Evolution Study Buddies @NOMAD Registration 2020: Second Semester Begins 1/4/2021!
Welcome to the Evolution Study Buddies program for grades 1st-5th and 6th-8th (and for now K siblings of enrolled students) at NOMAD!  The program will run as a full (8hr) day or half-day (5hr) "camp" with staggered start times that would incorporate aspects of distance learning (such as supervising students as they complete e-learning assignments, attend/log-in for zoom meetings, etc.) and will also include swim time, field trips, art/science activities, swim & karate instruction and indoor/outdoor games. Please complete the registration form (per child) to submit your registration for the program and hold your spot.  To reserve a spot you must include payment information (on the last line) for your first week of tuition. This will be non-refundable if you are offered the days/times that you requested. If we can not accommodate your request and you cannot enroll we will refund your payment; if you wish to stay on the waitlist a $50 deposit will be retained and is non-refundable. New students will need to pay the full 9-weeks (minus the one week deposit) before the 1st day of attendance. Join FB Group for updates: https://www.facebook.com/groups/evostudybuddies 
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Email *
Weekly Tuition Rates
There may be additional fees requested for specific materials for art/science/enrichment activities or field trips (like an Activity Fee). We thought it better - being a new program - to request the activity/materials fee when we need it/have the activity scheduled rather than blindly collecting it up front.  Please initial below to acknowledge that you understand the table above. *
COVID Measures:   DO KIDS NEED TO WEAR MASKS?  *We are currently operating as "mask optional" for children enrolled in our programs* *NCDHHS says children 11&U don't have to wear masks*  *Masks are ineffective in wet/high humidity environments such as pool decks* *Many of our activities take place in chlorinated water* *We have large garage doors we open as weather to circulate air on deck.*  *Our counselor/facilitators will wear a face mask or shield in the rooms* *The front desk folks will be wearing masks when taking temperatures.* *We (NOMAD) receive NO federal/state/county/public funding whatsoever (which surprises people). It is completely family owned and operated, thus we are not bound by the NC mandate about masks in county buildings.* LOCKER ROOMS and COMMUNITY AREAS are deep cleaned daily and wiped down during the day. COVID NOTIFICATIONS:  If a family chooses to take a student for a COVID test, we will send an email to everyone saying "someone" had a Fever of X degrees (or significant symptoms) on day/night Y and went to go get tested on day Z. We will update you with contact tracing info and test results when available. We are not going to say who it is specifically.  We will send a second email to the people in the same orbit (kids who were in the same room, activity, van, etc. within 24 hours) letting you know. Again, this is just reporting of the SYMPTOMS. When we know if the test taken was negative, or positive, we will let everyone know and provide the information needed going forward at that point. Please INITIAL THAT YOU HAVE READ AND ACCEPT THESE POLICIES.
Child's First and Last Name *
Child's Gender *
Child's School *
School Not Listed - Enter Below
Child's Grade Level *
Child's Teacher (if known - can assist us with grouping) if known or list TBA; you can email us an update later. We will try to keep groupings by school to make managing e-learning platforms/assignments and zoom requirements easier to manage/facilitate. *
Friends/Family (not siblings) that are also in program (no guarantee we are able to make grouping requests, but we'd like to try)
Choose your attendance option *
Choose your time Option *
Which days? *
Required
Will you need early drop-off and/or late pick-up? Cost information to follow based on enrollment/interest/availability (but we should be able to accomodate if it is needed for your enrollment). *
Are you interested in Car Pool/Ride Share with someone in your neighborhood or who lives near you? *
IF your school is offering in-person learning days, would you like information about After School Programming (with transportation from FROM School to NOMAD) if there is enough interest? *
If YES to After School Programming with van transport what is your dismissal time and possible days?
Is your child a MATI karate student or referred by Glenn Carder?
Clear selection
Is your child currently registered with/participated in USA Swimming since 1/10/2020 (club/yr-round team participation)? If YES please, please also click OTHER and type club team name. *
Required
Does your child swim/participate on a summer league team? If YES, please also select OTHER and type name *
Required
Do you have a laptop or tablet that your child can bring to Study Buddies to use for your school's On-Line learning? *
What are your e-Learning Platforms? Please list any thing your school/class is using (that you know of right now) that you don't see listed.
Child's date of birth *
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Parent(s)/Guardian(s) First and Last Name *
Parent(s)/Guardian(s) Street Address *
Neighborhood/Area of address listed *
Parent(s)/Guardian(s) 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.  
Please tell us a little about your campers swim experience and ability level. If they might need a lifejacket, please include height/weight. *
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.
Please list and describe any health issues, medical conditions and/or physical concerns, as well as, any current medications.
Please list anything else you would like us to know about your child.
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. *
I acknowledge that Study Buddies is a CAMP (not a micro-school or official educational program). A Study Buddy will facilitate/assist with your child's online learning activities assigned for the day to the best of his/her ability and as the regularly scheduled time block permits (2-3 :45 min to :60 min sessions) and there is no guarantee that "all" assigned work will be completed by the end of camp time and may need to be completed at home. A Study Buddy will make sure your child is virtually present for any specific scheduled meetings/log-in times required. Study Buddies will embrace fun (and safe) play time, activities, and games, while helping parents get head start on the days online learning activities.  COVID protocols, schedules, and other procedures/policies will be distributed as soon as possible.
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. *
Payment Schedule (Refundable if there is a school/District Policy change). The minimum commitment is 7 weeks and is not refundable. TAX-ID will be provided for your documentation.
Clear selection
Please select the time frame of participation. If 7 or 14 weeks is selected, your spot may be filled in advance by someone on the waiting list (so there is not a guarantee that you can continue if you wish to do so). Tuition does not change if your school is "off" days during a week. Vacation Day Camps may be offered. *
Still accepting feedback/suggestions (we'll do what we can!) Join after registration: https://www.facebook.com/groups/evostudybuddies/
To process payment, please provide bank account ROUTING number and CHECKING ACCOUNT number below along with bank name. Checks Preferred, CC's accepted but will have a 3% convenience fee added (we are trying to keep the tuition fees low by requesting check ... email leigh@nomadaquatic.com if you wish to pay by credit card). Payment information below is for ACH Draft purposes if manual checks are not available and to draft registration payment. You may also drop off a check at the NOMAD front office 11202 Harris Rd. Huntersville, NC - but this must be done within 1 business day of registration. *
Guardian Signature *
Printed Name of Parent/Guardian *
Date Submitted *
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