Scuba Open Water Certification Camp-Dan Kuhl

Summer Camp

Two weeks Session: June 26-30, July 5-8, 2023 (July 3-4, no classes)
Time. week 1: 9am-5pm, week 2: 8am-5pm
Price: $800 for the two weeks, lunch optional for $10/day
Ages: Incoming 9th-12th grade students

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Scuba Open Water Certification Camp-Dan Kuhl

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Camper Information

First Child

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Child is entering _____ after this summer.*

Youth t-shirt size*

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Please list any allergies.*

Add a Lunch (first child)*

$90 ($10/day, 9 days total)

Yes

Second Child

Second Child Name*

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Second Child is entering _____ after this summer.*

Second Child Youth t-shirt size*

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Second Child Allergies*

please list any allergies

Add a Lunch (second child)*

$90 ($10/day, 9 days total)

Yes

Third Child

Third Child Name*

First Last

Third Child Gender*

Female

Male

Third Child Birth Date*

Third Child is entering _____ after this summer.*

Third Child Youth t-shirt size*

x-small

small

medium

large

Third Child Allergies*

please list any allergies

Add a Lunch (third child)*

$90 ($10/day, 9 days total)

Yes

Contact Information

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Secondary Contact Name

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After the Camp

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Include each individuals first and last name, relationship to child(ren), and phone number.

Additional Information

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Parent Electronic Signature

Camper Behavior*

All camp attendees must demonstrate appropriate behavior during the summer camp and/or after care. If any camp attendee's behavior is deemed inappropriate, they may be dismissed from the camp or after care with no refund.

Yes, I understand these conditions and this is my electronic signature.

Responsibility and Liability*

By signing below, you agree to indemnify and hold harmless Admiral Farragut Academy, its directors, counselors, and employees from any and all liability for personal injuries or damages sustained while participating on the water slide, boat tour or on school grounds in general. Whether such personal injuries or damages are caused by negligence on the part of released parties or otherwise, to the full extent permitted by law. You also understand that there are inherent risks in participating in these activities.

Yes, I understand these conditions and this is my electronic signature.

Waterfront and Boat Permission*

Each week, weather permitting, campers will be taken out onto the AFA waterfront and given a boat tour on our pontoon boat. All campers are required to wear a lifejacket at all times, which will be provided by the school. They must wear closed toe water shoes OR old tennis shoes (no flip flops) and proper water attire at the waterfront in order to be allowed on the boat. Finally, campers will have access, weather permitting, to a water slide each week. By signing below, you agree to indemnify and hold harmless Admiral Farragut Academy, its directors, counselors, and employees from any and all liability for personal injuries or damages sustained while participating on the water slide, boat tour or on school grounds in general. Whether such personal injuries or damages are caused by negligence on the part of released parties or otherwise, to the full extent permitted by law. You also understand that there are inherent risks in participating in these activities.

Yes, I understand these conditions and this is my electronic signature.

Media Release Permission*

By choosing "Yes" you are approving for your child(ren)’s name, picture, artwork, written work, voice, or portrait (video or still), to appear in school publicity and publications.

Yes, I understand these conditions and this is my electronic signature.

Parent Electronic Signature*

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Need Help?

Questions About Summer Camps

Email: summer@farragut.org

Phone: 727-384-5500 ext 222

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