Summer Camps Registration

Wild Roots Summer Camps 2018 - Registration

Welcome to Registration for Wild Roots Summer Camps!

How to Register:

1) Fill out and submit the form below, with a separate form for each child you are registering.

2) Please be sure to make payment within 3 business days to secure your child's space. Please note that the space is not secured until payment is received.

3) Forms for your child to attend summer camp are available to download after you've submitted this registration form. The forms should be filled out and brought to your child's first day of summer camp.

* Wait Lists: If you see that a session has a wait list, to join the wait list, please fill out the registration form below (and do not pay). If there is a cancellation and a space opens for your child, we will contact the wait list in order.

Ages: 3 to 7 years

Each session is Monday through Friday.
Each summer camp day is 8:45am-1:00pm.

Costs: $275 per session
Full payment secures your child's space.

Summer 2018

July 2 - 6
Location: Rocky Nook Park
space available, register below

July 9 - 13
Location: Douglas Family Preserve
space available, register below

August 6 - 10
Location: Lake Los Carneros
space available, register below

August 13 - 17
Location: Lake Los Carneros
space available, register below

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Cancellation Policy: The cancellation policy applies to each session and each space secured.
Payment is partially refundable up to 2 weeks prior to the first day of the camp session for each cancelled space, less a $75 cancellation fee for each space.  After 2 weeks prior to the first day of the respective session, no refunds are available.

If your child is on a Wait List:  We will be in touch with you if a space opens, at which point your payment will be due in full.

Late Pick Up Fee:  Wild Roots Summer Camp hours are from 8:45 to 1:00 pm daily. Children should not be dropped off earlier than 8:45 and must be picked up by 1:00pm. A late pick-up fee may be applied at the rate of $5 within the first 15 minutes, increasing by $5 for every successive 5 minute period. If you know that you will be late and it cannot be avoided, as sometimes does happen, please be sure to text or call the lead summer camp staff.

We will email you the cell phone numbers for lead camp staff, and any updates to orientation in advance of each camp session.

Payment Methods: Please include a note/memo with your Child's Name and the Session/s you're securing.
1) Check or money order made out to "Wild Roots," mailed to 3730 Avon Lane, Santa Barbara, CA 93105.
2) Online with Google Pay to wildroots.sb@gmail.com. Google Pay allows you to pay with a debit card or a Google Pay account.

YOUR CHILD WILL NEED - WHAT TO PACK

a well fitted and comfortable backpack
a hearty lunch (sweets are not recommended after a morning of physical activity and are likely to make your child irritable after summer camp)
a small water bottle (we will carry extra water to refill bottles)
a sun hat
please apply sunscreen before camp

*We will provide a wholesome snack mid-morning for all of the children.*

Please send questions to Kolmi at registrar.wildroots@gmail.com

www.WildRootsSchool.org

REGISTRATION FORM

* Indicates required field

Child's Name *

First

Last

Child's Date of Birth *

Child's Age in July 2018 *

Parent / Guardian #1 Contact Info
Please share best contact info for the Parent / Guardian that is registering the child and will be the primary contact.

Parent / Guardian #1 Name *

First

Last

Email #1 *

Best Daytime Phone Number *

Additional Contact Info for Parent / Guardian #1 *

Parent / Guardian #2 Contact Info
Please share the best contact info for another Parent / Guardian as a secondary contact.

Parent / Guardian #2 Name *

Email #2 *

Best Day Time Phone Number #2 *

Additional Contact Info for Parent /Guardian #2 *

SUMMER CAMP SESSIONS

July 2-6, Rocky Nook Park *

Yes, July 2-6

July 9-13, Douglas Family Preserve *

Yes, July 9-13

August 6-10, Lake Los Carneros *

Yes, August 6-10

August 13-17, Lake Los Carneros *

Yes, August 13-17

HEALTH INFO

Does your child have any allergies or health concerns? *

yes no

If your child has any allergies or health concerns, please share more *

Has your child ever been stung by a bee? *

yes no

If your child has been previously stung, please share what the reaction was like. *

Does your child take any medication regularly? *

yes no

If your child does take regular medication, please share with us the type, what it is used for, how often the child takes the medication, and how long they have been taking it. *

Please share any social or emotional concerns you have for your child. *

Is there anything else you would like to share with us? *

TERMS

All camps run from 8:45 a.m. to 1:00 p.m.

The cost for each camp session is $275. Full payment must be received in order to hold your child's space in each camp session.

Cancellation Policy: The cancellation policy applies to each session and each space secured.
Payment is partially refundable up to 2 weeks prior to the first day of the camp session for each cancelled space, less a $75 cancellation fee for each space. After 2 weeks prior to the first day of the respective session, no refunds are available.

The undersigned also releases Wild Roots and its agents, from all claims which may develop or accrue to me, or the minor for whom this authorization is intended to benefit, on account of, or reason by of, any injury, loss, or damage which may be suffered by me or the minor as a result of the exercise of this consent and I hereby assume and accept the full risk and danger of any injury, hurt or damage that may occur as a result of the use of exercise of this consent.

I have read and understand the above Terms and agree to abide by these and all other Wild Roots Policies. *

Yes, I agree to the Terms

PAYMENT
Full payment must be received to hold your child's space in each camp session, unless a payment plan has been arranged with Wildroots.

$275 per session

Payment Methods
Be sure to include a note/memo with your Child's Name and the Session/s you're securing.

1) Pay by check or money order made out to "Wild Roots," mailed to 3730 Avon Lane, Santa Barbara, CA 93105.
2) Online with Google Pay to wildroots.sb@gmail.com.

Payment Amount Due and enter the total amount due here. *

Choose Your Payment Method *

Check or Money Order By Mail Online Payment with Google Pay

Thank you for filling in your Registration for Wildroots Summer Camps, now please click Submit below.

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