2020_Waterleigh_Summer

WATERLEIGH COMMUNITY

16150 Pebble Bluff Loop

Winter Garden, FL 34787

EXTENDED CARE WILL BE PROVIDED FOR AN ADDITIONAL $45 per week, per child, per camp - those hours will be 8am-5pm.

**Because space is limited, a non-refundable $50 deposit per child/per camp will be required upon registration. The remaining camp payment will be due the week before the camp start date.

PAY NOW

2020 Waterleigh Summer Camp

Please note that all fields followed by an asterisk must be filled in.

Parent/Guardian First Name*

Parent/Guardian Last Name*

E-Mail Address*

Street Address*

City*

State/Prov*

Zip/Postal Code*

Cell Phone*

Student's Name*

Age*

Are you signing up siblings?*

	YES
	NO

If you are signing up siblings, how many in total will participate?

Please list siblings names and ages

Please list ADA Accommodations needed

Please list any allergies

Please check the week(s) you wish to participate:*

	JULY 6-10 - TBD
	JULY 13-17 - DANCE FX (AGES 5-12) $200
	JULY 20-24 - MULTI-MEDIA ART (AGES 11-15) $225
	JULY 27-31 - THEATER (AGES 5-12) $200

Transportation To and From Camp*

Extended Care Hours 8:00am-5:00pm (additional $45/week PER CHILD)*

Do you authorize OPMI to use photos of your child on our website and/or promotional material?*

	YES
	NO

Approved Child Pick Up (Please list names, phone number and relation)*

Emergency Contact (Please list names, phone number and relation)*

OPMI Cancellation Policy*

A non-refundable $50 deposit per child/per camp is due at the time of registration. Remaining camp payments are due ONE week prior to each camp start date. To withdraw from a camp, notification must be made in writing 2 weeks prior to the start date of the camp or the remaining camp payment will be required.

OPMI Payment Policy*

If registrations are received after the camp registration deadline, I understand there will be an additional $25 late registration fee per child added to my camp payment due at the time of registration. I also understand that any portion of the camp that my child cannot attend shall be forfeited without refund or credit. Payments are due 1 week before camp starts and any payment made after that are subject to a $25 late payment fee per child.

Statement of Understanding*

By checking this box I accept and understand that there are 8 different weeks of Summer Camp. Camp runs Monday - Friday from 9:00am-3:00pm, and extended camp hours are from 8:00am- 5:00pm. I understand that extended care is $45 per week per child, extended care fee is NOT prorated for amount of days your child needs extended care. Any portion of the camp that my child cannot attend shall be forfeited without refund or credit. I also understand that I am responsible for picking up my child from camp on time. If I am more than 10 minutes late, I accept and understand that fees late pick-up fees will be applied.

LIABILITY WAIVER*

BY CHECKING THIS BOX, I AGREE THAT I HAVE READ AND VOLUNTARILY SIGNED THIS AGREEMENT ELECTRONICALLY and further agree that no oral representation, statements, or inducement apart from the following written agreement has been made: IN CONSIDERATION, of being permitted to utilize the facilities, services and program of ORLANDO PREMIER MUSIC INSTRUCTION, herein after referred to as 'OPMI', for any purpose, including, but not limited to observation or use of facilities or equipment, or participation in any off-site program affiliated with OPMI, the undersigned, for himself or herself and any personal representatives, heirs, children and next of kin, hereby acknowledges, agrees and represents that he or she releases OPMI and its staff members from all liability for an injury, loss or damage connected in any way whatsoever to participation in OPMI activities whether on or off of the premises affiliated with OPMI. He or she understands that this release includes any claims based on negligenc

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2020 Waterleigh Summer Camp

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