Dragon s Lair Comics & Fantasy Summer Day Camp Information Sheet

Transcription

1 Dragon s Lair Comics & Fantasy Summer Day Camp Information Sheet Please select from the box(es) below which camp your child will be attending: Pokémon Camp June 12-16, 2017: 12-5 pm each day Magic the Gathering Camp June 19-23, 2017: 12-5 pm each day Dungeons & Dragons RPG Camp June 26-30, 2017: 12-5 pm each day Pokémon Camp July 10-14, 2017: 12-5 pm each day Magic the Gathering Camp July 17-21, 2017: 12-5 pm each day Board Game Camp July 24-28, PM each day Pokémon Camp July 31-4, 2017: 12-5 pm each day Magic the Gathering Camp August 7-11, 2017: 12-5 pm each day Dungeons and Dragons RPG Camp August 14-18, 2017: 12-5 pm each day Camper Name: Age: Gender: DOB: Food Allergies: (Y/N): If yes, please list: Medical Conditions and/or Special Needs: (Y/N): If yes, please list: *If camper needs accommodations made for any medical conditions and/or special needs please speak to our camp director so we can do our best to make arrangements. Parent/Guardian Name: Relation to Camper: Phone #: Secondary Phone #: Do you authorize any other person to drop off/pick up your child from camp? (Y/N): If yes, please fill out below: Alternate Guardian Name: Relation to Camper: Phone #: Secondary Phone #: Parent/Guardian Signature: Date:

2 Dragon s Lair Summer Day Camp Frequently Asked Questions: When should I drop off and pick up my child? Camp begins promptly at 12 pm each day. You are welcome to drop off your child as early as 11:30 am. We ask that you not plan to drop them off before that time because our camp counselors will be busy setting up for the day. Camp ends each day at 5 pm. Please plan to pick-up your child by 5:15 pm. If you will be running late or need to make arrangements for a late pick-up please notify the camp counselors when you drop off your child in the morning. If you are running late due to unforeseen circumstances, please give us a call at (512) and ask to speak to a camp counselor. Will snacks be provided during the day? Due to various food allergies we will provide water to the campers throughout the day. Any other snacks or drinks should be sent with the camper each day in a labeled brown paper bag. We will have a small reserve of snacks on hand for campers who forget to bring items with them but selection and quantity will be limited. Campers will be given at least two snack breaks during the day to enjoy the items they bring. For ease of use we ask that snacks are items that do not require refrigeration if at all possible. If you have a camper with special dietary restrictions please indicate this on the information sheet so that in the event we need to give them a snack from our reserve we are aware. What does my child get to keep from the camp? Through the course of each camp, the camper will receive materials to use that will belong to them at the end of the week. From day to day, we will ask the campers to turn in their supplies so we can make sure each camper has what they need to complete tasks. All supplies will be clearly labeled with each campers name and returned to them, as needed, at the beginning of each day. At the end of the camp the campers will be able to take home all of their items. We ask that only items given to them as part of the camp be checked in and that no items be brought from home outside of snacks and other needed items. What happens if I need someone to pick up my child who is not on the form I filled out? For safety reasons we will only release a camper to the persons on the camper information sheet. If you think there is a possibility that you may need more than one additional person please let us know and you can add up two extra authorized persons.

3 What happens in the event of a medical emergency? In the event of a medical emergency that requires attention beyond that of first-aid care we will take your child to the nearest appropriate medical facility. You will be contacted at your primary and secondary numbers as listed on the information sheet. If you are not able to be reached we will then contact the secondary contact. The medical waiver form you signed gives us consent to have your child cared for during a medical emergency. Any costs or medical decisions beyond consent for care will be the responsibility of the parent or guardian as indicated on the medical waiver form. What happens if my child violates the Dragon s Lair Summer Day Camp Code of Conduct? Campers that violate the Code of Conduct will be given two warnings. After the second warning the camper will removed for the camp until which time their parent/guardian can come and pick them up from the camp for the day. If the violation is severe or persists beyond the second warning the camper may be removed from the camp permanently at the discretion of the camp director. No refunds are available for campers who are removed from the camp due to a violation of the Code of Conduct. What is your refund policy? Dragon s Lair will only refund the cost of a camp if we are notified in writing at least 10 days before the start of the camp. Refund requests after the 10 day grace period will be at the discretion of the camp director. If you have any other questions that have not been covered here please feel free to give us a call or our events team at dlaevents@dlair.net.

