2018 Educational Playcare Summer€¦ · Summer Camp 2018 EPC Infinity Week of June 18-22, 2018 Age Group: The Supernovas (9-12) Originals Mon. Tues. Wed. Thurs. Fri. 7 -8:45 Drop

2018 Educational Playcare Summer

Camp Staff

Kaley Dehm— EPC since 2010 Camp Co-Director & Bus Driver First Aid and CPR certified Medication and EPI-Pen Administration

Courtney Carrozzo—EPC since 2015 Lucky Star Lead Counselor First Aid and CPR certified Medication and EPI-Pen Administration

Sarah Hamilton— EPC since 2017 Electric Comet Lead Counselor First Aid and CPR certified Medication and EPI-Pen Administration

Taylor Story– EPC since 2018 Lucky Star Lead Counselor First Aid and CPR certified Medication and EPI-Pen Administration

Alex Bricker– EPC since 2018 Super Nova Lead Counselor & Bus Driver First Aid and CPR certified Medication and EPI-PEN Administration

Chris Boains and Julia Fleming– EPC Since 2018 Assistant Counselors First Aid and CPR certified Medication and EPI-PEN

Administration

Jessica Skovron Rasheed—EPC since 2010 Camp Co-Director & Bus Driver First Aid and CPR certified Medication and EPI-Pen Administration

Eden Glover and Austin O’Connell– EPC Since 2017 Assistant Counselors First Aid and CPR certified Medication and EPI-PEN

Administration

Graham Pastor— EPC since 2005 Lucky Star Lead Counselor First aid and CPR certified Medication and EPI-Pen Administration

Jeff St. Gelais— EPC since 2012 Electric Comet Lead Counselor & Bus Driver First Aid and CPR certified Medication and EPI-Pen Administration

Michala Allen— EPC since 2017 Electric Comet Lead Counselor First Aid and CPR certified Medication and EPI-Pen Administration

Amanda Cyr— EPC since 2016 Super Nova Lead Counselor Life guard & Bus Driver First Aid and CPR certified Medication and EPI-PEN Administration

Ashleigh Denault and Samantha Langdeau- EPC since 2017

Assistant Counselors First Aid and CPR certified, Medication and EPI-PEN

Administration

Solveig Driscoll—EPC since 2018 Assistant Counselor First Aid and CPR certified, Medication and EPI-PEN

Administration

Ta’teyana Wilson– EPC since 2018 Assistant Counselor & Bus Driver First Aid and CPR certified, Medication and EPI-PEN

Administration

Tom Donohue— EPC since 2015 Camp Cook & Bus Driver First Aid and CPR certified Medication and EPI-PEN administration

Extras: Each child is encouraged to bring a bathing

suit and change of clothes each day.

Book Club:

If your child has summer reading this is the

perfect opportunity for them. Time is given

every day to read which they earn points and

can win prizes.

Please label everything!

first and last names please.

Dress Code: Please do not send your child(ren) to camp

with open toed shoes or flip flops.

Money Please do not send any money unless noted

on field trip forms.

Absent? Please notify the office if your child will be

absent. 860-409-7051

Field Trips:

Each child will use an orange camp t-shirt that

will be provided and collected on field trip

days.

We strive to be a

Peanut Free Center

State Regulations require all

children’s health, registration and emergency

contact forms to be on file, along with

emergency medications on location

Electronics

are NOT allowed

Summer Camp 2018EPC Infinity Week of June 18-22, 2018 Age Group: The Supernovas (9-12)

Originals

Mon. Tues. Wed. Thurs. Fri.

7 -8:45 Drop Off Drop Off Drop Off Drop Off Drop Off

8:45 - 9:15 Snack Snack Snack Snack Snack

9:15 - 12:00 Human Knot History Trivia Field Cross It Off Table Talk

A.M. activities Hulk Pudding Worm Tower Trip Trail Mix Parachute Exploration

Nature Walk Scavenger Hunt Textures Rockwell Fairy Gardens Flower Printing

12-12:30 Book Club Book Club Park Book Club Book Club

12:30-1:00 Lunch Lunch Splash Pad BBQ Lunch

Web Obstacle Course Free Swim Bristol Free Swim Native Faces

1-4:00 Animal Crawls/Yoga 12:30-3:30 12:30-3:30 Hungry Hippos

P.M. activities Herb Playdough Stuck in the Mud Suncatcher Post It!

