Cat Camp For Kids! - Hermitage Cat Shelter

Registration Form
Space is Extremely Limited, so
register early!
Please Register my Child for Cat Camp for Kids!
Check Desired Week
[] Week 1 []Week 2 []Week 3 [] Week 4 []Week 5
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Child’s Name
Registration Deadline is June
12, 2015
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Date of Birth
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Address
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City
State
Zip
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Please Note:
There is a $25 cancellation fee.
Parent’s Name
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Daytime Phone Number
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Any Questions?
Email Address
In Case of Emergency, Please Call:
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Name
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Phone Number
Contact Ryan Inama, Development Assistant at [email protected] or
Emma Crawford,
Marketing Specialist at
[email protected]
Is there anything special we should know about your child? (allergies, health restrictions, etc.?)
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You can also call 520.571.7839
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Please Charge My:
[] Visa
[] MC
The Hermitage No-Kill Cat Shelter
[] Discover
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Card Number
Exp. Date
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Signature
5278 E 21st Street
Tucson, AZ 85711
[email protected]
Cat Camp For
Kids!
Kitten Camps for children aged 6-9 years
Moggie Camps for children aged 10-12 years
Cat Camp for Kids Program & Schedule
Cat Camp Activities
Cost: $200 per child,
for ages 6-12
Meet & Socialize the Cats
Visit With Shelter Staffers
Camp Schedule
Monday to Friday, 10am to 4pm
Learn Animal Kindness
Get a Humane Education
Learn about & Play With Cats
Week 1: June 22-26, for 6-9 years old
June 29-July 3: No Camp due to 4th of July holiday
Meet Other Kids Who Love Cats
Week 2: July 6-10, for 10-12 years old
Arts & Crafts
Week 3: July 13-17, for 6-9 years old
And Much More...
Week 4: July 20-24, for 10-12 years old
Week 5: July 27-31 for 6-9 years old
Release, Consent & Indemnification
The undersigned parent/guardian of
______________________________________ (“Minor”) hereby
consents to the Minor participation in the Cat Camp for Kids of
The Hermitage No-Kill Cat Shelter, Tucson, Arizona, and all of its
activities and programs and in consideration thereof provides the
Release, Consent and Indemnification. The Undersigned, for himself
or herself and on behalf of said Minor, does hereby absolutely and
unconditionally release, indemnify, hold harmless, and forever discharge The Hermitage No-Kill Cat Shelter, its employees, successors, assigns and agents and each of them, for and against all
claims, demands, obligation and liabilities of every kind and nature
whatsoever, including, without limitation, negligence, including the
negligence of The Hermitage No-Kill Cat Shelter and its Agents,
occurring during, directly or indirectly resulting from or arising
out of the Minor’s participation in such Cat Camp for Kids. As to
matters covered hereby, the Release, Consent and Indemnification
shall pertain to all claims, demands and rights which the undersigned Minor and/or each other heirs, successors, and assigns has
or may ever have against the parties released and indemnification
hereby, or any other them, for any injuries, costs or damages to
the Minor occurring directly or indirectly resulting from or arising
out of the Minor’s participation in such Cat Camp for Kids whether such injuries, costs or damages are known, unknown, foreseen
or unforeseen, ascertainable or unascertainable or suffered by participant or any other person.
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Parent/Guardian Signature and Date
You May use photos, slides, or videos of my child in public service,
promotional, educational or internet materials for The Hermitage
No-Kill Cat Shelter
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Parent/Guardian Signature and Date
You May Not use photos, slides or videos of my child in public
service, promotional, educational or internet materials for The
Hermitage No-Kill Cat Shelter
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Parent/Guardian Signature and Date
Please Note: The Hermitage No-Kill Cat Shelter is not a
licensed day care facility, and as such, children can leave of
their own volition.