YES I DO NO I DO NOT grant permission for my child to be photographed or recorded during camp for educational or promotional purposes.
I, the undersigned, acknowledge that participation in Connections Pediatric Therapies Summer Splash Camp involves activities that may have risks. I understand that reasonable precautions will be taken to ensure my child's safety.YES* I hereby release Connections Pediatric Therapies, its staff, and affiliates from any claims related to injury, illness, or damages resulting from participation in camp activities.YES* In the event of a medical emergency, I authorize camp staff to seek necessary medical care for my child. I understand that I will be contacted immediately if such an event occurs.
Connections Pediatric Therapies reserves the right to cancel or modify camp sessions if the minimum number of enrolled children is not met. In the event of low enrollment:
If a camp week or location is canceled due to low enrollment, parents will have the option to:
Parents will be notified in advance if a change or cancellation occurs, and alternative options will be provided when possible.YES* I acknowledge that camp enrollment is subject to minimum participationrequirements and that adjustments may be made as needed.Parent/Guardian Agreement & Signature:I have read and agree to the policies and procedures outlined in this registration form.Parent/Guardian Name (Print): First Name* Last Name* Signature: Signature* Date: Date*
Add Registration Fee and then check the camps you would like to add below.
Connections (Palm Harbor): ALL 8 WEEKS
Connections (Palm Harbor): Week 1- June 1st & 3rd
Connections (Palm Harbor): Week 2- June 8th & 10th
Connections (Palm Harbor): Week 3 -June 15th and 17th
Connections (Palm Harbor): Week 4 - June 22nd and 24th
Connections (Palm Harbor): Week 5- June 29th and July 1st
Connections (Palm Harbor): Week 6 -July 13th and 15th
Connections (Palm Harbor): Week 7 - July 20th and 22nd
Connections (Palm Harbor): Week 8 - July 27th & 29th
Connections (Palm Harbor): ALL 8 WEEKS!
Connections (Palm Harbor): Week 3 - June 15th & 18th
Connections (Palm Harbor): Week 4- June 22nd & 24th
Connections (Palm Harbor): Week 5- June 29th & July 1st
Connections (Palm Harbor): Week 6 -July 13th & 15th
Connections (Palm Harbor): Week 7 - July 20th & 22nd