NOMAD Summer Camp 2021
Join us for another fun Summer of Camp at NOMAD!  We keep the kids entertained and busy with all sorts of fun activities like kids yoga, swimming (with instruction time), arts and crafts, outdoor sports AND MORE!
We also have a a special walk-over service for Skybrook families participating in the Skybrook Swim Team at NO additional charge!  We will walk kids to and from Skybrook practice and camp so they can participate in both!
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Email *
Child's First and Last Name *
Child's Gender *
Child's Age as of 1st day of camp & rising grade *
School Attending in Fall & Neighborhood *
Child's date of birth *
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T-Shirt Size
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Choose your week(s) *
Required
Choose 1/2 days or Full Days *
Required
Will you need before care and/or after care?  Additional charge of $10 per day for early drop off at 7:30am and late pick up at 5:30pm.
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Are you interested in a shuttle pick-up from a morning summer league swim practice (FREE). *
If you answered YES above, please list end time for morning practice (or start/finish for drop-off/pick-up)
How did you hear about Camp NOMAD?
1st
2nd
3rd
4th
5th
Interested but not as much
Not at all interested
Mad Science
Color Wars
Mystery Madness
Fairies & Fossils
Pirates & Mermaids
Around the World
Rock & Pop Stars
Animal Planet
Craft & Create
Under the Sea
Mess-Olympics
Mythbusters
Minute to Win It
Surivor
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Parent/Guardian First and Last Name *
Parent/Guardian Street Address *
Parent/Guardian Contact Phone Number *
Emergency Contact First and Last Name *
Emergency Contact Contact Number *
Emergency Contact Relationship to Camper *
Please list those people in addition to Parent/Guardian that are permitted to pick up your camper and their phone number and email address.  
Please tell us a little about your campers swim experience and ability level. *
Medical Information: Name of Insurance Provider & Policy Number *
Medical Information: Primary Physician *
Please list ANY allergies that your camper has to any food, medications or environmental factors or type NONE. *
Please list and describe any health issues, medical conditions and/or physical concerns, as well as, any current medications or type NONE. *
Are you interested in lunch delivery/orders (additional fees) *
Will you allow NOMAD Aquatics & Fitness to transport your child for any pre-approved field trips? (additional fees may apply depending on the activity, but not for the transportation). *
$25 Registration Due - covers 1 year of programs (camps & lessons) *
Terms of Agreement: NOMAD Aquatics & Fitness and its co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change.  I understand that no fees will be refunded or transferred unless a child is unable to participate due to an accident or illness with accompanying physician's note.  Children's photos and quotes may be used for publicity purposes,  In case of an emergency, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or physician).  Please initial below. *
Photo Release: I hereby give permission for my child to be photographed at NOMAD Aquatics & Fitness.  I understand the photos will be used for promotional purposes.  I understand that although my child's photograph may be used for advertising, his or her identity will not be disclosed.  I do not expect compensation and that all photos are property of NOMAD Aquatics & Fitness and its affiliates.   Please initial below. *
COVID Acknowledgement and Waiver: NOMAD Aquatics & FitnessCOVID-19 WaiverNOMAD Aquatics & Fitness cannot prevent participants from becoming exposed to, contracting or spreading COVID-19 while participating in this camp.  It is not possible to prevent against the presence of the virus.  Therefore, if you choose to participate in this camp, you may be exposing yourself to and/or increasing your risk of contracting or spreading COVID-19. BY ATTENDING OR PARTICIPATING IN THIS CAMP, YOU VOLUNTARILY ASSUME ALL RISKS ASSOCIATED WITH EXPOSURE TO COVID-19 AND FOREVER RELEASE AND HOLD HARMLESS AQUATIC PERFORMANCE OF CHARLOTTE CORP., NOMAD AQUATICS & FITNESS AND EACH OF THEIR OFFICERS, DIRECTORS, AGENTS, EMPLOYEES OR OTHER REPRESENTATIVES FROM ANY LIABILITY OR CLAIMS INCLUDING FOR PERSONAL INJURIES, DEATH, DISEASE OR PROPERTY LOSSES, OR ANY OTHER LOSS INCLUDING BUT NOT LIMITED TO CLAIMS OF NEGLIGENCE AND GIVE UP ANY CLAIMS YOU MAY HAVE TO SEEK DAMAGES, WHETHER KNOWN OR UNKNOWN, FORESEEN OR UNFORESEEN, IN CONNECTION WITH EXPOSURE, INFECTION, AND/OR SPREAD OF COVID-19 RELATED TO PARTICIPATION IN THIS CAMP. Please initial below.
Guardian Signature *
Printed Name of Parent/Guardian *
Date Submitted *
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To process payment, please provide a debit or credit card number below along with the expiration date and CVV code for the card being used OR ACH info (bank name, bank routing number and account number).  A $50 per camper/per week NON-REFUNDABLE deposit will be processed to confirm your spot.  The balance for each week (minus the deposit) will be processed on the Friday before the start of each week's camp.  Please note:  there will be a 3% fee is paying by debit or credit card.
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