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2021 ABDC Registration Form

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2021 ABDC Registration Form Adventure Bound Day Camps Summer 2021 Registration for Grades K-5(ages 5-11)* *Campers must be 5 years old before attending their first day of camp PRIORITY Registration: Returning 2020 families (those who attended AND those who registered but did not attend due to COVID-19 circumstances) may submit completed forms in-person at the Chilson front desk anytime during open business hours (5:30A—7:30P) between Monday, March 8—Thursday, March 11. PUBLIC Registration: New campers (or returning families who missed priority registration) may submit completed forms beginning Tuesday, March 23; 7:30am-12:30pm*, in-person only at the Chilson Senior Center front desk. Families should use the Senior Center entrance, not the Chilson main entrance.** *After 12:30pm on 3/23 and all dates after, registration forms can be turned in (and processed) at the Chilson Center Front Desk, using the main entrance. **Families will be given a number upon their arrival. Numbers will begin to be distributed at 6:30am. Only a limited number of individuals are permitted inside the Chilson Senior Center at a given time. Those who cannot enter are asked to wait in their car until their number is called. Step 1. Complete all of the following information. You will be notified of any updates or changes to your registration Camper Name: ______________________________ Birthdate: ___ / ___ / ___ Grade in Fall 2021: ____________ Parent/Guardian Name(s):________________________________________________________________________ Home Address:_______________________________________ City/State/Zip:______________________________ Primary Phone #: (_____)_________________________ Secondary Phone #: (_____)_________________________ Email Address(es):_______________________________________________________________________________ Step 2. Read the policies & procedures on the attached sheet and initial/sign the statements below. _____ I have read and understand the Registration procedures and the Fee & Payment Schedule policy _____ I have read, understand & agree to the Withdrawal from Camp and Transfer, Cancellation, & Refund Request policies _____ I have read and understand the Enrollment Profile & Immunization Record policy. I agree to complete my camper’s online ePACT profile, including upload of current immunization record prior to Wed. May 12. Additional policies & procedures are reviewed at REQUIRED Parent Orientation meetings before camp starts. A full 2021 ABDC Parent Manual is available online at cityofloveland.org/abdc. A printed copy is available upon request. Step 3. Answer the following questions by circling the appropriate response: Does the enrolled camper need a modification due to a disability to safely and enjoyably participate in Adventure Bound Day Camp programs? YES NO If you answered YES, please describe the modification needed: _____________________________________ _________________________________________________________________________________________ Does your camper require medication to be administered during the camp day (routine medication, inhaler, epinephrine auto injector, etc.)? YES NO If you answered YES, please describe: __________________________________________________________ _________________________________________________________________________________________ ***Please continue Steps 4 and 5 on the back side of this page*** Step 4. Review weekly camp fees, schedule options and activity themes, and then select the weeks you would like your child to attend by checking the appropriate boxes in the chart below. Weekly Camp Fees: DUE AT REGISTRATION: Week 1 ONLY: $129 1. Completed Registration Form Weeks 6 & 11 ONLY: $168 2. $35 non-refundable registration ALL other weeks: $200 3. $25/week deposit* *Due to COVID-19 guidelines, part-week registration is *Weekly deposits are applied toward the balance due for each week of camp. NOT permitted. Registration is for the FULL week only. Accepted payment: Cash, check, credit card For Front Desk Received/Reviewed By: ________________ Date & Time: __________ Use ONLY Due at time of registration: # of wks: ____ x $25/wk deposit = _______ + $35 non-refundable registration fee TOTAL DUE:___________ Week Selection Wk 1: W, 6/2 - F, 6/4 Aloha Campers (W-F ONLY) Wk 2: M, 6/7 - F, 6/11 Leave No Trace Wk 3: M, 6/14 - F, 6/18 Gameshow Mania Wk 4: M, 6/21 - F, 6/25 A Galaxy Far Far Away Wk 5: M, 6/28 - F, 7/2 Party in the USA Wk 6: Tu, 7/6 - F, 7/9 Full S.T.E.A.M. Ahead (Tu-F ONLY) Wk 7: M, 7/12 – F, 7/16 Movin’ & Groovin’ Wk 8: M, 7/19 - F, 7/23 All That and a Bag of Chips Wk 9: M, 7/26 - F, 7/30 Only in Colorado Wk 10: M, 8/2 - Th, 8/6 Wild and Wacky Wk 11: M, 8/9 - Th, 8/12 Olympics (M-Th ONLY) Step 5. Review ALL camp selections. Sign & date