Registering for Thanksgiving Camp

Student Information

List any Allergies (If applicable)

PARENT INFORMATION

Mother Email *

Mother Phone *

Father Email *

Father Phone *

Address *

Street Address *

City

State

Country

Postal code *

Pickup/Drop off

Authorized Pickup *

Mother (as mentioned above)

Father (as mentioned above)

Other

Other *

Mandatory Pickup/ Drop-Off Policies and Procedures

All students must be dropped in and picked up from within the facility and must be signed in and out by the authorized parent/guardian.
GEM Academy will not release the student to anyone, not on the authorized pickup list.
In case of an emergency, an email containing the emergency pickup person's Full name, Email, Phone number, and Relation to the child must be sent to [email protected] from the on-file authorized person's email address. (ID must be shown at the front desk for verification)

*

I have carefully read and agreed with Pickup/Dropoff Policies and Procedures

PAYMENT

*

Thanksgiving Camp per week

4 Day Camp November 24 - November 28

$150

(TGC) Per Day Option

9:00 AM - 3:00 PM

$60

(TGC) Add Early/After Care per week

$70

Enrollment & Payment Agreement

Please read carefully & Sign

Liability Waiver: I hereby state that my child is in good mental and physical health condition to participate in all GEM activities and classes. I hereby release GEM Multicultural Center from any and all liability, claims, suits, demands, judgments, costs, interest, and expenses (including attorney fees and costs) arising from, or related to, such activities and/or any related activities, including any accident or injury to the student and the costs of medical services. I also agree not to hold these parties responsible in the event that myself/son/daughter engages in inappropriate conduct (including, but not limited to disruptive or volatile behavior in or out of the center, etc.) or become involved in any activity or with any persons not associated with this program. I further attest that the information in this application is correct to the best of my knowledge.
Media Consent: I hereby allow myself/child to be photographed and videotaped at GEM Center for the purposes of the Center’s promotional material and publications.
Transportation Consent: I give consent for my child to be transported and supervised by the operation's employees from school and for emergency care.
Refund Policy: All amounts paid hereunder shall be nonrefundable once paid as we plan ahead for staffing, curriculum, supplies, and snacks.
Late Fee: A $1 per minute per child will be charged after 3 pm for regular camp and after 6 pm for aftercare until the child is picked up.
Sibling Discount: A 10% sibling discount does not apply to Earlycare & Aftercare and cannot be combined with other active promotions.
Promo Code Policy: Only one promo code can be applied at a time. This means that if you have multiple discount codes, our system will automatically apply the code that provides the maximum discount.
I agree to receive notifications via text regarding programs and events at the GEM Academy & Center.
I agree to receive notifications via email regarding programs and events at the GEM Academy & Center.

By signing below, I agree to the above informed consent and acknowledgment *

Clear

Date of Consent *

How did you hear about this program? *

Other *