4 Dragon s Lair Summer Day Camp Code of Conduct During your child s time attending Summer Day Camp at Dragon s Lair Comics & Fantasy, they are expected to behave with a certain level of decorum and civility. The following is a list of guidelines Dragon s Lair Comics & Fantasy campers are expected to follow while attending our Summer Day Camps. No swearing or offensive language. Keep voices appropriate for inside. (No yelling, screaming or excessive loud noise.) Conduct yourselves with civility; if you cannot resolve your argument civilly, please continue it another time. No drinks without lids or open food containers. Please close chip bags, cookie bags, or any other food container. We have two store cats. Please be respectful of them. (No chasing the cats, no laying on the cats and please do not pick up the cats without speaking to a store employee.) Do not feed the store cats. You are responsible for the cleanliness of the room or space you are using. All campers at Dragon s Lair Comics & Fantasy are expected to clean up after they use our space and leave the space as clean and neat as they found it. Show respect to Summer Day Camp Counselors and Dragon s Lair employees by listening to and complying with requests they make. Personal items brought from home (cell phones, backpacks, etc.) must not be left unattended. We are not responsible for lost or stolen items. Campers must stay within designated camp areas unless accompanied by a counselor. This includes trips to the restroom and other parts of the store. Campers must check in and out their camp materials each day until the camp week has ended. No items should be brought from home unless approved by a camp counselor. We expect everyone who comes into Dragon s Lair to show respect to everyone in the store. We have a welcoming environment we strive to maintain and all customers and players are expected to show good sportsmanship when it comes to dealing with others. Rude or abusive behavior is not allowed. By signing this form you are indicating that you have read and explained this code of conduct to your child and understand that a violation of this code may result in temporary or permanent expulsion from the camp at the discretion of the camp director. Parent/Guardian Signature: Date:

5 Dragon s Lair Comics & Fantasy Summer Day Camp Medical and Release Information Form Camper s Name: DOB: / / Male/Female Address: City: ST: Phone ( ) Emergency Contact Relationship Day Phone Evening Phone Family Physician: Phone: ( ) Preferred Hospital: Insurance Company: ID Number: Special Medical Instructions: regarding allergies, chronic illnesses, regular medication, allergies to medicines, learning difficulties, or physical problems: Parent Release: Liability and Medical Release Agreement: I, the undersigned adult, on behalf of myself and my child(ren) assume all risks and hazards reasonable related to the conduct of the program. Further, I do hereby release and hold harmless Fifteen-Two Enterprise LLC DBA Dragon's Lair Comics & Fantasy, its elected and appointed officials and employees, and organizer, sponsor, supervisor, contracted facilitator, or any volunteer connected with the program from any and all claims, injuries, damages, losses and suits, including attorney fees, arising out of or in connection with the program. I acknowledge that I have familiarized myself with the description of the activities, understanding the hazards and my child(ren) s personal limitations, and knowingly assume all risks. In the event of a medical emergency, I authorize transportation to the nearest appropriate medical facility, and authorize emergency medical care if no one listed on the MIF (Medical Information Form) can be reached. If applicable, I authorize Fifteen-Two Enterprise LLC DBA Dragon's Lair Comics & Fantasy program facilitators, to administer medication to my child as outlined on the MIF form, and release from all liability said facilitators for any injury resulting from the administration of those medications, provided all medications are administered in accordance with the schedule and conditions. In the absence of a signature, payment of fee and participation in the program shall constitute acceptance of the conditions set forth in this release. I grant full permission to use any photographs, videotapes, motion pictures, recordings or any other record of this program for any Fifteen-Two Enterprise LLC DBA Dragon's Lair Comics & Fantasy informational or promotional use. Parent/Guardian Printed Name: Parent/Guardian Signature: Date:

6 Participant Waiver & Release: I am fully aware of the special dangers and risk inherent in the activity, including physical injury, death, or other consequences that may arise or result directly or indirectly from the activity. Being fully informed as to these risks and in consideration of the privilege of participating in the Dragon's Lair summer camp, I hereby assume all risk or injury, damage, and liability and waive any right of recovery from or to bring suit against Dragon's Lair for any personal injury, death, or other consequences arising out of my voluntary participation of the activity, exempt for the sole negligence of Fifteen-Two Enterprise LLC DBA Dragon's Lair Comics & Fantasy. Parent/Guardian Printed Name: Parent/Guardian Signature: Date: