My Web Application - Create Enrollment

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Session	Weeks	Tuition	Extension **
Session 1 Jun 07 to Jun 21	2	$2,675.00	June 07 - June 28
Session 2 Jun 21 to Jul 05	2	$2,675.00	June 21 - July 12 June 14 - July 05
Session 3 Jul 05 to Jul 19	2	$2,675.00	June 28 - July 19
Method	To Camp	From Camp
Airport Van: Flying campers arriving/departing from Phoenix Sky Harbor Airport	($75)	($75)
Personal Vehicle: I will provide my own transportation.	($0)	($0)
Item	Cost
Session	$0.00
Medical Deposit	$0.00
Cognitive Behavior Therapy	$0.00
Transportation	$0.00
Grand Total Amount	$0.00
1. This contract with Camp Ops LLC, a Delaware limited liability company, DBA Camp Shane Arizona (hereafter designated as Camp Shane Arizona or Camp), constitutes the full understanding of the parties and no change, modification or waiver of any of the terms shall be effective unless in writing and signed by both parties. 
2. In consideration of Camper's enrollment and payment of appropriate fees, Camp Shane Arizona agrees to the regular camp program, supervision, and room and board. Tuition fees do not include horseback riding, optional trips, and transportation to/from Camp or of luggage. All physicians’ fees, hospital fees, medicines, medical supplies, transportation to doctors & any other medical expense are the responsibility of the Camper’s parents/guardian. 
3. Camper may participate in any activity or trip organized by the Camp staff on or off Camp grounds, including but not limited to swimming, paintball, hiking, and horseback riding. Parents/legal guardian assume the inherent risk of such activities and will hold Camp Shane Arizona and The Orme School harmless in the event of any injuries, medical bills or property damages that may result from a Camp activity. Camp Shane Arizona does not assume any legal obligation to administer prescription medicine to the Camper and does so only as an accommodation and upon the request of the parents/legal guardian. Camp Shane Arizona is not liable for any consequences that could result from the administration or failure to administer medicine. Not all activities advertised may be available. 
4. A deposit of Five Hundred Dollars must accompany this application. Any additional expenses incurred during the Camp season shall be due and payable within ten (10) days after mailing of statement of expenses. The Camp shall have the right to charge any credit/debit card provided for this camper for any unpaid balance when due and to receive collection and attorney's fees on any unpaid balance, plus interest, expenses and court costs. If payment is made by credit/debit card, the undersigned or credit/debit card holder waives their right to reverse any credit/debit card charges. 
5. No adjustment, allowance or refund of the deposit or balance of the tuition fees shall be made except in strict conformity with the following rules: A - Where a Camper notifies Camp Shane prior to February 1st that he or she will be unable to attend for any reason whatsoever, a full refund will be made of all fees previously paid less a non-refundable registration fee of $1000. B - If cancellation is due to non-payment of tuition, all money received by Camp will be treated as liquidated damages. Requests to shorten the original enrollment duration must be requested before May 1st. 
6. For the safety, welfare and proper maintenance of all the Campers, Camp Shane Arizona reserves the unrestricted right to dismiss a Camper whose conduct or influence is inimical to the best interest of the Camp in the considered opinion of the Directors. Such conduct or influence includes, but is not limited to: any observation or discovery (Camp reserves the right to search personal property) of the use or possession of weapons, drugs or drug-related implements, stimulants or intoxicating beverages, bringing food on to Camp, purchasing food while off Camp, leaving Camp grounds, Camp activities or off-Camp activities at any time without official approval and supervision, damaging or defacing of Camp property, smoking, possession of cigarettes, refusing to participate in Camp activities, not complying with Camp rules or procedures, inappropriate behavior, inappropriate intimate or sexual behavior, and omission or misrepresentation regarding the medical or psychological history of the Camper. Failure to properly administer medicine does not excuse Camper from following rules or appropriate behavior. The parent or other notified party must pick up the Camper within 24 hours. If the parents or emergency contacts are unreachable or refuse to pick up the child, the Camp has the right to have the Camper be sent home unaccompanied via public or private transportation. It shall be the parents’ responsibility to meet the Camper upon arrival and if the parents are not available, the same applies to emergency designee. In such event, there will be no refund or adjustment of any part of the Camp fee. The Camp is not responsible for Campers when traveling to and from Camp. 
7. Due to the seasonal nature of summer camping, there is no refund or credit for any portion of the camping period not completed including late arrival, early departure, dismissal for cause, COVID-19, illness or accident, disability or withdrawal for any reason. The Camp does not screen Campers for admission. The guidance staff does not offer psychotherapy and we are not a special needs camp. The parents recognize that there is a risk that their child may not complete the season and in that event, assume full financial loss. Tuition and fees already paid and/or due are agreed to be the fair and reasonable sum as and for liquidated damages. All claims for refund or credit are expressly waived and released by the parents and/or guardian of the child. 
8. The venue and place of trial of any dispute that may arise out of this contract or otherwise, to which Camp Shane Arizona or its agents, is a party, shall be in the Town of Liberty Justice Court, or the County or State Supreme Court in Sullivan County, New York. In the event that Camp Shane Arizona retains the services of an attorney to enforce its rights under the terms of this contract, if successful, whether after litigation or through settlement, Camp Shane Arizona shall be entitled to reimbursement for its reasonable legal fees and costs. In the event that any portion of this agreement is deemed void or unenforceable for any reason, it shall not affect the balance of the contract which shall be enforced in the manner designed to give Camp Shane Arizona the fullest benefit and protection represented by this contract. 
9. Camp Shane Arizona, its officers, directors, and employees, shall not be responsible for cell phones, money, clothing, passports, laundry, baggage, medicine, mail, packages or personal possessions lost or damaged by fire, theft, malicious mischief or personal negligence. The Camp assumes no responsibility for acts by Campers made in violation of Camp rules, local, state or federal laws. The Camp is not responsible for losses of personal property or acts by Campers or other persons while off the Camp's premises. 
10. The undersigned hereby gives permission to the physician or hospital selected by the Camp to hospitalize, secure proper treatment for, and to order injection, anesthesia, medicine, X-ray, surgery or any other medical treatment for their child and to use their medical deposit or insurance policy to pay for these services and for transportation to and from any off Camp medical services. All reasonable efforts will be made to contact the parent or guardian prior to rendering such medical service. 
11. Permission is hereby granted to Camp Ops LLC and The Orme School to take and use any photograph, film, video or audio of the above Camper in any public release, publicity, TV program, advertisement, brochure, website, email or promotional videos. Names and addresses of campers and staff, camper inquiries and print, computer or created materials and procedures are the confidential property of Camp Shane Arizona. 
12. If a parent decides to withdraw his/her child during camp, the Directors require 24 hours notice. The child may be picked up between 10:00 a.m. and 4 p.m. The Camp is not responsible for the Camper after departure from Camp property, including when transportation arrangements are made by the Camp or by parent request. Visiting is only allowed on the scheduled visiting day. 

Please enroll my child........................................................................................................ in Camp Shane Arizona for selected sessions. I have read the Contract of Enrollment terms above, am familiar with the same and agree that this enrollment is acceptable to me and is subject to everything contained therein. In the event this contract is executed by one parent, I represent that I have the legal right to enroll my child in Camp and to act on behalf of any third party who may have custodial rights and/or is contributing to the payment of the Camp tuition. I recognize that Camp Shane relies upon the representations herein made in accepting my child in Camp Shane Arizona.