teen camp 2012 reg packet

8/2/2019 Teen Camp 2012 Reg Packet

1/6

Mon Tue Wed Thu Fri

18 $75 19$50 20$50 21 $50 22$50

25 $75 26$50 27$50 28 $75 29 $50

JUNE JULY

Mon Tue Wed Thu Fri

2 $75 3 $50 4 closed 5 $50 6 $50

9 $85 10 $50 11 $50 12 $75 13 $50

16 $75 17 $50 18 $50 19 $50 20 $50

23 $75 24 $50 25 $50 26 $75 27 $50

AUGUST

Mon Tue Wed Thu F

30 $75 31 $50 1 $50 2 $75 3 $5

6 $50 7 $50 8 $50 9 $50 10 $

13 $75 14 $50 15 $85 16 $75 17 $

DAILY PRICES ARE ALSO

LISTED ON THE TRIP

CALENDAR PAGE

CAMP CALABASAS TEEN PROGRAM SUMMER 2012REGISTRATION FORMS

Teen _____________________________________________Age_______ Date of Birth________________ Sex______

Father First Name__________________________________ Last Name______________________________

Mother First Name_________________________________ Last Name_______________________________

Home Phone__________________________________ Mother Work___________________________ Mother Cell__________________

Father Work___________________________________ Father Cell ____________________________Alt Number_ _________________

E-Mail____________________________________________________________________________________________________

Address_________________________________________________ City______________________________ Zip_____________

School Camper Attends____________________________________ Grade of Camper (Starting in September)_______________

Please make your checks out to: LITTLE LEARNERS

Method of Payment: Check_____ Cash_____ Credit Card______ Amount Enclosed $____________________________

FOR CREDIT CARDS (VISA or MASTERCARD) PLEASE FILL OUT THE ATTACHED AUTHORIZATION FORM

Check in the box of the date your teen will attend camp. FULL PAYMENT or $100

DEPOSIT required and will be credited to the first days of attendance.

FULL WEEKLY PAYMENT DUE UPON ARRIVAL FOR ADDITIONAL DAYS MARKED IN THE BOXES BELOW

ADDITIONAL DAYS CAN BE ADDED IF AVAILABLE. FIVE DAYS WRITTEN NOTICE IS REQUIRED FOR ANY

CHANGE IN ATTENDANCE. IF YOU EMAIL YOUR NOTICE YOU MUST GET A REPLY FROM CAMP

ACKNOWLEDGING THE NOTICE/IF CALLING YOU MUST SPEAK TO A CAMP DIRECTOR TO MAKE CHANG

Make up days not permittedPLEASE INITIAL HERE THAT YOU UNDERSTAND THE ABOVE INFORMATION______________

FOR MORE INFORMATION OR TO REGISTER PLEASE CONTACT US AT 818-878-0162

FAX 818-878-0195, www.campcalabasas.org OR EMAIL US AT [email protected]


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Camp Calabasas Teen Camp

2012 Trip Calendar

WeekMondays

Times Vary

Tuesdays

9am-5pm

Wednesdays

Times Vary

Thursdays

Times Vary

Fridays

Times Vary

1

June 18

Universal Studios

9am-6:30pm

$75.00

June 19

Movie & Starbucks

9am-5pm

$50.00

June 20

Magic Mountain

9:30am-6:30pm

$50.00

June 21

Zuma Beach

9am-5pm

$50.00

June 22

Medieval Times

9am-5pm

$50.00

2

June 25

Knotts Berry Farm

8:30am-6:30pm

$75.00

June 26

Bowling & Lazer Tag

9am-5pm

$50.00

June 27

Santa Barbara Zoo

9am-5:00pm

$50.00

June 28

Hurricane Harbor

9:30am-5:30pm

$75.00

June 29

Movie & Starbuc

9am-5pm

$50.00

3July 2

Soak City

9:30am-6:30pm

$75.00

July 3

Mountasia

9am-5pm

$50.00

July 4

CLOSEDJuly 5

Zuma Beach

9am-5pm

$50.00

July 6

Movie & Lunch

9am-5pm

$50.00

4July 9

Disneyland

7:00am-6:30pm

July 10

Movie & Menchies

9am-5pm

July 11

Soak City

9am-6pm

July 12

Magic Mountain

8am-8pm

July 13

Zuma

9am-5pm

5July 16

Knott's Berry Farm

8:30am-6:30pm

$75.00

July 17

Mini Golf & Bowling

9am-5pm

$50.00

July 18

Dodgers vs. Phillies

10am-6:30pm

$50.00

July 19

Zuma Beach

9am-5pm

$50.00

July 20

Movie & Lunch

9am-5pm

$50.00

6

23

Universal Studios9:00am-6:30pm

$75.00

24

Pacific Park9am-5pm

$50.00

25

Scooters Jungle/Arcade10am-5:00pm

$50.00

26

Hurricane Harbor9:30am-5:30pm

$75.00

27

Zuma Beach9am-5pm

$50.00

730

California Adventure

8:30am-6:30pm

$75.00

31

Zuma Beach

9am-5pm

$50.00

August 1

Hurricane Harbor

9:30am-5:30pm

$50.00

2

Soak City

8am-6pm

$75.00

3

Movie & Crumb

9am-5pm

$50.00

8Aug 6 Guinness Book

& Wax Museums

9am-5pm

$50.00

Aug 7

Pirate Adventure Show

9am-5pm

$50.00

Aug 8

Knott's Berry Farm

Leave-7am-6:30pm

$50.00

Aug 9

Mountasia

9am-5pm

$50.00

Aug 10

Movie & Menchie

9am-5pm

$50.00

9Aug 13

Magic Mountain

9am-6:30pm

$75.00

Aug 14

Zuma Beach

9am-5pm

$50.00

Aug 15

Disneyland

$85.00

7am-6:30pm

Aug 16

Hurricane Harbor

9:30am-5:30pm

$75.00

Aug 17

Movie & Lunch

9am-5pm

$50.00

CAMP CALABASAS 818-878-0162/De Anza Park 818-880-6457/Fax 818-878-0195

~ email: [email protected] ~ www.campcalabasas.org ~

PLEASE ARRIVE AT CAMP 15-30 MINUTES BEFORE THE DEPARTURE TIME LISTED ON THE

CALENDAR TO ENSURE A SPOT FOR THE DAY, TO REGISTER and GET READY FOR THE DAY.


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SUMMER CAMP CALABASAS 2012CAMP AGREEMENT

Campers Name

LITTLE LEARNERS, LLCRELEASE, ASSUMPTION OF RISK, AND INDEMNITY

RELEASE: The undersigned is the parent or legal guardian of the minor camper, identified above. In consideratiofor Little Learners providing to the camper identified above a camp Experience at Camp Calabasas, I HEREBY, ON

OWN BEHALF AND ON BEHALF OF THE CAMPER, RELEASE AND DISCHARGE LITTLE LEARNERS, LLC, THE OWNER

AND OPERATOR OF CAMP, AND THE CITY OF CALABASAS AND BOTH OF THEIR OFFICERS, DIRECTORS, EMPLOYE

VOLUNTEERS AND AGENTS(called herein the Releasees) FOR AND FROM ANY AND ALL CLAIMS ARISING OUT O

THE CAMPERS PARTICIPATION IN THE CAMP,INCLUDING CLAIMS ARISING OUT OF THE NEGLIGENCE OF THE RE

LEASEES OR ANY OTHER CAMPER THAT CAUSES, OR IS CLAIMED TO CAUSE, INJURY OR DEATH TO THE CAMPER

DENTIFIED ABOVE, PROPERTY DAMAGE, OR OTHER DAMAGES.I ALSO PROMISE NOT TO SUE ANY OF THE RE-

LEASEES FOR ANY OF THE CLAIMS BEING RELEASED.

ASSUMPTION OF RISK: I understand and acknowledge that participation in camp activitiesnvolves risk of injury. I fully appreciate the risks involved in my campers participation in these

activities and voluntarily assume, on the campers behalf, those risks.

PROMISE TO DEFEND, IDEMNIFY, AND HOLD HARMLESS:In consideration of the above camper beingpermitted to participate in Little Learners camp, I agree to defend, indemnify, and hold harmless the Releasees

from and against all claims arising out of the campers participation in the camp.

EMERGENCY TREATMENT: I hereby consent to allowing emergency medical personnel to be summoned for thcamper if needed and consent to emergency treatment of the camper as may be required as the result of acciden

njury or otherwise. I further agree to pay any and all costs incurred for such treatment.

PHOTOGRAPHS: I agree to allow the camper to be photographed while participating in campactivities and understand that Little Learners and the City retain the right to use any photographs taken during ca

activities for promotional and other purposes.

HAVE READ THIS AGREEMENT AND UNDERSTAND IT INCLUDES A RELEASE OF ALL CLAIMS, VOLUNTARY

ASSUMPTION OF ALL RISKS INVOLVED IN CAMP ATTENDANCE AND AN AGREEMENT TO DEFEND, INDEMNIFY AN

HOLD HARMLESS THE RELEASEES. BY SIGNING THIS AGREEMENT I VOLUNTARILLY ACCEPT ALL OF THE TERMS A

CONDITIONS OF THIS AGREEMENT.

PARENT OR LEGAL GUARDIANS SIGNATURE

PARENT OR LEGAL GUARDIANS PRINTED NAME

RELATIONSHIP TO CAMPER

DATE


4/6

Camp Calabasas Teen Camp 2012

Water Waiver/Permission Form

The Teen Program will be going to the beach and swimming every Tuesday and Thursday along with taking trips to water parks on specific trip days. Transportation will be provided by the Cities of Agoura and Calabasas. I understand

that there will be a lifeguard on duty at all times and thereby give permission for my child to swim and participate iwater activities. I also understand that if I wish for my child not to swim that I will verbally notify the staff in

charge. If I wish for my child to participate I understand that they will need to bring their own swimsuit, towel, ansunscreen. Lunch can be purchased or a sack lunch can be brought to any of these excursions. I alsounderstand that all participants will leave the campsite between the hours listed on the trip calendar.

1. ____________________________________________ ___________ Knows how to swim?Teens Name Age Y N



The undersigned hereby agrees to defend, indemnify, and hold harmless the City of Calabasas an

its officers, employees and agents against any loss, liability charges and expenses (includingattorneys fees) and costs which may arise by reason of participation in any program. (The City

does not provide accidents, medical, liability, workers compensation insurance for program

participants). As parent/guardian, I hereby consent to emergency treatment of my minor child aa result of accident or injury. I further agree to pay any and all costs incurred as a result of sa

treatment. I agree to carefully inspect and satisfy for me that the facilities provided arereasonably safe for their use. Once having conducted the inspection, I agree to expressly assum

the risk of participating at the premises. I understand the City retains the right to use photostaken during activities for public purposes.

Parent Signature:_________________________________________ Date:_____________


5/6

TEEN CAMP 2012 ADMISSION AGREEMENT AND IMPORTANT INFORMATION

Registration: There are three easy ways to register. You can mail-in, walk-in or fax-in the registration forms. Payments a

be made out to LITTLE LEARNERS

Fees- Includes field trips admission, transportation, and activities listed on the calendar. Lunch is not provided unless

stated on the calendar. If going to a shopping center teens may bring money to shop.

DEPOSIT: Full payment or $100 which will be credited to your childs days of attendance.

Payments: All payments to Little Learners must be made by credit card: Visa or Master Card, or by check: payable to Little Learners, money order or cash. Checks returned to us for NSF or any other reason

will be required to replaced with cash or a credit card. If there are any problems collecting the

owed money for returned checks the information will be turned over to the District Attorneys

Check Restitution program. A fee of $25 will also be charged for any returned check.

Camp Times: Teen Camp times are listed on the calendar. They will be departing very close to the time listed.

(Parents running late will be charged $1.00/minute and it must be paid to the supervising counselor, for e

minute that you are late.

What to Bring: Teens may bring a sack lunch with a drink each day they attend camp unless they plan on purchasing lunc

their specific destination. We recommend bringing sunscreen on a daily basis..

Info: All refunds and cancellations of days must have FIVE BUSINESS DAYS NOTICE prior to the sessions start date.

Excessive changes will result in an administrative fee of $10.00. There will be no refunds and transfers due to illness, or

non-attendance for registered days. You are financially responsible for all days registered unless we are notified via emai

in writing about such changes. If you email us we will respond letting you know we re received your notice. For those w

do not register in advance please be advised that we might not have spots for all of the drop-ins. If you know your child

wants to attend a specific trip you must pre-pay to hold your spot. Due to the nature of our reservations and only being a

to take a certain number of campers Making-up or transferring missing days is not permitted regardless of

the circumstances.

Discipline: We strive to provide a well-rounded and safe program for all participants. Discipline will be

handled in the following manner and depending on the infraction:(1) Child will be spoken to and will be given a warning. (2) Child will be suspended from the program.

Children will three warnings will be asked to leave the program.

Dismissal Policy: Expulsion from the Camp Calabasas and Little Learners Program results from one or more of

the following situations:

(1) Physically or verbally abusing another participant (USING FOUL INNAPROPRIATE LANGUG

(2) Refusal to correct documented problematic behavior (3) Theft (4) Parent Payment Neglige

(5) Disturbing drivers of busses by not following rules set by driver and bus company

Sign In/Out: Teens arriving and departing camp must be signed in and out on a daily basis

***************************************************************************************************

TEEN CAMP 2010 ADMISSION AGREEMENT

PLEASE RETURN THIS PORTION TO CAMP CALABASAS

I HAVE READ AND AGREE TO ABIDE BY THE ADMISSION AGREEMENT POLICIES STATED ABOVE AND OTHER PROCEDUR

SET FORTH BY THE CITY OF CALABASAS AND LITTLE LEARNERS AND UNDERSTAND THE PAYMENT/CANCELLATION POLIC

Childs Name:_______________________________________________________________________

Parents Signature :___________________________________________________________________Date:____________


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LITTLE LEARNERS/CAMP CALABASAS

SUMMER CAMP 2012 CREDIT CARD FORM

I, _____________________________________________, hereby authorize

Little Learners to automatically charge my Credit Card for Summer Camp fees.

Participants Name:___________________________________

Fees: (Please circle one) $________________ (one time use) OR

Reoccurring Camp Fees Based on Registration

Please charge this amount to my: MasterCard or Visa (Please circle one)

Card Number:___________________________________________________

Expiration Date: _________________________

Name that appears on card: ________________________________________

Billing Address: _________________________________________________

_________________________________________________

Authorized Signature: __________________________Date ______________

teen camp 2012 reg packet

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