Name Mosaics Turtle Tag Mud Exploration Celebration

Face the Foliage Gardening Book Club Stick Relays Weaving

4:00-4:15 Snack Snack Snack Snack Snack

4:15-4:30 Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart

4:30 - 5:30 Guided Free Play Guided Free Play Guided Free Play Guided Free Play Guided Free Play

5:30 - 6 Playground Playground Playground Playground Playground

This Free Swim Activities Field Trip

Week's Bathing Suit Sneakers Water bottle

Need To Towel Bathing Suit

Knows: Towel

Lunch Menu:Monday: Toasted Cheese on Whole Wheat Bread Tuesday: Taco Tuesday:

Tomato Soup Soft Tacos with Chicken

Fresh Fruit Lettuce, Tomato, Cheese

and Salsa, Fresh Fruit

Wednesday: Thursday: Hotdogs &

Pita Pocket Wedges with Hummus or Soy Nut Butter Hamburgers

Cucumber Slices Potato Chips, Salad

Fresh Fruit Fresh Fruit

Friday: Cheese Pizza

Salad with Ranch Milk or water will be

or Italian Dressing served with each meal.

Fresh Fruit

Date: Wednesday, June 20th

Age Group: All

Destination: Rockwell Park and Splash Pad, Bristol

Time: 9:30 am—3:00 pm

Nature walks, water play, playground, open field

games. Lunch provided.

What to bring:

Water shoes or closed-toed-strap sandals, bathing suit,

towel, water bottle, sunscreen.

No flip flops.

Summer Camp 2018Amazing Week of June 25-29, 2018 Age Group: The Supernovas (9-12)

Race




Rollercoaster Rabbit Hole Story Book Drawing Mirror Mirror Travel

9:15 - 12:00 Lezim Stockings Mancala Futbol

A.M. activities Kabaddi Big Snake Field Field Hockey Ampe & Kubuda

12-12:30 Book Club Book Club Trip Book Club Book Club

12:30-1:00 Lunch Lunch In-House BBQ Lunch

Rainsticks & Drums Free Swim Multicultural Free Swim

1-4:00 Rice & Beans 12:30-3:30 Workshop 12:30-3:30 End-of-Week

P.M. activities Salt Glue Painting Origami Tinkling Celebration

African Dancing Dot Painting Book Club Boomerangs Khamsa Hands


4:15-4:30 Clean Up & Buses Depart Clean Up & Buses Depart Clean Up & Buses Depart Clean Up & Buses Depart Clean Up & Buses Depart





Need To Towel

Knows:












Fresh Fruit

Date: Wednesday, June 27th

Age Group: All

Destination: EPC

Time: 9:30 am—2:00 pm

In-House Multicultural Workshop

What to bring:

Comfortable athletic shoes, water bottle, sunscreen.

Summer Camp 2018Legendary Week of July 2-6, 2018 Age Group: The Supernovas (9-12)

Excavators


7 -8:45 Drop Off Drop Off Drop Off Drop Off

8:45 - 9:15 Snack Snack Snack Snack

Don't Ring the Bells Movement Dice Closed Wild Wind Blows In-House

9:15 - 12:00 Skeletons Trace Me For Dirt Pudding Field Trip

A.M. activities Earth Layer Cake Moon Sand the Fourth Pottery Riverside

Fossile Memory Ice Digging of Scavenger Hunt Reptiles

12-12:30 Book Club Book Club July Book Club Book Club

12:30-1:00 Lunch Lunch Have BBQ Lunch

Prehistoric Players Free Swim A Safe Free Swim

1:00- Fossil Dough 12:30-3:30 and 12:30-3:30 End-of-Week

4:00 Sharks and Minnows Gem Drop Enjoyable Magic Tractor Celebration

P.M. activities Glue Fossils Swirly Stones Holiday! Simon Says Fossils

Pasta Fossils Bean Bag Toss Spud

4:00-4:15 Snack Snack Snack Snack

4 :15-4:30 Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart

4:30 - 5:30 Guided Free Play Guided Free Play Guided Free Play Guided Free Play

5:30 - 6 Playground Playground Playground Playground



Need To Towel

Knows:












Fresh Fruit

Date: Friday, July 6

Age Group: All

Destination: Educational Playcare, Avon

Time: 9:15-11:30

Creepy Crawlies, Unusual Animals, Observe and Touch.