that all information provided & dates selected are accurate. Name (Printed): ________________________________________________________________________________ Signature: ______________________________________________________ Date: _________________________ Questions? Call 970.962.2467 Adventure Bound Day Camp (ABDC) Registration & Fee Policies Registration Registration begins in March, with specific annual dates listed in our Winter/Spring Activity Guide. Families returning from the previous camp year have a priority registration period prior to public registration. All camp spaces are filled on a first-come, first-serve basis based on availability. Registration forms can be picked up at the Chilson Center front desk or downloaded online: www.CityofLoveland.org/ABDC. Completed registration forms and appropriate fees are accepted in-person only at the Chilson Center front desk (priority) or the Chilson Senior Center front desk (public) beginning on designated priority and public registration days, and remain open until all spaces are filled. Additional enrichment activities and field trips may be available through in-person registration at Parent Orientation meetings in April, or through online registration through WebTrac beginning with the Summer Activity Guide registration dates (concurrent ABDC registrations may be required.) Fees & Payment Schedule A $35 non-refundable registration fee for each camper is due at the time of registration, covering daily use of Rocky Mountain Sunscreen (SPF 50+), access to online camper profiles & emergency notifications, and administrative costs for household account management including registrations, transfers, & cancellations/withdrawals. A $25/week deposit per camper is also due at the time of registration. Weekly deposits are applied toward the balance due for each week of camp. Remaining weekly balances are broken into 3 monthly payments and are due on the 1st of the Month: May 1, June 1 and July 1. Payments can be made in-person at the Chilson Center front desk or online through WebTrac. Payments cannot be made over the phone. If you need to discuss alternative payment options, please contact Bryce Simonds, Day Camp Director. Weekly camp fees include all on-site activities and most off-site field trips. Optional enrichment activities such as swim lessons or Friday field trips may be added to a current camper’s schedule for an additional fee. All additional enrichment and field trip fees are due at the time of the corresponding camp week’s due date. Child Care Statements may be printed through WebTrac. The City of Loveland Tax ID # is 84-6000609. Withdrawal from Camp If camp no longer meets the needs of a camper or their family due to philosophical differences or disciplinary issues, a parent/guardian may withdraw the child from camp programs at any time. Withdrawal notifications must be submitted in writing in order to avoid additional fees from being charged. See the following policy on Transfers/ Cancellations/Refunds for more information on deadlines and requirements for refunds of fees already charged. All approved refunds are determined at the discretion of the Sr. Recreation Coordinator. Transfers/Cancellations/Refunds All transfers, cancellations, and refund requests must be submitted IN WRITING. A Camp Transfer/Refund Form is available at the Chilson Center front desk or online at www.cityofloveland.org/ABDC. Completed forms may be submitted back to the Chilson Center front desk or emailed directly to the Day Camp Director. Refund approvals are at the discretion of the Sr. Recreation Coordinator and follow the policy outlined on the form and below. All sections of the Camp Transfer/Refund Form must be completed in their entirety in order to be eligible for any refund. Camp week transfers that are submitted on or before Friday, April 23 will be allowed without penalty. Beginning on Monday, April 26 our regular cancellation/transfer policy will apply and is as follows: Any and all cancellations may be subject to forfeiture of the $25/week per child deposit. Additionally, cancellations made less than 10 business days prior to the week your child is scheduled to attend are subject to forfeiture of 50% of the weekly fee. NO refunds will be given for cancellations made less than 5 working days prior to the week your child is scheduled to attend. Enrollment Profiles & Immunization Records Campers must have a fully completed enrollment profile on file with camp staff prior to attending camp programs. Profiles are completed through ePACT, an online emergency notification system, and include emergency contact & authorized pick-up information, health/medical/behavior history, REQUIRED current immunization records and all liability/release waivers. Invitations to complete online profiles are emailed after parent orientation
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