Camp Big Sky 2015 Registration Form Best of Big Sky is our day program for children entering 1st through 5th grade. Camp runs for 10 weeks this summer starting on June 15th, ending August 21st. The camp days are Monday-Friday, from 8:30am-5:30pm. Financial Information: Camp tuition for each day is $40 per child. There is also a one-time registration fee of $15 per child. We have a strict cap of 30 campers maximum each day. To reserve your spot, please pay a non-refundable deposit of $10 for each day per child. Payments are organized on a weekly basis, with each week having a separate payment deadline. Full payment for each week is due before the close of the week prior. (Example: A camper who is registered for 2 days in Week 4 must pay in full, the week’s tuition of $80, by the Friday of Week 3) Each week’s deadline is listed on the next page in the camp calendar. If payment is not received within this timeframe, you will lose your reservation. You may still attend camp if space allows, but you will be considered a drop-in. Drop-ins pay an inflated rate of $75 each day per child and will be turned away if we have already reached our 30 camper maximum. We are offering an early-bird discount of 10% off your tuition for those who choose to pay the non-refundable deposit before the start of camp. The early-bird deadline is May 20th. Early commitment helps us plan and budget for the summer ahead. The camp day ends at 5:30pm, late pick-ups are discouraged. It is camp policy that two adults be with the children at all times, and staying late puts our staff into over-time. If late pick-ups become a recurring event, you may be charged for that over-time and we reserve the right to deny future services. To reserve your spot, please register and include payment of the deposit and registration fee. There are two ways to register, online at http://bsccmt.org/about/camp-big-sky or on paper using this form. Credit card payments are only accepted online, using PayPal. Cash and check payments must register on paper using this form. Checks are made payable to Big Sky Community Corporation. Registrants may mail the completed forms to: BSCC PO Box 161404 Big Sky, MT 59716 If you have any questions, please contact Kristy Burt at [email protected] Camp Big Sky 2015 Registration Form Camper Name: Gender: Date of Birth (mm/dd/yyyy): Grade Entering for Fall 2015: Camper Name: Gender: Date of Birth (mm/dd/yyyy): Grade Entering for Fall 2015: You may register for any days within our camp calendar (shown below). Please mark the boxes for the dates you would like to register. Shaded boxes are for calculating prices. Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8 Week 9 Week 10 Monday Tuesday Wednesday Thursday Friday Weekly Subtotal ↓ 6/15 6/16 6/17 6/18 6/19 Due 6/12 6/22 6/23 6/24 6/25 6/26 Due 6/19 6/29 6/30 7/1 7/2 7/3 Due 6/26 7/6 7/7 7/8 7/9 7/10 Due 7/3 7/13 7/14 7/15 7/16 7/17 Due 7/10 7/20 7/21 7/22 7/23 7/24 Due 7/17 7/27 7/28 7/29 7/30 7/31 Due 7/24 8/3 8/4 8/5 8/6 8/7 Due 7/31 8/10 8/11 8/12 8/13 8/14 Due 8/7 8/17 8/18 8/19 8/20 8/21 Due 8/14 Summer Subtotal → Paid Deposit by May 20th? Early-bird Discount → Registration Fee $15/child→ Total → Deposit Due → Amount Enclosed → Camp Big Sky 2015 Registration Form My name is guardian of (name of parent/guardian) and I am the parent and/or legal (name of child), a minor child (“my child” or “the child”). In consideration for being granted the opportunity to participate in 2015 Camp Big Sky Programs (“the Activity”), I am agreeing to the terms of this Agreement, including the general waiver and release of liability described below and agree to be bound by the following: Identification of Risks: I fully understand that the minor’s participation in or observation of the Activity means that my child will be in an outdoor setting as an integral part of participation in the Activity. My child may be participating in or observing activites such as: hiking, biking, swimming, field games associated with softball and multi-use fields, tennis, frisbee golf, art, gardening, wildlife identification and tracking, on-site stream play and exploration, rock climbing, skateboarding, playground play and theater production and performance. Any of these activities may, by their nature, expose my child to a variety of risks, including the risk of serious bodily injuries and property damage, which injuries and damage could arise out of his or her own actions or inactions, those others participating in the Activity, the weather or other conditions in which the Activity takes place, his or her health conditions, the structure or maintenance of any facilities used in connection with the Activity, and equipment used in connection with the Activity. I also fully understand that all risks are not apparent, knowable or foreseeable. I acknowledge that use of protective equpment such as helmets and life jackets have benefits that may reduce or mitigate the severity of injuries to my child, but use of protective equipment is not a guarantee of safety. Assumption of Risk: I hereby knowingly and voluntarily assume all risks, known and unknown, relating to the Activity, including the risks of serious bodily injuries such as permanent disability, paralysis or death and agree to be responsible for any and all injuries, damages, costs, expenses and other losses that could arise at any time as a direct or indirect result of my child’s participation in or observation of the Activity. Waiver and Indemnification: Aware of the risk and willing to assume them, I for my child, myself, and my heirs, executors, administrators, legal representatives, assigns and successors in interest, to the fullest extent permitted by law, hereby release Big Sky Community Corporation, Artsplot, Boyne USA DBA Big Sky Resort, Montana Alpine Guides, Jake’s Horses, Fitness Fusion, Big Sky School District #72, Warren Miller Performing Arts Center, Montana Awareness Education Rehabilitation Association, Geyser Whitewater Expeditions, Skyline Bus Service, The Caravan of Dreams, Jack Creek Preserve Foundation, and their affiliated or parent companies, subsidiaries, officiers, directors, members, managers, employees, agents, guides, trainers, doctors, officials, organizers, concessionaires, volunteers or sponsors (“Released Parties”) from any and all claims by me or my child in any way connected with my child’s preparation for and/or participation in or observation of the Activity, both in law and in equity, in any way arising out of or resulting from damage to property or personal injury, conscious suffering, or