What to bring:

Water bottle, sunscreen.

No flip flops.

Summer Camp 2018Super Week of July 9-13, 2018 Age Group: The Supernovas (9-12)

Splash

Campers Mon. Tues. Wed. Thurs. Fri.



Pool Noodle Yoga Ping Tic Tac Toe Human Bowling Switch Sides If… Ping Pong Ball

9:15 - 12:00 Water Rainbow Fruit Pops Field Under the Sea Water Limbo

A.M. activities Water Race Bubble Snakes Trip Build a Boat Musical Bowls

Selfie Water Color Paintings Under the Sea Metacomet Drip Drip Drop Sprinklers

12-12:30 Book Club Book Club Tours Book Club Book Club

12:30-1:00 Lunch Lunch Canoeing BBQ Lunch

Target Free Swim Avon Free Swim End-of-Week

1-4:00 Story Book Drawing 12:30-3:30 12:30-3:30 Celebration

P.M. activities Fill the Bucket Duck Duck Splash Slip N Slide Water Wall

Sprinklers The Water Blob Book Club Ice Painting


4 :15-4:30 Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart Wrap Up & Buses Depart





Need To Towel Bathing Suit

Knows: Towel





Wednesday: Thursday:Pita Pocket Wedges with Hummus or Soy Nut Butter

Cucumber Slices

Fresh Fruit




Fresh Fruit

Date: Wednesday, July 11th

Age Group: All

Destination: Canoeing with Metacomet Tours, Avon

Time: 9:30 am (5&6) 1:00 pm (7&8 and 9-12)

What to bring:

Water bottle, sunscreen, hat,

bathing suit, towel,

Water shoes/old sneakers/closed-toe sandals.

No flip flops.

Summer Camp 2018EPC Week of July 16-20, 2018 Age Group: The Supernovas (9-12)

Sports

World Mon. Tues. Wed. Thurs. Fri.



Blind Play Outdoor Twister Who's Missng? Mirror Mirror Human Bubble

9:15 - 11:30 Popcorn Trail Mix Silly Putty Fruit Kabobs Rain Cloud Jar Sports Windcatcher

A.M. activities Ball Pillows Shoebox Fuseball Story Building Sports Charades Frog Soccer

Bad Mitton Basball Capture the Flag Avon Olympics 100 Cup Challenge

11:30 - 12 Book Club Book Club Book Club Book Club Book Club

12-12:30 Lunch Lunch Lunch BBQ Lunch

12:30- Tissue Dance Free Swim Field Trip Free Swim End-of-Week

4:00 Follow the Line 12:30-3:30 Blue Fox Rock 12:30-3:30 Celebration

P.M. activities Jenga Obstacle Courses N Bowl Hula Hoop Play MYO Game







Need To Towel Sneakers and

Knows: Socks












Fresh Fruit


Age Group: 7&8 and 9-12

Destination: Blue Fox Rock N Bowl

Time: 12:30 pm-3:30 pm

Triple Play: Miniature golf, Bowling and Laser Tag.

Arcade spending money optional. $20 Limit.

What to bring:

Comfortable walking shoes and socks, water bottle,

sunscreen. Spending money optional.

Please limit to $20 max. No flip flops.

Summer Camp 2018Masters Week of July 23-27, 2018 Age Group: The Supernovas (9-12)

of the

Universe Mon. Tues. Wed. Thurs. Fri.



Rollercoaster Counting Thoughts Rabbit Hole Pool Noodle Games Alien Gibberish

9:15 - 12:00 Balloon Rockets Solar System Field Astronaut Play Problem-Resolution

A.M. activities Undiscovered Planet Tape Maze Trip Moon Rock Throw Oobleck

Astronaut Pudding Marble Painting New Tarp Target Cosmic Angry Birds

12-12:30 Book Club Book Club Britain Book Club Book Club

12:30-1:00 Lunch Lunch Bee's BBQ Lunch

Javelin Throw Free Swim Baseball Free Swim End-of-Week

1-4:00 Solar Crayons 12:30-3:30 Game 12:30-3:30 Celebration

P.M. activities Bubble Shooters Balloon Tether Ball Book Club Moon Sand Rockets







Need To Towel Spending Money

Knows:












Fresh Fruit


Age Group: All

Destination: New Britain Bee’s

Time: 10:30 am—4:00 pm

What to bring:

Comfortable walking shoes, water bottle, sunscreen.

