Sports Camp Registration

Please note that camp registration is available to Valley members only. Thank you!

June 24 - August 30

Ages 6-11

Child's First Name

Child's Last Name

Child's Age

Parent's First Name

Parent's Last Name

Address

City

State

Zip

Email

Cell Phone

Emergency Contact 1 Name

Emergency Contact 1 Phone

Emergency Contact 2 Name

Emergency Contact 2 Phone

Medical Insurance Name

Medical Insurance Number

Child's Allergies

Days & Times Attending


Full Day: 7:30am-5:45pm


Half Morning: 7:30am-12:30pm


Half Afternoon: 12:30pm-5:45pm



Full week: $210


Full day: $57.75


Half day: $47.75


Note: If registered after June 17, prices increase to: $230 full week / $63 full day / $52.50 half day

  • Include Lunches ($6.25/day)
  • My child is authorized to charge to my Valley account
  • Total Cost (including tax)

    $0.00

    Policies & Disclosures

    I am a current Valley member.

    If I cannot be reached and the camp authorities have followed the company’s medical procedure, I agree to assume all costs for transporting and medically treating the above-named child. I also hereby consent to any treatment, surgery, diagnostic procedure, or administration of anesthesia as may be deemed necessary.

    I have read and understand the above

    All children must be signed in/out of camp by approved adult. Drop off time is 7:30am, no earlier. Campers must be signed in to actual camp staff. Campers may not be dropped off with any other Valley staff or left unattended. Pick up time is 5:45pm. If parents are later than 5:55pm, a $1/minute charge will be incurred. By 6:00pm emergency contacts will be phoned. Valley staff must be notified in writing if anyone other than the parent or adult that checked the child in is allowed to check the child out. We reserve the right to ask for photo identification.

    I have read and understand the above

    Cancellation Policy

    Cancellation 7+ days in advance: 100% refund. 6 days to 24 hours advance: 50% refund. No refund after program begins.

    I have read and understand the above

    Liability & Photo Waiver

    As consideration for being permitted by The Valley Athletic Club (V.A.C) to participate in these activities and use of the facility, I hereby agree that I and my assignees, guardians, and legal representatives will not make a claim, sue, or attack V.A.C for any injury or damage resulting from negligence or other act, howsoever caused by any employee, agent, or contractor of V.A.C as a result of my participation in weight training, aerobics classes, and child care services. I hereby release V.A.C for all actions, claims, and demands that I, my assignees, heirs, distributes, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my participation in weight training, cardiovascular exercise, and use of associated facilities and services. I personally assume all of the stated risks and will indemnify and hold them harmless from any and all liability, actions, causes of actions of every kind and nature arising out of my participation in said activities. The terms hereof shall serve as a release, indemnity agreement and assumption of risk from my heirs, personal representatives, and administrators and for all members of my family, including any minors accompanying me. I authorize V.A.C to use my photo in any promotional advertisement on behalf of the organization. In signing this form I will not hold V.A.C liable for its use in any way.

    I have read and understand the above

    Behavior Policy

    The Valley Athletic Club strives to provide a safe, fun, healthy, and positive camp experience for all children attending camp. Appropriate camp behavior is essential to a great overall experience for everyone involved. Children are expected to demonstrate safe, respectful, and responsible behavior throughout all aspects of sports camp. The Valley reserves the absolute right to dismiss a camper without refund for any behavior (1) that threatens or endangers the welfare and/or the safety of any camper, instructor, or any other person involved with the camp, (2) is disruptive to the overall camp environment, which interferes with the beneficial use and enjoyment by campers and staff, or (3) for any form of bullying of other campers or disrespectful behavior to camp authority.

    I have read and understand the above

    Please type your first and last name:

    Please sign to agree to the above terms and conditions:

    Please check all consent and disclosure checkboxes.

    Your form has been successfully submitted. Thank you!

    Adult Signature:

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