top of page
Child's Grade for UPCOMING 2025-2026 academic year
Preschool
TK
K
1st
2nd
3rd
4th
5th
6th
Other:
How may we release your child(ren) from Exploration Camp at the end of each day?
Parent/ guardian/ authorized representative pickup
Child is free to go home unaccompanied
Other
Exploration Camp Session(s) Requested
Session 1: Jun 9-13$650
Session 2: Jun 16-20$650
Session 3: Jul 7-11$650
Session 4: Jul 14-18$650
Does your child/ren have special needs?
Yes
No
Does your child/ren have any medical issues of which Exploration Camp should be aware?
Consent for Emergency Medical Treatment
I consent
I do not consent

As the parent or authorized representative, I hereby give consent to Exploration Afterschool/ Play-Learn-Live to obtain all emergency medical care prescribed by a duly licensed physician (M.D.) or osteopath (D.O.) for the child/ren listed above.  This care may be given under whatever conditions are necessary to preserve the life, limb, or well being of the child.  

Waiver & Release of Liability (link below)
I agree and approve
I do not agree

https://docs.google.com/document/d/1NONVVyWYDGXDrQkslcAzqasyYz-49b6ytnRaKHC9w00/edit?usp=sharing

Acknowledgment of Understanding - By checking the box below, you agree to have read the linked Waiver and Release of Liability and fully understand its terms. You understand that you are waiving certain legal rights, including the right to sue the Releasees. You approve this Agreement freely and voluntarily on behalf of yourself and your child.  

I hereby certify that the information provided above is true and accurate to the best of my knowledge.

bottom of page