Spending money optional.

Please limit to $20 max. No flip flops.

Summer Camp 2018Sensei Week of July 30-August 3, 2018 Age Group: The Supernovas (9-12)

Recyclers




Scramble Native Chief Floatacioius Wacky Relay Mirror Mirror

9:15 - 12:00 Bubble Wands Noodle Obstacle Course Field Tallest Tower Use Your Noodle

A.M. activities MYO Paintbrush Bird Feeders Trip Banging Post Scoopball

DIY Pickles Magazine Vases CT Jell-O Oranges Stamping

12-12:30 Book Club Book Club Science Book Club Book Club

12:30-1:00 Lunch Lunch Museum BBQ Lunch

Tin Man Free Swim Hartford Free Swim End-of-Week

1-4:00 Kick the Can 12:30-3:30 12:30-3:30 Celebration

P.M. activities Solar Crayons Musical Instruments Book Club Bubble Exploration Sculpture







Need To Towel Spending Money

Knows:












Fresh Fruit

Date: Wednesday, August 1st

Age Group: All

Destination: CT Science Center, Hartford

Time: 9:15 am—2:30 pm

What to bring:

Comfortable walking shoes.

No flip flops.

Spending money optional. Please limit to $20 max.

Summer Camp 2018Epic Week of August 6-10, 2018 Age Group: The Supernovas (9-12)

Engineers




Storybook Mirror Mirror Storybook Drawing Wax Museum

9:15 - 12 Minecraft Structures Jenga Heublein Block Scavenger Hunt Tower Maze

A.M. activities Rock Candy Building Bridges Tower Wacky Relay Tug-o-War

100 Cup Challenge Knock Out Who's Missing? Rollercoaster

12-12:30 Book Club Book Club Avon Book Club Book Club

12:30-1:00 Lunch Lunch BBQ Lunch

1:00- Block Painting Free Swim Free Swim End-of-Week

4:00 Toothpick Towers 12:30-3:30 12:30-3:30 Celebration

P.M. activities Golfball Bounce Boat Building Book Club Catapults 3D Structures







Need To Towel

Know's:












Fresh Fruit

Date: Wednesday, August 8th

Age Group: All

Destination: Heublein Tower

Time: 9:30 am—2:30 pm

Nature hike and outdoor group activities.

What to bring:

Comfortable walking/hiking boots, water bottle, sun-

screen. No flip flops or open-toed shoes.

Summer Camp 2018Food Week of August 13-17, 2018 Age Group: The Supernovas (9-12)

Network




Native Chief Partner Yoga Who's Missing? Mirror Mirror Story Book

9:15 - 12 Sock Donuts Ice Cream in a Bag Lyman Skittle Relay Kitchen Chemistry

A.M. activities Yogurt Bites Magic Milk Paint Orchards Liquid Rainbow Jumping Beans

Egg Races Neat Names Cracker Unicorns Musical Chairs

12-12:30 Book Club Book Club Middlefield Book Club Book Club


1:00- Cooking Show Free Swim Free Swim End-of-Week

4:00 Dish or Dash 12:30-3:30 12:30-3:30 Celebration

P.M. activities Yoga Food Relays Book Club Alphabet Soup Unique Recipe







Need To Towel

Knows:












Fresh Fruit

Date: Wednesday, August 15th

Age Group: All

Destination: Lyman Orchards, Middlefield

Time: 9:30 am—2:30 pm

Pick your own, sunflower maze, cider and donuts.

What to bring:

Comfortable walking/hiking shoes, water bottle, sun-

screen. No flip flops.

Summer Camp 2018EPC- Week of August 20-24, 2018 Age Group: The Supernovas (9-12)

elodeon




Wacky Relay Mirror Mirror Story Book Partner Yoga Who's Missing?

