Ventana Wildlife Society Registration / Waiver
Please complete registration for each child interested in participating for summer programming.
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Youth Name: *
Birth Date: *
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WeeOnes in the Woods (Ages 4-7): 3-hour long day camp sessions, on North County Recreation and Park District site (11261 Crane St, Castroville, CA 95012). Select which sessions you are interested in signing up for. Cost: Free for Castroville Residents. Max 8 kids per session.
AM (8:30am - 11:30am)
PM (12:30pm - 3:30pm)
June 26: Creepy Crawly Hunt
June 27: Earth Day Every Day
June 28: Nature Tales
June : Amazing Animals
July 1: Plant Power
August 1: Scats, Tracks, & Splats
August 2: Sensory Safari
August 3: Bone Zone
August 4: Celestial Time
August 5: Backyard Wilderness
FULL (waitlist) June 6 - June 10 Natural Science Discovery Camp (Ages 8-12): Day camps 8am - 4pm, one overnight camp out at Andrew Molera campsite in Big Sur (Thursday - Friday). Friday pickup at 12pm. Meet at North County Recreation and Park District (11261 Crane St, Castroville, CA 95012). Cost: Free for Castroville residents. Max 13 kids for this program
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June 27-July 1 Natural Science Discovery Camp (Ages 8-12): Day camps 8am - 4pm, one overnight camp out at Andrew Molera campsite in Big Sur (Thursday - Friday). Friday pickup at 12pm. Meet at North County Recreation and Park District (11261 Crane St, Castroville, CA 95012). Cost: Free for Castroville residents. Max 26 kids for this program
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Which dates are you interested in signing up for Single Day Adventures? (Ages 8-12) Day camps 8am - 4pm. Max 26 kids for this program. Cost: $65 / session ($55 / session when you sign up for 3 or more). Military discounts and scholarships available. Will receive an email for enrollment.
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July 5 - Condor Adventure, Andrew Molera, Big Sur
July 6 - Balcony Caves, Pinnacles National Park
July 7 - Tidepool Adventure, Point Pinos
July 8 - Habitat Hunt, Palo Corona, Carmel Valley
Military Family? *
Child's Preferred Pronoun *
Required
Address *
City *
State *
Zip *
Parent Name #1 *
Parent 1 -phone number *
Parent 1-work number *
email *
Parent #2 Name *
Parent #2 Cell # *
Parent #2  Work # *
List any additional phone numbers where parents / guardians can be reached in case of an emergency: *
School Name/District: *
Grade *
Does child have any drug, food or other allergies? *
Required
If Yes to question above, please describe
Does child run the risk of anaphylactic shock from an allergy - i.e. bee stings?     *
Required
Does child carry an epinephrine shot or an Epi-pen?   *
Required
Is child currently on any medication? *
Required
Does child carry and/or administer their own medication?   *
Required
Does child need reasonable accommodation, or is there any other information that staff should be aware of? *
Please list those authorized to pick up youth or who may be called if guardians cannot be reached. *
Waiver of Liability:
I hereby give permission for the above youth to participate in programs offered by the Ventana Wildlife Society (hereby referred to as VWS). VWS utilizes many properties where ownership varies, and works with a variety of community partners. VWS, California State Parks, the County of Monterey and other property owners where the programs occur or community partners are referred to as “Releasees”. I understand and accept that program sites may be wilderness areas and that hiking on trails and in open areas constitutes a risk of injury, including but not limited to injury sustained in slipping and falling on uneven, rocky or wet terrain and exposure to poisonous flora and fauna. I further understand and accept that wildlife may act or react unpredictably and that there is an inherent risk assumed in contact with wildlife. I will indemnify, save and hold harmless each of the Releasees, their owners, agents, employees, volunteers, successors and assigns, from any and all liability, claims, demands, actions and causes of action whatsoever arising out of, or from, any omission or activity resulting in personal injury, property damage, or otherwise sustained by my child while participating in any of the activities or programs conducted by VWS or during the transportation of my child to and from such activities and programs to the fullest extent permitted by law. My child is in good health and suffers no disability, handicap, susceptibility or allergy which would prevent participation in VWS programs, or which would unreasonably increase the risk of serious injury to him/her. This obligation to indemnify, save and hold harmless the Releasees extends to the expiration of the statute of limitations applicable to claims arising out of VWS programs. Permission for Medical Treatment: Administrative procedures vary among medical personnel and medical facilities with regards to provision of medical care for a child in the absence of the parent. The exact procedure required by the physician or hospital to be used in emergencies cannot be verified in advance. In case of an accident or emergency, I authorize VWS to take my child to the nearest medical facility for such treatment and measures as deemed necessary for the safety and protection of the child, at my expense.  I have read, understand and agree to the foregoing terms and conditions. Please sign and date