death sustained by my child. Release from liability includes loss, damage, or injury resulting from intentional acts, failure to act, negligence, or any other cause or causes; except where caued by the gross negligence or willful or wanton misconduct of any of the Released Parties. This waiver and release shall bind my child any and all relatives, personal representatives, heirs, beneficiatries, next of kin, subrogees or assigns who might pursue any legal action or claim on my child’s behalf. I on behalf of myself and my child further agree that I WILL DEFEND, INDEMNIFY AND HOLD HARMLESS the Released Parties against all claims, demands and causes of action, including court costs and reasonable attorneys’ fees, directly or indirectly arising from any action or other proceeding brought by or prosecuted contrary to this Agreement for the benefit of me or my child. This Agreement extends to all claims of every kind and nature whatsoever, whether known or unknown. Camp Big Sky 2015 Registration Form Insurance: I, on behalf of myself and my child, currently have and agree to maintain throughout their participation, valid and sufficient medical and accident insurance. I understand that this is my sole responsibility and release all persons and entities from providing this coverage for my child. Emergency Medical Care: I verify that my child has no past or current physical condition that might affect their participation in Activity. In the event my child is in need of emergency medical treatment, I hereby authorize any medical care provider to carry out first aid or any emergency medical care and I accept responsibility and agree to indemnify the Released Parties for all such medical care and expenses. Photo Release: I hereby grant permission to the Released Parties the right to use my or my child’s photograph(s) in all forms of media and in all manners, including composite or other representations, for brochures, advertising and any other lawful purposes, and I waive any right to inspect or approve the finished product. Applicable Law: This waiver and release shall be governed by Montana Law and exclusive jurisdiction for any such claims shall be in State District Court in Gallatin County, Montana, or in a Federal Discrict Court in Montana. Severability: A determiniation of invalidity of any one or more of the provisions or conditions hereof by judgment, order or decree of a court shall not affect in any manner the other provisions hereof which shall remain in full force and effect. THIS AGREEMENT SHALL BE EFFECTIVE UNTIL TERMINATED IN WRITING BY BIG SKY COMMUNITY CORPORATION Child’s Name Birth Date I state that I am the parent or legal guardian of the above named minor child and as parent/legal guardian of this above named child, I agree to the terms and conditions identified above on behalf of myself and minor child and I am consenting to his/her participation and acknowledge that I understand that any and all risks, whether known or unknown, is expressly assumed by me and all claims, whether known or unknow are expressly waived in advance. I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY CAREFULLY, AND HAVING DONE SO AM SIGNING IT VOLUNTARILY AND UNDERSTAND THE CONSEQUENCES OF SIGNING THIS FORM. Signature of Parent/Legal Guardian Print Name Relationship to Child Mailing Address City, State, Zip Code Email Address Camp Big Sky 2015 Registration Form Emergency Contact and Pertinent Medical Information Camper Name: Address: City: State: In case of an emergency, please contact: Name: Relationship: Cell Phone: Home Phone: Work Phone: Please describe any pertinent medical information: Allergies: Other Conditions: Zip: Camp Big Sky 2015 Registration Form WHITEWATER INN POOL USAGE ACKNOWLEDGEMENT AND ASSUMPTION OF RISKS I ACKNOWLEDGE that participating in swimming carries significant risk of serious personal injury, death or property damage. I acknowledge that risks may include, but are not limited to, slipping or falling, impacting objects or being impacted by objects, equipment malfunction, clothing or body parts being caught in moving parts, injury while getting on and off of platforms, and equipment misuse by either the participant, other participants, or employees of Boyne Resorts. I also know that there are natural, mechanical and environmental conditions and risks, associated with these activities, which independently or in combination with my actions may cause severe or even fatal injuries to me or others. I acknowledge that I could suffer severe or even fatal injuries while participating in swimming, even if Boyne Resorts and its employees have acted with the utmost care and ability. I have been given an opportunity to inspect the facilities and agree by my participation to accept the conditions as they exist. I agree that I will accept and abide by the rules and regulations of Big Sky Resort. This Acknowledgement & Assumption of Risk shall be binding upon my heirs and assigns. I HAVE READ THE ABOVE TERMS OF THIS CONTRACT, UNDERSTAND THEM AND AGREE TO ABIDE BY THEM. IF SIGNING AS GUARDIAN/PARENT ON BEHALF OF A MINOR, I ACKNOWLEDGE THAT I HAVE AUTHORITY TO ENTER INTO THIS AGREEMENT. DATE: ____________ SIGNATURE: _______________________________ PRINT NAME:_________________________________________________________ ADDRESS:____________________________ CITY:__________________ STATE:______ ZIP CODE:__________ HOME PHONE:___________________________ DATE: _____________ _____________________________________ Signature of Parent/Guardian if Participant is under l8 years old DATE: _____________ ___________________________________________ WITNESS Being fully aware of the risks, conditions and hazards of swimming activities, I HEREBY AGREE TO WAIVE, RELEASE AND DISCHARGE any and all claims for damages for death, personal injury or property damage which I (or the minor in behalf of whom this is given) may have or which may hereafter accrue as a result of any participation in swimming, against any person or entity identified above whether such injury or damage was foreseeable or not, including any such claims regarding facility design or maintenance or the design or the condition of any equipment utilized by me while engaged in swimming. I further agree to forever HOLD HARMLESS and INDEMNIFY all persons and entities identified above, generally and specifically, from any and all liability for death, personal injury or property damage, resulting in any way from my (or the minor in behalf of whom this is given) participating in these activities.
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