Forest Magic Camp 2024 Registration
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Email *
Name/pronouns/birthdate of adventurer #1 *
Name/pronouns/birthdate of adventurer #2
Name/pronouns/birthdate of adventurer #3
Name/pronouns/birthdate of adventurer #4
Name/pronouns/birthdate of adventurer #5
I am registering my camper(s) for *
Required
If you have talked to us about a non-standard registration, like coming for three weeks rather than 2 or 4, please include a note here about that
Do you need help with registration fees, or can you pay the regular registration fees as listed below:

Local Campers: 
$600 per session per camper
Visiting Campers: 
$700 per session per camper

If there are multiple campers in the family, there is a 10% sibling discount that will be applied to your total.

If you register for the entire month, the total per camper is $1100 with the local discount and the month long discount, and 1300 for visiting campers with the month-long discount.
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Required
My camper(s) do not attend public school and so are eligible for ESA finds to cover their registration fees. *
Required
We will require some scholarship assistance. I have checked all boxes that apply to our Yearly Household Income


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Required
If you are in need of a scholarship, please tell us how much you can pay towards your camper(s)' session(s). 

As an organization, we do not have the resources to provide full scholarships, but we do our best to meet the needs of every camper. 

Are there any extenuating circumstances we should know about? 

Please include the number of children under 18 in your household.
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A $50 deposit is required to reserve your camper(s) spot(s). This will be applied towards your registration fees when you pay them, but is non-refundable if you do not enroll in camp. 

If applicable, we will notify you about your scholarship status by May 15th if your application is received by May 5th, and confirm your final fees due at that time. 

All camp fees are due by June 15th, and if you do not need a scholarship you should receive your invoice within 3 business days of registering. 

We are unable to refund fees if vacation plans or school schedules change, so please be sure of your schedule when you register. 

Please type your name and the date below to confirm understanding.
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Family Mailing Address *
Parent/Guardian Name(s)/Phone Number(s)/email(s) *
Emergency Contact name(s)/ Number(s) *
To ensure a successful camp experience please include any pertinent information regarding special needs (IEP’s, Behavior Plans, medical history) in the form below. We can accommodate special needs on a case-by-case basis in order to establish the best strategy for a great summer camp experience! *
Health Care Provider and Phone Number *
Name of Clinic *
Health Insurance Plan name and Policy Number *
Subscriber's Name and relationship to camper *
Medical History: (please mark any of the follow conditions that your child experiences, and explain if necessary in the space below, if registering more than one child, please clarify which children experience which conditions in the space below the check list *
Required
If registering more than one child, please explain which children are affected by the above conditions *
Mental, Emotional and Social History (please mark any of the follow conditions that your child experiences, and explain if necessary *
Required
Mental, Emotional and Social History  - please explain or clarify if necessary, especially if registering more than one child, so we know who has been affected by the events marked in the previous question, or anything else we should no to effectively care for your camper(s). *
Information on allergies and diet:

Check the box if any of your campers have the following conditions that put them at risk for Anaphylaxis.

Do your campers need an epi-pen for any of the following reasons?
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Required
If you marked any severe allergies above, please explain here and let us know what we would do if your child cam in contact with one of these known allergens - can they self administer the epi-pen? Do they need help? We will always contact you immediately if an epi-pen is administered, and we will call 911 if we cannot reach primary or emergency contacts. *
Diet and nutrition: what do we need to know about your camper's dietary needs *
Required
Is there anything else we need to know to clarify your camper(s) dietary needs? *
Is there any medication that your child takes regularly at home? *
Asthma:  *
Required
Please list all medication needed during the camp hours here. Include emergency medications and over-the-counter medications. All medications must be unexpired and in original containers. Prescription medications must include the pharmacy label. If no medication is needed please write "none". *
Is there anything else we should no about medical/health needs of your camper? *
Medical Release:
This health history is correct and accurately reflects the known health status of the named camper(s). 

The camper described has permission to participate in all camp activities except as noted by me and/or an examining physician. 

I give permission to camp staff to provide routine health care; to administer prescribed or over-the-counter medications as described; and to provide or obtain emergency care and transportation for the camper if needed. 

I give permission to the physician selected by the camp to order x-rays, tests, and treatment related to the health of my child both for routine health care and in emergency situations. 

If I cannot be reached in an emergency, I give my permission to the physician to hospitalize, secure proper treatment for, and order and administer medication, injection, anesthesia, X-rays, special procedures, or surgery for this child, if deemed medically necessary. 

I understand that I am responsible for the cost of any medical care or prescriptions my child requires. I agree to the release of any records necessary for treatment, referral, billing, or insurance purposes. 

I understand that information on this form will be shared on a "need to know" basis with camp staff. 

I understand that all medications listed above for use at camp must be in their original containers, unexpired, and labeled with specific instructions, including the child’s name and dosage, and that any prescription medications must include the full pharmacy label. 

Insurance:I certify that the named camper(s) are covered by health and accident insurance or Medicaid and that the policy information given is correct. 

I give permission for my camper to participate in and walk to and through Coconino National Forest and the Mountainaire neighborhood in order to participate in camp activities, and to be transported in a vehicle should an emergency arise. 

Release/Pick-up: I understand the release policy as described and authorize Montessori Forest Adventurers and all staff to release my child to the people/methods listed on this form.

 I, the parent/legal guardian of the named camper, have read, understood, and agree to the above.

Please type your name and today's date below as an e-signature
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Day Camp Agreement of Terms: 

Program: I give permission for my child to participate in all camp program activities similar to those described in the emails, website, and social channels. I understand that Montessori Forest Adventurers (MFA) reserves the right to change program activities and cancel programs, should they decide in its sole judgment that it is necessary and appropriate to do so due to national or local emergencies.

