Summer Camp Registration at Creative Beginnings

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Location: Rainier Beach

Thank you for your interest in camp--it's the 5th year of offering a supportive environment for movement, art and nature. Activities will include but are not limited to: yoga, mindfulness, music, outdoor play and art. Camp is operated by Occupational Therapist Kelly Bowman.

If you have any questions, please email Kelly at creativebeginningsinfo@gmail.com

Please complete one form per child you wish to attend.

Which week are you registering for: *

Dates: Aug 26-30, Times: 9am-12pm, Ages: 5-9 years old

Child's first name *

Child's last name *

Preferred pronouns *

Address *

Date of Birth

Age in August 2024 *

Parent/Legal Guardian *

Relation *

Parent/Legal Guardian Email *

Cell Phone Number *

Parent/Legal Guardian #2 *

Relation #2 *

Parent/Legal Guardian Email *

Phone Number #2 *

Emergency Contact Name other than Parent/Legal Guardian *

Emergency Contact Phone Number *

Child Attending is Covid-19 vaccinated? *

Yes

Any physical, mental, or other condition that would require special attention or medication while at camp? Write none if appropriate. *

List any allergies for example bees, peanuts, dairy. Write None if appropriate. *

Any dietary restrictions we should know about? Write None if appropriate. *

Are there any supports your child is receiving at school? Write none if appropriate. *

Payment Information

If the registration form has been submitted & processed BEFORE March 15th, 2024, you will receive notification for $350 ($50 early bird registration discount) payment. Zelle is the preferred method of payment. If your child is unable to attend at the time of camp, no refund will be given, however the camp spot can be transferred to another child. Your child's registration will be confirmed via email after the registration form and payment have been completed.

If the registration form has been submitted & processed AFTER March 15th, 2024, you will receive notification for $400 payment. Zelle is the preferred method of payment. If your child is unable to attend at the time of camp, no refund will be given, however the camp spot can be transferred to another child. Your child's registration will be confirmed via email after the registration form and payment have been completed.

TERMS AND CONDITIONS. I grant permission for the child to participate in all planned program activities. In case of accident or illness, the camp or its designee is authorized to secure emergency medical treatment. Prudent attempts will be made to contact parents immediately. I understand and agree to abide by the policies of Creative Beginnings. I understand that the above-named child will only be released to the names listed above.

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