CHILD INFORMATION

PARENT INFORMATION

AUTHORIZED PICK-UP/EMERGENCY CONTACT

PHOTO & VIDEO RELEASE

I hereby give the nest school permission to take photos and/or videos of my child which will be made solely available within its summer camp community.the nest school does not have my permission to use my child's photos and videos for within the nest's summer camp community.

Our family agrees to abide by all policies and guidelines of the nest school.

Yes

REGISTER (SELECT ALL THAT APPLY)

week 1, june 26 - 29 (mon - thurs): $750 tuition + $50 materials fee = $800week 2, july 5 - 7 (wed - fri): $550 tuition + $50 materials fee = $600week 3, july 10 - 13 (mon - thurs): $750 tuition + $50 materials fee = $800week 4, july 17 - 20 (mon - thurs): $750 tuition + $50 materials fee = $800week 5, july 24 - 27 (mon - thurs): $750 tuition + $50 materials fee = $800I would like to enroll my child in extended day (only students entering TK, kindergarten, or full day at the nest are eligible). If checked, please input the number of extended days. (total possible number of extended days: 19)

Total Amount: $0

CONSENTS

Consent and Assumption of Risk. I acknowledge that, during all summer camp activities, my child may be exposed to physical dangers and/or unforeseen circumstances and occurrences that are inherent in these activities and impossible for the nest or participants to fully control or eliminate. These physical dangers include, but are not limited to, the risk of serious physical injury or disability (including death), and severe emotional trauma. These unforeseen circumstances and occurrences include, but are not limited to, illnesses, accidents, weather conditions, terrorist or other criminal attacks or activities, the need to use third-party vehicles, and other unusual events and situations. I understand that by providing consent, I assume the risk, on behalf of my child, of the type of events outlined in this provision, including, without limitation, all recreational, co-curricular, and extracurricular activities, as well as any other events arising out of or related to my child's enrollment at the nest’s summer camp. In the case of any emergency, I consent to the care for my child by any licensed health care professional. Force Majeure. I understand that the nest shall not be held liable because of any failure to perform or discharge, or any delay in the performance or discharge of, the nest’s obligations under this summer camp enrollment, if such failure or delay is caused by, results from, arises out of, or is in connection with any Force Majeure Event, and no such failure or delay in performance shall constitute a breach by the nest of its obligations under this summer camp enrollment. Upon the occurrence of any Force Majeure Event, the nest will deliver to me written notice (which may be email or other electronic means) thereof as soon as reasonably practicable after the occurrence of such Force Majeure Event. A “Force Majeure Event” means any unforeseeable occurrence, cause, contingency or circumstances beyond the reasonable control of the nest that, in each instance, interferes with or interrupts the nest’s performance, in whole or in part, of its obligations under this summer camp enrollment as, when and where otherwise required pursuant to the applicable terms and conditions of this summer camp enrollment, and shall include, without limitation, fire, flood, hurricane, tornado, typhoon, earthquake, and other acts of God or nature, including epidemic or pandemic (including the COVID-19 pandemic), war (whether declared or not), insurrection, invasion, revolution, rebellion, riot, civil commotion, disobedience or unrest, acts (or threatened acts) of terrorism or sabotage, labor disputes, work stoppages, power outages, theft or other criminal actions, any action, regulation, order, restriction or public advisory recommendation issued or imposed by any governmental entity, authority or official (whether federal, state, local, municipal or international, and including any government-imposed embargo, nationalization, expropriation, lockdown, seizure, confiscation, curfew or prohibition, state of emergency, or material limitation on the import or export of goods or services), or any other reason (whether similar or dissimilar to the foregoing) beyond the reasonable control of the nest, and specifically including the unavailability or limited availability of critical goods or services resulting from the foregoing.

AUTHORIZATION

I wish to enroll my child per above. I understand that my child’s enrollment is not secure until the nest school receives a check for the total listed above. I also understand that no refunds can be granted after May 1, 2023, and that there is no refund or make-ups for missed days of camp. No exceptions can be made.

I agree

MANDATORY CA STATE FORMS

I understand that the nest school must receive my child’s mandatory California state forms by June 1, 2023. My child will not be able to attend summer camp without these forms.

I agree

SIGNATURE

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