2018 Woodland Discovery Equestrian Camp Registration Form

Ages:
8-15 (Beginner)
10-15 (Advanced)

Cost:
BEGINNER
- Nonmember: $355
- Park Member: $315

ADVANCED
- Nonmember: $390
- Park Member: $350

BEGINNER
Session I: June 11-15
Session II: June 18-22 CLOSED

ADVANCED
Session III: June 25-29

Camp Hours: 8:30am - 2:30pm
*Aftercare available 2:30pm - 5:30pm*
Early Drop-off as early as 7:30am

*Questions? Call 901-222-7267 or email Natalie at nwilson@shelbyfarmspark.org










































































Please list adults OTHER THAN guardians/parents who have permission to pick up your child.









































Camp Fee (8:30am-2:30pm)

BEGINNER CAMP
- $355 nonmembers
- $315 park members OR 2nd child enrolled

ADVANCED CAMP
- $390 nonmembers
- $355 park members OR 2nd child enrolled

Aftercare Fee (2:30-5:30pm)
- $50 non-members
- $25 park members OR 2nd child enrolled

*A $50 deposit (included as part of your total payment) is due within a week of your registration to hold your camper's place. Please specify below if you'd like to be called for this payment or will be mailing a check.

* Full camp payment balance is due by Friday, June 1, 2018. Please specify below if you'd like to be called for this payment or will be mailing a check.
















I understand that outdoor activities entail known and unanticipated risks and that participation in Woodland Discovery Nature Camp at Shelby Farms Park involves a certain degree of risk that could result in injury, paralysis, death, or damage to myself, my child, or to property. In consideration of the benefits to be derived and after carefully considering the risk involved, and in view of the fact that precautions will be taken to ensure the safety and well-being of all participants to the best ability of trained staff members, I agree and promise to accept and assume all of the risks existing in this activity. My or my child’s participation in any Woodland Discovery Summer Camp is purely voluntary, and I elect to participate in spite of the risks.

I hereby release and waive any and all claims that I may have against Shelby Farms Park Conservancy (SFPC) and their employees, agents, representatives, or volunteers, arising from participation in Summer Camp. I agree to fully indemnify and hold harmless SFPC and their employees, agents, representatives, and volunteers from any and all claims arising from my or my child’s participation in SFPC programs. This indemnification expressly includes any claims arising out of SFPC’s own negligence or fault or that of their employees, agents, representatives, or volunteers. I agree that the indemnification includes the amount of the claims, the expense of defending against the claims, court costs, and attorney fees.

I have had sufficient opportunity to read this entire document. I have read and understood it, and I agree to be bound by its terms.

Rules for participants are the same for everyone without regard to race, color, national origin, gender or disability. I understand that all campers will be treated as individuals and respect will be shown for a range of abilities and behaviors. I agree that SFPC reserves the right to dismiss a child from SFPC Woodland Discovery Nature Camp whose special needs they are not able to provide for or whose conduct is not in the best interest of the program community, without refund. I will notify the director if my child has any serious restrictions related to his/her participation in the SFPC Woodland Discovery Nature Camp.

I hereby give permission to SFPC to transport the camp participant named above off the camp property for the purpose of medical care or program activities as deemed appropriate by the Camp Director. I hereby authorize the camp RN to provide for and secure treatment of all health issues that arise at camp for camp participant named above. In the event I cannot be reached in an emergency, I give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and to order injection, anesthetic or surgery for the camp participant named above. I understand that SFPC does not provide accident/medical insurance for the camp participant named above. Medical bills, including prescription drugs, will be the responsibility of the parent or guardian named below. I authorize SFPC to use any of my credit cards on file to pay for medical bills and/or prescription drugs.

I agree to the following policies regarding program fees: Deposits are non-refundable; No refunds will be given for canceling within 7 days of my child's SFPC Woodland Discovery Nature Camp session; No refunds are given if a participant is dismissed from the SFPC Woodland Discovery Nature Camp due to disciplinary action; No refunds are given if participants leave early due to homesickness or personal commitments. Payment is due in full by June 1, 2018.

Shelby Farms Park Conservancy has my permission to use photographs taken of my child while at SFPC Woodland Discovery Nature Camp for promotional purposes.

We or I (Parents/Guardian) have read and agree to all the conditions of this registration.















Powered by Smartsheet Forms
Privacy Policy   |   Report Abuse
Your submission is being processed. Please do not close this browser window until complete.