Camp Oonie Koonie Cha 2021: Let's Go! WEEK 2

PARENT Information: (Parent's first and last name) Use a different email to register each child.

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * Phone:
• * ZIP Code:
• * Cell Phone:

• Please give us two emergency contact numbers that are not the same as the numbers above in the event that we cannot reach you. xxx-xxx-xxxx, xxx-xxx-xxxx

• * Emergency Numbers:

• Camp Fees: These fees apply to every camper. The fee to register is $50* (non-refundable). The tuition cost is $225** (refundable before April 1st). *If Government mandate cancels camp due to Covid-19, each camper will be refunded $25 of the registration fee. **TUITION PAID AFTER April 1 will incur a $25 LATE FEE.

• Fee

  Type	Fee
  Registration $50 (Non-refundable) & Tuition $225 (Tuition refunds until Apr. 1.)	$275.00
  Registration ONLY (Non-Refundable. Remaining Tuition MUST be paid by April 1).	$50.00

CHILD'S Info: We accept children age 4 1/2 years-rising 2nd Grade. Child MUST be 4 by MARCH 1.

• * Child's First Name (Name child goes by)
• * Child's Last Name
• *

  Sex

  • Male
  • Female
• * Child's Birth Date xx/xx/xxxx
• * Child's age as of March 1. --Choose-- 4 5 6 7 8 9 (Only allowed if child was registered in 2020)
• *

  Grade entering in the Fall

  • Pre-K
  • K
  • 1st
  • 2nd
  • 3rd (Only allowed if child was registered in 2020)
• * Child's Current Preschool or School
• * T-shirt Size --Choose-- XS S M L XL Shirts run large. Ordering a size smaller is recommended.

• Photo Permission: We take photos and short videos at camp to put on our website and our Facebook page. Please check yes, unless you really do not want any photos taken of your child. This includes sending out a private photo album at camp at the end of each week. If you check "NO" we will have no photos of your child to share with you.

• * Photos --Choose-- Yes No

• *

  I authorize Camp Oonie Koonie Cha to seek appropriate medical attention and treatment for my child in my absence and I understand that I am financially responsible for such treatment.

  • Yes
  • No
• Severe Allergies or Medical Conditions (Please include FOOD allergies)
• * Doctor's Full Name and phone number

• Are your child's immunizations current?

  • Yes
  • No
• Comments or Special Requests: You may request one friend to be in the same group with your child. Siblings will be grouped separately unless you request otherwise. We make every attempt to accommodate special requests for grouping campers, but will not accept requests after May 15th.

• To register another child for camp, please complete this application, and submit payment. Register the next child by starting over using a new email address. If you do not have another email add the number 2 in front of your previous email address. This will let us know that the second email is not valid, but it will work for registration. (Sorry for this complication!) Siblings will be grouped in different age groups unless you want them to be together. Please write this request in the "Comments or Special Requests" box.

• COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Camp Oonie Koonie Cha (Camp OKC) has put in place preventative measures to reduce the spread of COVID-19; however, Camp OKC cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending Camp OKC could increase your risk and your child(ren)’s risk of contracting COVID-19.

• By completing this registration, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending Camp OKC and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at Camp OKC may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Camp OKC employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Camp OKC or participation in Camp OKC programming (“Claims”).

• On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Camp OKC, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Camp OKC, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Camp OKC program.

• *

  Acknowledgement:

  • I acknowledge that I have read and understand the above information regarding Covid-19.