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Safari Day Camp 2019 Lion Country Safari (561) 793-1084 x 2127 2003 Lion Country Safari Road Fax (561) 793-9603 Loxahatchee, FL 33470 www.lioncountrysafari.com *** EARLY REGISTRATION*** education@lioncountrysafari.com ***February 15 March 15, 2019 only*** education@lioncountrysafari.com Directions: Please Print or type all answers. Your child will be enrolled after the completed application and payment are received and if space is available. You will receive a confirmation email once the completed application is accepted. All parts of the application must be completed in full and signed. Payment must be made in full for all sessions enrolled at time of registration (see page 5). Name of parent(s): Address: City State Zip Phone: Parent 1: Parent 2: Email: Parent 1: Parent 2: If parents are unavailable in an emergency, please contact (Name) (Relationship to camper): (Phone): Name of Camper 1: (Camper s Last Name) (Camper s First Name) (M.I.) Birthdate: / / Age: Grade (2019-2020): q Male q Female T-shirt size: q Sm. 6-8 q Med. 10-12 q Lg. 14-16 q Ad. Med. q Ad. Lg. q Ad. X-Lg. Health or any other concerns? Name of Camper 2: (Camper s Last Name) (Camper s First Name) (M.I.) Birthdate: / / Age: Grade (2019-2020): q Male q Female T-shirt size: q Sm. 6-8 q Med. 10-12 q Lg. 14-16 q Ad. Med. q Ad. Lg. q Ad. X-Lg. Health or any other concerns? T-shirts: One T-shirt is included with paid registration, no matter how many weeks child is enrolled. Safari Day Camp T-shirt must be worn each day. Please Note: We use the applications to place our T-shirt order. The size you order is the size your child will receive on the first day of camp. For health concerns, we cannot exchange T-shirts once the child puts the shirt on. We only have VERY LIMITED extra shirts for purchase during camp. Additional T-shirts are available for $10 each with this application. Additional supplies may not be available once camp begins, and T-shirts will cost $15 each then. This is the best time to purchase extras. # extra T s for Camper 1 # extra T s for Camper 2 TOTAL # OF ADDITIONAL T-SHIRTS AT $10 PER SHIRT at registration = $ (See p.6) page 1

Weekly Sessions Safari Day Camp 2019 Please check the week(s) for which you are applying. The themes for each week are noted; however, they are subject to change without notice. There are 3 lion enrichment weeks. x Wk # Dates Mammal Bird Reptile Zoo Keeper Nature/ Habitats 1 June 17-21 Zebra (Lion enr. wk) Ostrich Snakes Animal Artist Grasslands 2 June 24-28 Primates Macaw Lizards Chimp Keeper Rainforest 3 July 8-12 Antelope Owl Alligator Animal Everglades (Lion enr. wk) Theatre 4 July 15-19 Giraffe Lory Turtles & Animal Health Geology Tortoises 5 July 22-26 Rhino Flamingo Dinosaurs Animal Chef Cryptozoology 6 July 29- Aug. 2 Lion (Lion enr. wk) Pelican Reptile Invaders Petting Zoo Keeper Ocean Please note that registration is available on a first-enrolled, first-served basis. Camp sessions fill up quickly, so please register early. No camp the week of July 4. Total number of weeks applying for: Our Extended Care policy has changed. Please read carefully: Camp hours are Monday Friday from 9:30am to 4:30pm. Campers may be signed in as early as 9:15am. Extended care is available for morning (8:00-9:30am) at $10 per camper, per day; afternoon (4:30-5:30pm) at $10 per camper, per day; or both morning and afternoon for $20 per camper, per day. If you drop your child off before 9:15 am or pick up after 4:30 pm, you will be charged the $10.00 for morning or afternoon (or both) extended care. The park closes at 5:30 pm, so extended care ends at 5:30. You must make arrangements to pick up your child by then. If your child is picked up from 5:30-5:45pm, there will be an additional $10 required. If from 5:45-6:00pm, there will be an additional $20 required. Extended care required? q No q Yes Which Day(s)? q Monday am q Tuesday am q Wednesday am q Thursday am q Friday am q Monday pm q Tuesday pm q Wednesday pm q Thursday pm q Friday pm q Mon. am & pm q Tues. am & pm q Wed. am & pm q Thurs. am & pm q Fri. am & pm page 2

