) Please include any pertinent details that we should know about child including but not limited to: allergies, chronic physical problems, pertinent developmental information, special accommodations needed.*People authorized to pick up child from day care. We will only release your child to the following people so please list authorized people below.*Agreement*Children must wear socks and appropriate clothing for play. Lunch will not be provided by BOUNCE and lunches, snacks, and water bottle must be provided by the parent/guardian each day. All outside food must be PEANUT-FREE. Please label all belongings, BOUNCE is not liable for any lost or stolen items. There is a required one-time deposit in the amount of $500 which will be applied to your weekly tuition for the final two weeks of Summer Camp (August 5 - August 16) if your child is still in attendance at that time. If your child leaves the Summer Camp for any reason prior to August 5th, 2023, the $500 deposit becomes non-refundable and will not be applied to weekly tuition. Your child's spot is not reserved until the $500 deposit is paid. Children are not allowed to attend camp if child has a temperature, communicable illness, vomiting, or diarrhea within 24 hours. In the case of an emergency and in which a guardian or emergency contact cannot be reached, appropriate medical personnel, selected by BOUNCE, will provide medical treatment deemed necessary. Parent assumes responsibility for all charges incurred in the treatment regardless of insurance coverage. Guardians acknowledge that activities at BOUNCE involve some risk and agree not to hold BOUNCE liable for injuries sustained during camp. BOUNCE staff are required by law to report incidence of suspected child abuse to the Department of Child Protective Services. If parent or guardian is more than 10 minutes late picking up child, there will be a service charge of $1 per minute, per child. CANCELLATIONS: You must provide at least 30 days advance notice if your child will stop attending Summer Camp. You acknowledge and agree that you will continue to be responsible for all weekly tuition fees for thirty days after providing written notice of early cancellation. I agree to terms of camp booking Full Legal Name of Undersigner (Parent/Guardian)* CommentsThis field is for validation purposes and should be left unchanged.