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Camp Kellogg Registration Summer 2021

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  • Cancellation and Refund Policy * Required
    There is a non-refundable $50 deposit, per camper, per week of registered camp. The deposit is applied to the camp cost.

    If you cancel two or more weeks prior to camp, you will receive a 100% refund (less the non-refundable $50 deposit)

    If you cancel within two weeks of the camp start date, you are responsible for 50% of the total camp cost if we are unable to fill the spot.

    If you withdraw from camp after the start date, there is no refund.
  • Camper T-shirt Size (included with camp cost) * Required
  • Only one additional allowed from the website
  • Does your student have allergies to any of the following? * Required
    Select all that apply
  • Does your student have a history of any of the following conditions? * Required
    Select all that apply
  • Is your student currently taking any prescription medications? * Required
  • COVID Protocol & Procedures * Required
    Camp will primarily be held in our outdoor classroom spaces. While learning and exploring outside, the children will not be required to wear masks. However, when inside the classrooms, both instructors and children will need to wear masks that cover their nose and mouth. At the instructor’s discretion, students may be asked to wear their masks outdoors temporarily for brief teachable moments.

    At drop off, Camp Instructors will have you verify that your child, everyone in your home and close contacts have NOT had the following in the past 72 hours:

    Fever (100.4 degrees F or higher)

    Sore throat

    Persistent Cough

    Trouble breathing

    Professional cleaning of bathrooms and shared spaces will take place on a weekly basis. After class each day, common surfaces, doorknobs, and light switches will be sanitized.
  • Photo Release Form * Required
    I grant Alaska Pacific University and its representatives and employees the right to take photographs of my child and his/her property in connection with Camp Kellogg programming. I authorize Camp Kellogg, its assigns and transferees to copyright, use and publish the photographs in print and/or electronically.

    I agree that Camp Kellogg may use such photographs of my child with or without his/her name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and/or web content.
  • Consent for Emergency Medical or Surgical Care * Required
    In the rare event of an emergency, I hereby give my permission to the medical personnel selected by the program director to provide routine health care; to administer medications; to order x-rays, routine tests, treatment; to release any record necessary to insurance purposes; and to provide or arrange necessary related transportation for me/my child. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by the program director to secure and administer treatment, including hospitalization, for the person named above. This form may be photocopied for trips away from campus. All information is strictly confidential. Camp Kellogg does not cover accident insurance coverage for participants; you must carry your own accident insurance coverage. I authorize the above information for insurance purposes.

    It is understood that a conscientious effort will be made to locate me or my child's other legal guardian. I understand my obligation to keep Camp Kellogg informed of my whereabouts. I will assume the cost of necessary medical or surgical care.
  • Authorization to Participate * Required
    My son/daughter/dependent has permission to participate in all Camp Kellogg activities. I recognize that my child will be participating in active, outdoor programs with other children and that accidental injuries and illnesses may result. I assume the inherent risks of, but not limited to, the following: running, hiking, skiing, snow shoeing, ice skating, dog mushing, group games, wildlife, and inclement weather, and authorize my child's participation. Camp Kellogg instructors do not provide transportation to participants. I understand that I am responsible for transporting my child to any activity occurring off-site. If I am unable to attend, it is my responsibility to arrange a ride-share with another parent or guardian. On occasions, photographs of participants are used for publicity purposes or included in grant applications submitted to charitable foundations. I authorize Camp Kellogg to use photographs taken for these purposes. Camp Kellogg is hereby released from all claims, liability, and losses for actions taken in good faith during this program.
  • If you agree to the above statement, please type your name in the dialogue box below.
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