SAFARI DAY CAMP RATE SCHEDULE 2019 Parents: Sometimes paperwork is misplaced, faxes go astray, and mail is not delivered. Unless you have a receipt and confirmation email from our camp, your child is NOT registered. If you have not received a receipt and confirmation within 3 days of sending in your application materials, check your spam folder. If you still have not received these, please contact us. We do our best to accommodate reasonable requests. However, there are some things we cannot do. When we are at capacity, we cannot add spaces. Please note that we reach capacity most weeks. We will try to accommodate special requests for placement, but we will not honor requests that are detrimental to the interests of camp. For example, we will not place a very young child with a much older sibling in a group of older campers. Likewise, we will not place a much older camper with a group of young campers. Thank you for your understanding. Weekly tuition includes: Daily lunch and snack; 1 T-shirt, 1 cap, 1 water bottle, supplies, and admission to all activities. Only one T-shirt, water bottle, and cap will be given to each camper, regardless of number of weeks enrolled. Additional supplies (T-shirts, caps, water bottles) may be purchased for $10 each with registration. Supplies are limited. If additional shirts are available during camp, you may purchase them at the welcome table for $15 each. Camp T-shirt must be worn each day. Closed-toed shoes required. EARLY REGISTRATION RATE ($10 discount per week, per camper) ENDS MARCH 15, 2019! Early Registration Rate 2019 Early Reg. Annual Pass Rate 2019 Each week = $280 Each week = $260 Total 1 camper 2 campers number of weeks enrolled 1 $280 $560 2 $560 $1,120 3 $840 $1,680 4 $1,120 $2,240 5 $1,400 $2,800 6 $1,680 $3,360 Total 1 camper 2 campers number of weeks enrolled 1 $260 $520 2 $520 $1,040 3 $780 $1,560 4 $1,040 $2,080 5 $1,300 $2,600 6 $1,560 $3,120 Lion Country Safari Annual Pass Holders receive a $20 per week discount. Note: Annual pass must be purchased online or at our Front Office prior to registration and be in effect through the week(s) child is enrolled in camp. Cost of Annual Pass: $65.00 + tax for ages 3-9; $80.00 + tax for ages 10 and up. Annual Pass Card # Expiration Date: Request to be placed with a friend or relative: You may choose 1 friend or relative (who is within 1 year of camper s age) to be placed with your child. Although we cannot guarantee that the campers will be placed in the same group, we will make every effort to accommodate your request, as long as both parties request being placed together and campers are same age. Due to our small group sizes, we cannot accept requests for more than 1 friend or relative per camper. Name of friend/relative: Age: page 3

Safari Day Camp: What to Bring & What Not to Bring Due to the outdoor nature of camp and the unpredictability of the weather, we discourage electronic devices that may be lost or damaged. Lion Country Safari is not responsible for lost or damaged items. We ask that campers do not bring cell phones, tablets, laptops, etc. We want to protect each camper s privacy and ensure that campers are enjoying Nature and the camp activities, so a no cell phone policy is in place. There is a telephone at the pavilion, so if camp counselors need to contact you, they can. If your children wish to take photos of animals, we recommend they bring a disposable camera. Signing at the end of this Safari Day Camp application (page 6) indicates that we have read, understood, and agree to bring recommended items (and not bring items on the Not to Bring list). What to Bring Each child will be given 1 Safari Day Camp T-shirt, 1 cap, and 1 water bottle on the first day of camp (only 1, no matter how many weeks attended). For safety and health reasons, the camp T- shirt and a water bottle are required daily (does not need to be a camp water bottle). The cap is optional. Only water in bottles, please! Some campers are allergic to bees, which are attracted to sweet drinks. Swim time (with certified lifeguards) will be offered daily, so each camper should bring swimsuit, towel, goggles, and (if needed) sunscreen. Campers may also want to bring insect repellent. A rain poncho is also recommended, since summer is the rainy season in Florida. Campers must apply sunscreen, insect repellent, etc. themselves. Sneakers or other closed-toed shoes suitable for walking. No open-toed footwear is allowed. This is for campers safety. Pool shoes are recommended for walking from the changing area to the pool. What NOT to Bring Money. Except for one day per week when campers are permitted to visit the gift shop (with a 20% discount). Everything else is covered by the tuition: lunches, snacks, crafts, games, rides, admission, T-shirt, water bottle, cap, etc. Toys, games, phones, stuffed animals, playing cards, etc. These items are a distraction, and we cannot guarantee that they will not be lost or stolen. No skates, scooters, hoverboards, etc. Any dangerous items such as matches, weapons, etc. Food. Unless the camper is on a special diet, all lunches and snacks are included in the tuition. Please see the menu for more details. Friends unless registered ahead! Space is limited and camp fills up early. Please note that there is room on the application to choose only 1 friend or relative who is within 1 year of your child s age. page 4