Waiver of Liability: Please sign and date *
Ventana Wildlife SocietyCOVID-19 Participant Agreement:
Ventana Wildlife SocietyCOVID-19 Participant Agreement: Your safety and the safety of all our participants and employees is Ventana Wildlife Society’s top priority. In light ofCOVID-19, we are taking additional precautions for programming on top of our long-established risk managementmeasures.First, our management is staying current with state and local public health department information to ensure weunderstand and follow applicable public health guidance to mitigate the risk of COVID-19 at in-person program activities.Our mitigation plan includes:• Pre-attendance awareness of COVID-19 and safety protocols;• Pre-program temperature checks of participants and staff• Face coverings (e.g., neckerchiefs or gaiters are generally considered insufficiently protective face coverings) must beworn by participants while traveling to the activity, throughout the time they participate in the activity, and whilereturning home from the activity;o If the activity is for more than one day, participants must bring and wear a clean face covering for each day;• Social distancing will be practiced to the extent possible; we also know the very nature of our program activities makessocial distancing difficult in many situations and impossible in others.• Health screening upon your arrival at the activity conducted by our staff;o Note: Because of the contagious nature of COVID-19, should anyone in the group not pass the arrivalscreening, the entire group will not be allowed to participate in the activity;• Limits on visitors at the activity;o All visitors will be screened upon arrival before entry to the activity;• Hand Hygiene reminders throughout activity experience;o Extra handwashing /sanitizer throughout the activity;o Staff will clean and disinfect high-touch surfaces and shared program equipment between programs;• An emergency response plan that includes isolation and quarantine protocol should a person at the activity developsymptoms of COVID-19 or other communicable disease;These precautions are important, but they do not remove the potential for exposure to COVID-19 or any other illnesswhile at VWS programs. Some people with COVID-19 show no signs or symptoms of illness but can still spread the virus,and people may be contagious before their symptoms occur. These factors mean that an infected person may pass therequired health screenings and be allowed to participate.Information from the Centers for Disease Control and Prevention (CDC) states that older adults and people of any agewho have serious underlying medical conditions are at higher risk for severe illness from COVID-19. If you are in thisgroup, please ensure you have approval from your health care provider prior to attending this activity.Assumption of Risk AgreementI acknowledge that I am aware of the contagious nature of COVID-19 and that I will take all reasonable public healthprecautions to avoid becoming infected by it, including avoiding crowded places, wearing a face covering, practicingsocial distancing of at least six feet, hand hygiene by frequent hand washing or use of hand sanitizer with at least 60%alcohol, and by limiting in-person contact with others to the maximum extent possible, particularly those who are notfollowing the foregoing public health precautions.I voluntarily assume the risk that I may be exposed to or infected by COVID-19 by attending this activity, and that suchexposure or infection may result in personal injury, illness, permanent disability, and, in extreme cases, death. Iunderstand that the risk of becoming exposed to or infected by COVID19 may result from the actions, omissions, ornegligence of myself and others.I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself (including,but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense of any kind thatI may experience or incur in connection with (“Claims”).I hereby release, hold harmless, and covenant not to sue Ventana Wildlife Society, it’s vendors, and each of theiremployees, volunteers, agents, and representatives (collectively, “Released Parties”) from any and all Claims, includingall liabilities, claims, actions, damages, obligations, costs or expenses of any kind arising out of or relating thereto. Iunderstand and agree that this release includes any Claims based on the actions, omissions, or negligence of theReleased Parties, whether a COVID-19 infection occurs before, during, or after participation in program.This Assumption of Risk Agreement shall be construed under the laws of the state of California. If any provision of thisAssumption of Risk Agreement is deemed unenforceable by law, (a) the Released Parties shall have the right to modifysuch provision to the extent necessary to be deemed enforceable, and (b) all other provisions of this Assumption of RiskAgreement shall remain in full force and effect.I HAVE READ THIS WAIVER, UNDERSTAND IT, AND AGREE TO BE BOUND BY IT.
Ventana Wildlife SocietyCOVID-19 Participant Agreement: Please sign and date *
Media Consent:
I understand VWS may publish photographs of or by, information about, artwork, written work and / or statements by parents / participants through various media forms to showcase programs and activities, and provide an opportunity to learn more about VWS. I give VWS permission to publish my, and my child’s name, image, written work and / or artwork free of charge for such purposes.
Media Consent: Please sign and date
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