Please type your name and today's date below as an e-signature
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Day Camp Agreement of Terms: 

Expectations/Dismissal: 

I have informed the Camp Directors of any limitations to my child’s participation and agree to abide by MFA's sole judgment as to whether my child can be accommodated in the camp program. I understand that failing to disclose any physical, emotional, or behavioral needs or conditions may result in the child’s dismissal from the program without refund. 

I understand that my child must follow stated behavioral expectations and safety rules, and that MFA reserves the right in its sole judgment to dismiss without refund any child whose behavior interferes with the rights and safety of others or consistently disrupts group dynamics or activities.

Please type your name and today's date below as an e-signature
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Day Camp Agreement of Terms: 

Sun and Bugs: 

I understand that outdoor exploration is an integral part of MFA programs and my child will be exposed to risks including but not limited to: mud, dirt, sun, spiders, insects, domestic and wild animals, scrapes and bruises from outdoor falls and trips. 

I understand that it is my responsibility to apply sunscreen and insect repellant to my child before bringing him/her to camp each day. 

I give permission to MFA staff to assist my child in re-applying sunscreen, insect repellant, and topical anti-itch cream, bandaids, anti-biotic cream, or lotion.

Please type your name and today's date below as an e-signature
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Day Camp Agreement of Terms: 

Hygiene /Safety Protocols: 

I understand that my child may use hand sanitizer with at least 60% alcohol when handwashing is not available. Hand sanitizer will be stored securely and used under the supervision of staff at all times. 

My child may also use the bathroom in the woods and be taught proper trail etiquette as far as burying their waste and leaving no trace, and using camp toilets. 

My child will be outside at all times. If it becomes unsafe to be outdoors my child will shelter in a vehicle and may be transported from the camp site in a vehicle if it is unsafe to do otherwise or unforeseen circumstances arrise.

Please type your name and today's date below as an e-signature
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Day Camp Agreement of Terms: 

Payment, Cancellation, and Refund:
I understand and agree to the payment, cancellation, refund, and late fee policies as described in this packet.

 I have read and agree to abide by the terms and policies listed above and those found in the camp emails, website, and social platforms.

Please type your name and today's date below as an e-signature
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Day Camp Acknowledgement of Risk and Assumption of Personal Responsibility: 

MFA staff members make every effort to conduct safe programs, to orient and support children, and to inform families of inherent risks. 

Some activities may involve risks that children do not routinely encounter at home. Risk management is an essential element of all the activities offered. While we anticipate that these efforts will ensure the well-being of each child, we are also aware that it is neither possible to foresee every contingency nor to eliminate all risk. 

I understand that program activities may include, but are not limited to: hiking on uneven terrain, playing active games, participating in activities near water, mud, pine needles, balancing elements, and bugs, and other activities such as cooking, making candles, and being near both camp dogs and wild creatures. 

The camp emails, website and social accounts will inform me of special activities that may also include, but are not limited to: using camp stoves or open campfires, using knives or other hand/ gardening tools, digging, lifting, carrying, backpacking, and using low ropes challenge course elements/bouldering and tree climbing. 

I acknowledge that such risks exist, and I hereby agree on behalf of my child to assume such risks. 

Further, on behalf of my child, I hereby release and forever discharge, and agree not to sue, and agree to indemnify and hold harmless, Montessori ForestAdventurers, and its directors, employees, and volunteers, from and against any and all liabilities and obligations of every kind and description, which I shall or may have against them or any one or more of them arising out of, or in connection with, my child’s participation in the MFA program and activities, including, but not limited to, sickness or death caused by the COVID-19 virus or any other communicable disease, or for any personal injury or loss of personal property that my child may suffer while participating in the MFA program and activities, excepting in the case of gross negligence by MFA staff. 

I understand that the camp recommends that my child be fully vaccinated against Covid-19 and all other childhood illnesses for which pediatricians recommend vaccination. 

If my child has a fever or is exhibiting other signs of illness, I will keep them home from camp (and test them to make sure they are not carrying covid). They should be fever free without medication for at least 24 hours before I send them back to camp. 

I understand and agree on behalf of my child that my child shares the responsibility for safety during MFA programs and activities, and I personally assume on behalf of my child that responsibility. I understand and certify that my child’s participation in the MFA program and its activities is completely voluntary, and that I have become familiar with the program activities in which my child may participate, as described in this document, camp emails, and the camp website,

Please type your name and today's date below as an e-signature
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Photo Release:

Montessori Forest Adventurers (MFA) uses images and sounds of children and staff participating in MFA programs as a way of documenting the enjoyable and educational experiences they have while exploring the natural world. 

MFA will not identify my child, or will identify my child only by first name and program, unless I give prior written permission to do otherwise. 

In consideration of the above, I hereby give my permission and consent to MFA for all 
(1) photographing, filming, and video/audio taping my child, 
(2) using and displaying images and sounds of my child in MFA’s websites, archives, and promotional or informational material, including, but not limited to, newsletters, website, advertisements, and newspaper/social media articles, and 
(3) submitting any such images and sounds of my child to the Certified nature Explorer Classroom Association for its publicity and use to illustrate and promote the camp experience, and I hereby waive and release on behalf of my child and myself any rights to compensation for, or ownership of, such images and/or sounds of my child and the above uses of them by MFA or CNE Classrooms. 

I have read this audio/visual image release and agree to its terms and conditions. 

Please type your name and date below as an e-signature
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