9:15 - 12:00 Scoop for Worms Save the Bear Pudding Pictionary Color Fight

A.M. activities Spaghetti Race Shaving Cream Twister Soarin' Four Duck Duck Goose Water Balloons

Wipe Out Banana Boat Treats Water Balloon Painting Bubble Snake

12-12:30 Book Club Book Club Indoors Book Club Book Club


Great Game Shows Free Swim Manchester Free Swim End-of-Week

1-4:00 Spray Bottle Target Practice 12:30-3:30 12:30-3:30 Celebration

P.M. activities Catapult Painting Gak in a Basket Book Club Shaving Cream Fight Messy Game







Need To Towel

Knows:












Fresh Fruit

Date: Wednesday, August 22nd

Age Group: 9-12

Destination: Soarin’ Indoors, Manchester

Time: 9:30 am—2:30 pm

Ropes course.

What to bring: Additional Permission Slip Mandatory

Comfortable walking/athletic shoes, water bottle, sun-

screen. No flip flops.

Healthtrax Fitness & Wellness

Free Swim Registration

2018Educational Playcare

Free Swim Tuesday’s & Thursdays from 6/18-8/24

Participant’s Name:_______________________________________________

Parent / Guardian Name:___________________________________________

Address:_______________________________________________________

Town:__________________________State:__________Zip:_____________

Home #:______________________Work/Cell #:_______________________

Emergency Contact:_________________________Phone #:_______________

Waiver of Liability and Assumption of Risk Agreement

By signing this waiver of liability and assumption of risk, participant, parent/legal guardian authorizes the above

mentioned participant to use Healthtrax Fitness & Wellness at The Avon Wellness Center and acknowledges and

accepts the risk inherent in the use of center services apparatus, appliances, facilities activities and voluntary and

expressly assumes the risk of injury, accident, death, loss cost or damage to the participant to their property which

might arise from use of the center its directors, officers, shareholders, representatives, agents and employees from all

claims, liabilities, loss, damage, costs and or causes of action including but not limited to all bodily injuries, property

damage weather or not it is contended the center, its agents, representatives or employees or their negligence

contributed thereto on whole or in part, or was responsible therefore.

Signature further certifies that the participant is in good health and is able to undertake and

engage in physical exercise/sports activities in which he/she chooses to participate. Signature

assumes all responsibility for updating the Center of changes in physical condition and from

reporting all injuries sustained at the club to the manager or safety director, and releases the

Center, its directors, officers, shareholders, representatives, agents and employees from any

liability arising out of said information.

Signature of Parent / Guardian:________________________________________________

Sunscreen / Insect Repellant Permission Form

I give permission to Educational Playcare staff to apply the provided sunscreen and insect repellant (optional) to my child, according to the directions for use on the container. I understand that I am required to apply the sunscreen/insect repellant in the morning before I bring my child to the center and EPC staff will reapply it before going outside. Furthermore, I understand that insect repellant (if provided) will be applied no more than once per day. Note: Each sunscreen/insect repellant container must be labeled with your child’s name.

By signing I attest that:

The sunscreen provided has a UVA and UVB protection of SPF 15 or higher.

The insect repellant provided contains DEET.

The sunscreen/insect repellant I have provided has been previously applied to my child with no adverse reactions.

Child’s First and Last Name: _______________________________________________________ Parent/Guardian Signature: ______________________________________ Date: ____________

Sunscreen Brand ___________________________________________ Exp. __________________

Insect Repellant I have chosen not to provide insect repellant.

Brand ___________________________________________ Exp. __________________

Code of Conduct

Our Mission is to provide the children in our care

with the highest quality developmental and

educational programs in a nurturing, safe and

supportive environment while facilitating and

enriching the childcare experience of our families.

All students enrolled at Educational Playcare are

expected to conduct themselves in an appropriate

manner while attending Educational Playcare and

related activities, including riding the bus.

In signing this contract I agree that:

I will not leave the program without the

permission and supervision of a staff

member.

I will treat all property, school or personal,

with respect.

I will not physically hurt other children.

I will treat my peers with respect with my

words and actions.

I will follow all classroom rules and teacher instructions.

