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2024 Summer Camp Registration
Your Name
*
First
Last
Other Parent/Guardian
*
First
Last
Address
*
Street Address
Address Line 2
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Armed Forces Americas
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ZIP Code
Phone Number
*
(Please list a number that may be used in case of an emergency)
Email
*
Church Affiliation
*
School
*
Please list any allergies or medications each child may have or be using during the camp:
*
(If none, please list "none")
General Waiver & Release
Release And Waiver of Liability, Assumption of Risk, and Indemnity Agreement (''Agreement'') for Related Events, Field Trips & Activities (“Activity”) I represent that I will understand the nature of an Activity and be sure that my son/daughter is qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe conditions are unsafe for my son/daughter, I will immediately discontinue my sons’ participation in the Activity. I fully understand that an Activity can involve risks of serious bodily injury, which may be caused by my son/daughter's actions, or others’ actions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the ''releasees'' named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my son/daughter's participation in the Activity. I hereby release, discharge, and covenant not to sue The Riverside Club for Adventure & Imagination, NFP, and its respective administrators, directors, agents, officers, volunteers, and employees, other participants, owners and lessors of premises on which the Activity takes place, (each considered one of the ''RELEASEES'' herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the ''releasees'' or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of such claim. I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.
Parent/Guardian Consent of General Waiver & Release
*
By checking this box, I agree and consent to the written waiver above in its entirety.
I, the above named Parent/Guardian, consent to the Riverside General Waiver & Release
Photo Release Consent
*
By checking this box, I agree and consent that Riverside may use photographs taken at this program in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.
I consent to this photo release agreement.
I do not consent to this photo release agreement.
Cancellation/Refund Policy
*
In the event that your child(ren) is/are unable to attend camp, all refunds are subject to a $50 cancellation fee per child. Refunds will only be given if requested via email to mail@rside.org at least 14 days before the first day of camp.
I have read and agree with the above terms and conditions.
How did you hear about Riverside?
*
Interested in receiving the latest news and information on upcoming events at Riverside?
Yes
Camp Registration- $25 Discount for every Sibling
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Camp Registration- $25 Discount for every Sibling/Multi-Camp
After selecting the number of participants, Please provide your child's information for each camp they are attending. For Example, you are registering the same child for "Ranger Camp 1" and "Creative Arts Camp." you will need to provide that child's information under both sections.
Product Name
Please tell us how many you are registering for this camp. Max is 5
Riverside Creative Arts Camp -Accepting 10-11 years olds OTHER AGES FULL - $395 Per Child Before Discounts
Please tell us how many you are registering for this camp. Max is 5
(Select to Register)
1 Child
2 Children
3 Children
4 Children
5 Children
Accepting 10-11 years olds OTHER AGES FULL, Riverside Creative Arts Camp - Child's Information (enter all children you are registering here by using the 'plus sign' to add a child)
JUNE 10-14 for boys and girls at Wheaton Academy, West Chicago, IL
First Name
Last Name
Age (10-11 Only) by June 1st
Ranger Camp 1
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Ranger Camp 1 - Ages 8-11 - $300
Please tell us how many you are registering for this camp. Max is 5
(Select to Register)
1 Child
2 Children
3 Children
4 Children
5 Children
Hidden
Ranger 1- Childs Information (enter all children you are registering here by using the 'plus sign' to add a child)
June 12 - June 14 (Monday - Wednesday) 8-11-year-old boys June 12: The Forge, Lemont June 13-14: La Salle Manor Retreat Center in Plano
First Name
Last Name
Age (8-11) by June 1st
Ranger Camp 2- Father/Son Overnight Camp
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Ranger Camp 2 - Father/Son Overnight Camp - $250 Registration Fee + $100 Per Participant (Multi-Camp/Sibling Discount does not apply to this Camp
Boys 12+ with their Fathers. Please tell us how many you are registering for this camp. Max is 5
(Select to Register)
2- Father and 1 Son ($450 total cost)
3- Father and 2 Sons ($550 total cost)
4- Father and 3 Sons (($650 total cost)
5- Father and 4 Sons ($750 total cost)
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Ranger Camp 2- Participants including Father(enter all participants you are registering here by using the 'plus sign' to add a participant)
June 15 - June 17 (Thursday - Saturday) Boys 12+ with their Fathers Meals are included
First Name
Last Name
Age (12+) by June 1st
A Little Princess Camp
Hidden
A Little Princess Camp- $225 Per Child Before Discounts
Please tell us how many you are registering for this camp. Max is 5
(Select to Register)
1 Child
2 Children
3 Children
4 Children
5 Children
Hidden
A Little Princess Camp- Childs Information (enter all children you are registering here by using the 'plus sign' to add a child)
8-11-year-old girls St James June 28, 29 & 30 9:30 am - 3:30 pm
First Name
Last Name
Age (8-11) by June 1st
Summer 2
Hidden
Summer 2- $300 early bird registration/$350 registration after April 14th Per Child Before Discounts
Please tell us how many you are registering for this camp. Max is 5
(Select to Register)
1 Child
2 Children
3 Children
4 Children
5 Children
Hidden
Summer 2- Childs Information (enter all children you are registering here by using the 'plus sign' to add a child)
June 12 - June 14 (Monday - Wednesday) 8-11-year-old boys June 12: The Forge, Lemont June 13-14: La Salle Manor Retreat Center in Plano
First Name
Last Name
Age (8-11) by June 1st
Have you filled out the information in each section for every child
*
Yes
I understand I must complete Paypal Payment for every registered child to secure a place in a Camp.
*
Yes
Registration Fee for Ranger Camp 2
Price:
$0.00
Sibling/Multi-camp Discount
Price:
$0.00
Total
$0.00
Untitled
Email
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About
Vision
News
Support
Donate
Advertising with The Riverside Club
Programs
Tutorial
The Riverside Studio for Girls
Theatre
Summer Camps 2024
Ranger
Events
Blogs
Blog of Curiosities
Inkling
Legend Box Blog
Gallery
Contact
Register
Login
2023-24 Tutorial Families
2023-24 Studio Families
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