ONLINE REGISTRATION

Registrants must complete the online registration below. You will be directed to secure checkout for online payments.

All Fields Marked With an Asterisk ( * ) Are Required
Enter "NA" if Not Applicable

Your Name:	*
Your Email:	*
Camper First Name:	*
Camper Last Name:	*
	Male Female *
Birthday: (xx/xx/xx)	*
Age:	* As of June 1
Grade:	* Entering Fall 2012
Address:	*

City:	*
State:	*
Zip Code:	*
T-Shirt Size:	*
Mother's Name:	*
Home Phone:	*
Employer:	*
Work Phone:	*
Cell Phone:	*
Email:	*
Father's Name:	*
Home Phone:	*
Employer:	*
Work Phone:	*
Cell Phone:	*
Email:	*
2012 Summer Camp Session Dates:	* (Required) Scroll for more selections. NOTE: Number of campers accepted these weeks are VERY limited. Please verify with your child’s school calendar before registering for these weeks. *Camp will not be in session on Wednesday, July 4th. This week is NOT pro-rated and full payment is required.
Before & After Care: This care is provided at no extra cost to you. Estimated times must be provided for proper staffing. Drop-Off Time: * Pick-Up Time: *
How did you hear about Fun & Games Camp? *
Please list below the full name and cell phone number of all person(s) authorized to pickup your child (in addition to parent/guardian listed above): Comments and/or Special Requests: Terms Of Enrollment Agreement (Required) 1. Campers must be between the ages of 5 to 15 years old to attend camp. (The camper must have completed kindergarten). 2. ALL DEPOSITS & FEES ARE NON-REFUNDABLE. NO REFUNDS OR CREDITS WILL BE MADE FOR ABSENCES, ILLNESSES, SUSPENSIONS, DISMISSALS OR CANCELLATIONS. 3. CANCELLATIONS DO NOT RELEASE YOU OF THE OBLIGATION TO SUBMIT INSTALLMENT PAYMENT BALANCES ON THE SCHEDULED DUE DATES. 4. The camper and parents/guardians agree to abide by the rules and regulations set by the Director(s) for the health, safety, and welfare of the campers. This includes completion and receipt of the Health History and Immunization Record by May 15th. 5. The Director or other authorized staff reserves the right to deny, cancel, sever or suspend a child’s enrollment if deemed for the best interest of the camper, the camp or the club with no refund. 6. It’s All Fun & Games, LLC and Valleybrook Country Club, LLC are not responsible for the camper’s equipment or personal belongings, while in transit or at camp, if lost, stolen or damaged by theft, fire, or otherwise. PLEASE, do not bring personal items from home. 7. Camp dates subject to change with advance notice. 8. Camp will be closed on weekends, weeknights and the July 4th Holiday. 9. Your child will be provided with a limited Daycamp Membership at Valleybrook Country Club. Daycamp Membership offers the camper the use of the facility only during camp hours and only under the direction of camp staff. Camper may use facility only during weeks for which they have paid. Daycamp membership offers the camper to use the facility during designated hours and does not entitle any other member of family to use the facility at any time. 10. I consent to emergency medical care for my child. 11. I consent to have my child transported on field trips. 12. I give permission for my child to participate in special programs and activities including field trips and other camp related activities. 13. I give permission for my child to be videotaped, photographed, and interviewed for broadcast or publication for promotional purposes. I understand that It’s All Fun & Games, LLC and Valleybrook Country Club, LLC will exercise discretion regarding media contact. 14. I am responsible for any medical costs incurred by my child while enrolled in the camp. I assume sole responsibility of any first aid treatment sought and received from It’s All Fun & Games, LLC and Valleybrook Country Club, LLC including, but not limited to, allergic reaction to first aid and remedies rendered. Please provide all necessary medications or allergic reaction kits for bee stings, etc. 15. I am responsible for the cost of repairing or replacing any property that my child damages at It’s All Fun & Games, LLC, at Valleybrook Country Club, LLC, or while being transported to or from, or during any off-premise trip. 16. ANY CHANGES FOR SESSIONS MUST BE MADE IN WRITING & SUBMITTED TO THE OFFICE WITH A $25 ADMINISTRATIVE FEE PER CHANGE, PER CHILD. ALL CHANGES ARE SUBJECT TO AVAILABILITY. No changes in sessions will be made for absences, illnesses, suspensions or dismissals. If registering with Full Payment Option prior to April 1st, additional weeks may be added after April 1st, however the rate of the additional weeks will be based on the higher Full Payment Option rate. 17. If an Installment Payment Option balance is made later than 6:00 p.m. on the scheduled due date, a late fee of $10 per day, per child is due AND the child’s registration will be cancelled. 18. THERE WILL BE A $50 FEE FOR ANY CHECKS RETURNED FOR INSUFFICIENT FUNDS. FULL AMOUNT OF CHECK PLUS THE $50 FEE IS DUE IN CASH IMMEDIATELY UPON NOTICE. LIABILITY, ASSUMPTION OF RISK, INDEMNIFICATION AND RELEASE Liability: Each member of Valleybrook Country Club, LLC (“the club”) and/or It’s All Fun & Games, LLC (“the camp”) shall be personally liable for any personal injury caused by the member, member’s family or member’s guest which damage or injury occurs at the club or the camp, or at any of its pools, apparatus, equipment, facilities or programs. The member shall promptly pay the club for any property damage after presentation of statement. Assumption of Risk: The use of the swimming pools, any apparatus, equipment, facilities or services, owned and operated by the club, the camp, or The Kings at Valleybrook, LLLP is undertaken by the member, member’s family or guests AT SUCH PERSON’S OWN RISK, and the club and the camp shall not be liable for any injuries, death or damages to any such person, to the property of such person, or be subject to any claims, demands or damages resulting from such use. Each member agrees to and does knowingly waive the right to trial by jury in any dispute between the member, the member’s personal representatives, successors or assigns. Indemnification: Each member agrees to indemnify, hold the club or the camp or The Kings at Valleybrook, LLLP, its agents and employees, free and harmless from all damage, suits, liability, costs and expenses incurred in connection with the use of the swimming pools, any apparatus, equipment, facilities and services of the club and camp. Release: Each member hereby releases the club and the camp and The Kings at Valleybrook, LLLP from all damage, suits, liability, costs and expenses incurred in connection with the use of the swimming pools, any apparatus, equipment, facilities, and services of the club and the camp. Binding Effect: The above provisions are binding upon the member, the member’s personal representatives, successors or assigns. By checking the box below I represent that I have read and understand the Terms Of Enrollment and that each parent or guardian agrees to its terms and conditions. I also understand that I must complete and submit a Health History Form and Immunization Record for each Camper. Registration is complete upon receipt of deposit payment. Yes, I agree (REQUIRED) * Click Here to Print This Page>> A Registration Confirmation and Payment Receipt will be mailed. Please allow up to two weeks for processing.

It's All Fun and Games Camp - 1810 Valleybrook Drive, Kingsville, MD 21087 (410) 879-4460
Updated 1 February 2012

ONLINE REGISTRATION

Registrants must complete the online registration below. You will be directed to secure checkout for online payments.

All Fields Marked With an Asterisk ( * ) Are Required Enter "NA" if Not Applicable

All Fields Marked With an Asterisk ( * ) Are Required
Enter "NA" if Not Applicable