________________________________________ ______________ Students name Date

________________________________________ ______________ Parent name and Signature Date

Healthtrax Fitness & Wellness

Swim Lesson Registration 2018

Monday Swim Lessons

Educational Playcare

_____8 week session

_____4 week session

_____4 week session

Monday, 6/25 until Monday, 8/13

Camp weeks 2-9


Camp weeks 2-5


Camp weeks 6-9

***Please make checks payable to Educational Playcare***

Participant’s Name:_______________________________________________

Parent / Guardian Name:___________________________________________

Address:_______________________________________________________

Town:__________________________State:__________Zip:_____________

Home #:______________________Work/Cell #:_______________________

Emergency Contact:_________________________Phone #:_______________

8 week session: Check #:_______amount $88

Session 1: 4 week session: Check #:_______amount: $44

Session 2: 4 week session: Check #:_______amount: $44

Waiver of Liability and Assumption of Risk Agreement By signing this waiver of liability and assumption of risk, participant, parent/legal guardian authorizes the above mentioned

participant to use Healthtrax Fitness & Wellness at The Avon Wellness Center and acknowledges and accepts the risk inherent in the

use of center services apparatus, appliances, facilities activities and voluntary and expressly assumes the risk of injury, accident, death,

loss cost or damage to the participant to their property which might arise from use of the center its directors, officers, shareholders,

representatives, agents and employees from all claims, liabilities, loss, damage, costs and or causes of action including but not limited

to all bodily injuries, property damage weather or not it is contended the center, its agents, representatives or employees or their

negligence contributed thereto on whole or in part, or was responsible therefore.

Signature further certifies that the participant is in good health and is able to undertake and engage in physical

exercise/sports activities in which he/she chooses to participate. Signature assumes all responsibility for updating

the Center of changes in physical condition and from reporting all injuries sustained at the club to the manager or

safety director, and releases the Center, its directors, officers, shareholders, representatives, agents and

employees from any liability arising out of said information.

Signature of Parent / Guardian:________________________________________________

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK In consideration of the services of Soar Indoors, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "SI"), I hereby agree to release, indemnify, and discharge SI, on behalf of myself, my children, my parents, my heirs, assigns, personal representative and estate as follows: 1. I acknowledge that my participation in challenge ropes course and zipline activities entails known and unanticipated risks that could

result in physical or emotional injury, paralysis, death, or damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: challenge course programs are based on the “challenge by choice” principle. At any time you and/or your group are free to withdraw from participation in ropes course activities and its potential for: slips and falls; falling from significant heights; rope burns; pinches, scrapes, twists and jolts that could result in scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe life threatening injuries; the use of ropes, harnesses, and other equipment; equipment failure; the negligence of other participants or persons who may be present; my own physical condition, and the physical exertion associated with this activity. Furthermore, SI employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather, the elements, or the terrain. They may give inadequate warnings or instructions, and the equipment being used might malfunction. 2. I expressly agree and promise to accept and assume all of the risks existing in this activity. My participation in this activity is purely

voluntary, and I elect to participate in spite of the risks. 3. I hereby voluntarily release, forever discharge, and agree to indemnify and hold harmless SI from any and all claims, demands, or

causes of action, which are in any way connected with my participation in this activity or my use of SI 's equipment or facilities, including any such claims which allege negligent acts or omissions of SI.

4. Should SI or anyone acting on their behalf, be required to incur attorney's fees and costs to enforce this agreement, I agree to

indemnify and hold them harmless for all such fees and costs. 5. I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear

the costs of such injury or damage myself. I further certify that I am willing to assume the risk of any medical or physical condition I may have.

6. In the event that I file a lawsuit against SI, I agree to do so solely in the state of Connecticut, and I further agree that the substantive

law of that state shall apply in that action without regard to the conflict of law rules of that state. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

By signing this document, I acknowledge that if anyone is hurt or property is damaged during my participation in this activity, I may be found by a court of law to have waived my right to maintain a lawsuit against SI on the basis of any claim from which I have released them herein. 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.

Print Name Phone Number

Address City

State Zip Email

Signature of Participant Date

PARENT'S OR GUARDIAN'S ADDITIONAL INDEMNIFICATION (Must be completed for participants under the age of 18) In consideration of (print minor's name) ("Minor") being permitted by SI to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless SI from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor. Parent or Guardian: ___________________________ Print Name: _______________________________ Date: _____________

Documents

2018 Educational Playcare Summer€¦ · Summer Camp 2018 EPC Infinity Week of June 18-22, 2018 Age Group: The Supernovas (9-12) Originals Mon. Tues. Wed. Thurs. Fri. 7 -8:45 Drop