Parent Information

Camper Information

Emergency Information

Who to contact in case of an emergency

Release of Liability Waiver

In consideration of being allowed to participate in any camp, field trip, and/or program at The Leader, the undersigned, on his or her behalf, and on the behalf of the participant(s) identified below agrees that:

  • 1. I willingly assume the risks associated with participation and accept that there are also risks that may arise due to OTHER PARTICIPANTS, which I also willingly assume.
  • 2. I agree that I shall comply with all stated and customary terms, posted safety signs, rules, and verbal instructions as conditions for participation in any party and/or program at The Leader.

Check the Box to agree


Media/Video Release:

I give The Leader permission to videotape/photograph/audiotape and or allow the videotaping, photographing and audio taping of my child. I will give written notice if not agreeing on this.

Check the Box to agree


Media Camp Sign Up-Payment Policies

Media Camp costs $350.

  • 1. With the completion of the payment information section of this form, I allow The Leader to charge a $175, non refundable deposit to my card.
  • 2. I understand that the remaining $175 is due by July 1st.
  • 3. The Leader has the right to cancel a class or camp one week prior to the start date. Full refunds will be processed if a class/camp is cancelled.

Check the Box to agree


Before and After Camp Care

Before and/or After camp care is one flat fee of $50.
Camp begins at 9:00 a.m. and ends at 3:00 p.m. Before camp care is from 8:00 a.m. – 8:50 a.m., and After camp care is from 3:10 p.m. – 5:30 p.m. I understand that if I bring the camper to camp before 8:50 a.m. or pick them up after 3:10 p.m. I will be charged $50.

Check the Box to agree