Safari Day Camp Behavior Expectations We anticipate that your child/children will have a great time at Safari Day Camp. But, in order for all involved to gain the most from the experience, there are certain rules that all must follow. PLEASE READ THESE RULES TOGETHER (PARENT AND CHILD). Keep a copy for your records. At all times: Respect your fellow campers and counselors. Keep your hands and feet to yourself. Walk on sidewalks. Be respectful of other guests at Lion Country Safari, too. WALK at all times and treat others the way you would like to be treated. Remain quiet and listen when your counselors, directors, or staff members are talking. Stay with the group to which you are assigned. NEVER touch any animal unless you have been given permission to do so at that time. Keep your hands and any objects you are carrying out of animal enclosures. In the van: Buckle your seat belt and stay seated at all times. Keep your hands and all objects inside the vehicle. Talk in a quiet voice. At the pool area: No diving. Always listen to the lifeguard, counselors, and directors. This list of rules and expectations is intended as a guideline. Other rules not listed here may also be enforced. They are in place for the safety of the children, for the safety of the animals, for the safety of our other guests, and so that everyone may experience an enjoyable time with us. Rule violations will be handled in the following manner: First incident: Verbal warning and explanation of the expected behavior. Second incident: Time-out and written discipline report will be given to the parent(s) and camp director. Third incident: Camper will be removed from the group. A written discipline report will be given and the camp director will be contacted for a conference with the camper. At this time, parent(s) will be contacted by telephone to pick up the camper. Please note: All incidents are subject to camp counselor and management judgement and may require more severe consequences, such as parent conferences or immediate dismissal from camp. Lion Country Safari has zero tolerance for bullying and/or other aggressive behavior. Campers will be dismissed from camp for unsafe or disruptive behavior with no refunds. Signing at the end of this Safari Day Camp application (page 6) indicates that we have read, understood, and agree to abide by these rules. page 5

Payment Page Safari Day Camp 2019 Only one T-shirt, water bottle, and cap will be given to each camper, regardless of number of weeks enrolled. Additional supplies (T-shirts, caps, water bottles) may be purchased for $10 each with registration. Supplies are limited. If additional shirts are available during camp, you may purchase them at the welcome table for $15 each. Camp T-shirt must be worn each day. Closed-toed shoes required. Cost of tuition (see appropriate chart, page 3) $ Morning extended care ($10 per day, each child) + $ Afternoon extended care ($10 per day, each child) + $ Extended care, am & pm ($20 per day, each child) + $ extra T-shirts ($10 each with registration) + $ Grand Total (PAYMENT DUE NOW) = $ Payment MUST BE MADE IN FULL with registration. Note: Your child will be enrolled in summer camp only for the week(s) paid in full. You will receive an email confirmation once your camper is enrolled. A non-refundable fee of $50.00 per child will be held if your child is withdrawn from camp up to two weeks prior to date of enrollment. After that, no refunds will be issued. Method of payment q Check q Visa q MasterCard q American Express q Discover Credit card # Exp. date Note: Credit card number will NOT be kept on file. I authorize the use of still photographs, video, and sound recordings of my child for promotional and advertising purposes relating to Safari Day Camp and/or Lion Country Safari, Inc. FL (Lion Country). I authorize emergency medical treatment for my child, including transport to the nearest hospital. I assume all risks and hazards incidental to my child s participation in the activities of the Camp Program and unconditionally indemnify, save and hold harmless, Lion Country Safari, Inc. FL, its directors and employees from all claims, suits, actions, and damages relating to personal injury, loss of life, and/or damages to personal property which may be sustained by my child while on or in the vicinity of the premises of Lion Country. I affirm that all information provided on this application is true to the best of my knowledge, including the age of the camper. I agree to provide proof of my child s age (birth certificate or passport) if asked by the camp director. I understand that misrepresentation may result in my child s dismissal from camp. Lion Country reserves the right to require the withdrawal of any camper if, in the opinion of the camp director, such withdrawal is in the best interests of the camp (see Safari Day Camp Behavior Expectations, p. 4). I have read and agree to all enrollment conditions. By signing below, I also authorize payment to be made to my credit card listed above (if applicable). Parent Signature: Date: Parent signature required. Applications will not be accepted without signature and date. Office Use Only: Rec d Staff Amt Meth Sessions 1 2 3 4 5 6 page 6