Seashore Academy: Enrollment Form for 2021 Spring Break Camp

Seashore Camp: Enrollment Form

Thank you for your interest in Seashore Academy's camps.  Please note:
  1. We handle Camp enrollment separately than we handle enrollment in our regular academic program.
  2. If you wish to enroll multiple siblings:  after completing this form (and its payment) you will be invited to fill out another form for a sibling (with a sibling discount of 10%).

Please provide your child's home address

Please provide the name and phone number of an additional contact person (in case we cannot reach you).

Non-Refundable Fees:  I understand that fees are non-refundable after the first day of camp for each week.  Should I choose to withdraw my child, I will be charged the one-day drop-in daily price of $85.

Activity Release:  I acknowledge and agree as follows:
1. Participation in Seashore Academy is voluntary and is a privilege.
2. I release, absolve and hold harmless Seashore Academy, its owner, officers, agents, volunteers or employees from any and all liability for any claim arising out of traveling to/from, participating in, or which is in some manner connected with, the participation of my child(ren) in any Seashore program or affiliate.
3. Students and parents are required to obey all rules and safety requirements, as well as Seashore standards for respect of persons and property.
4. I hereby give my approval for the participation of my child(ren) in any and all Seashore programs.

Medical Release:  In the event of a medical emergency, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of my child(ren).
Permission is also granted to Seashore Academy and its affiliates including its owner, teachers, staff, and volunteers to provide the needed emergency treatment prior to the child’s admission to a medical facility.  I understand that Seashore does not have a nurse on site.  In the case any special medical needs, such as regular insulin injections, I may make special arrangements with Seashore staff to administer treatment.  In the case of allergies, I must train my child to avoid sharing food.  (Seashore discourages this practice, but we cannot be responsible if a child accepts a food item to which he/she is allergic.)
This release is authorized with the purpose of authorizing medical treatment for the protection of my child(ren) in my absence.
I understand and accept that there are inherent risks of infection from interacting with other students and acknowledge that this is a choice and risk that I am making of my own accord in choosing to send my child(ren) to camp.  I agree to hold Seashore, its landlords, owner, and employees harmless in the event that my child(ren) contract any illness of any kind which may or may not be in any way be associated with a Seashore activity.

COVID-19 Risks: I understand that my child(ren)’s participation with in-person services during a health pandemic may result in my child contracting COVID-19, which may be spread to me and my family, which may result in severe illness, hospitalization and/or death. By signing hereon, the parent/guardian waives liability against and holds harmless the Seashore staff, participants, and owners relating to the contraction of COVID-19 to the student or his/her family. If the student/parent/guardian believes that an unsafe condition or circumstance exists with respect to the activity(ies), students may discontinue in-person participation and join virtual services instead.

Photography Release:  Seashore Academy often takes photographs or videos of child(ren) during its classes, activities, and events.  I grant permission without compensation that these photographs or videos may be used in to promote Seashore Academy.  Seashore agrees to not identify me or my child(ren) by name, or release any other personal information without additional written permission from me.

Transportation Release:  I realize that I always have the right to drive my own children to/from field trips and/or after-school programs and camps. In the event that I do not pick my child up on time or do not provide my own transportation to an event, I hereby grant permission for Seashore Academy staff, owner, employees, and volunteers to transport my child; there will be no charge for this transportation.

Financial Agreement:  I hereby enroll my child(ren) in Seashore STEAM camp. I understand that I am responsible for making payments and that there are no refunds after the first day of each week. In the event that I withdraw my child(ren) after the first day, I understand that I will be charged for the daily drop in rate at $85 per day per child.
I also understand that the returned check fee is $25 per returned check or failed transaction.

Termination of Enrollment:  Seashore Academy reserves the right to accept, deny or terminate enrollment of students solely at its discretion. The following are some (but not all) reasons that Seashore Academy would be inclined to terminate enrollment: delinquent or non-payment, behavior problems (by student, parent, or other family member), or repeated failure to pick up a sick child within an hour of being notified. In the event of a dismissal, all financial obligations must continue to be met for the remainder of the Camp.

Behavior Policy:  At Seashore Academy, we encourage self-control and personal responsibility through positive reinforcement for good behavior. Out of respect for others, we do not tolerate disruptive behavior. Seashore remains the right to discipline, suspend and/or expel students for behavior problems of the student, his/her parents, or other family members. The Card Reward/Discipline System Students start each school day with a GREEN card. If a student’s card is turned to YELLOW, he/she sits a time out during the next free play time (recess or lunch). During a timeout, students sit apart from the play area (but still under adult supervision) for a period of time equivalent to the student’s age (a 5 year old student sits a 5 minute time out, 8 year olds sit an 8 minute timeout, etc.) If a student turns their card to RED, another timeout is assigned, and a note is sent home to inform parents about the behavior that prompted turning their card to red. Teachers reserve the right to have a student turn a card directly to red, or contact the parents immediately if a student’s behavior warrants immediate action. The Director reserves the right to assign alternate consequences for behavior if necessary, including suspension or expulsion. Students can also earn a BLUE card for excellent behavior or achievement. Blue cards are rare and greatly celebrated.

School Rules:
  • Follow directions.
  • Treat others with kindness and respect.
  • Keep hands, feet, and objects to yourself.
  • Respect the property of others and share.
  • No toys or balls from home are to be brought to school.
  • No cell phones or electronic devices are to be used during on school grounds or during Seashore program hours for any purpose unless a teacher has specifically assigned this as part of the classroom work.

Food Policy:  Students shall pack a healthy snack and lunch each day. Seashore Academy is a nut-free school, and while at Temple Bat Yahm, we ask that children abstain from consuming pork. We discourage children from sharing food. If parents wish to bring class treats for their child's birthday, we encourage non-food options such balloons, stickers, or pencils. If food treats for the class are brought, they must be distributed at the end of the school day outside the temple gates at pick up time.

Other Fees
Please select the fee to pay for Week 1 and for Week 2 for this camper:
Camp Fee (Week 1: 1 Day) 85.00
Camp Fee (Week 1: 2 Days) 160.00
Camp Fee (Week 1: 3 Days) 235.00
Camp Fee (Week 1: 4 Days) 305.00
Camp Fee (Week 1: 5 Days) 375.00
Camp Fee (Week 2: 1 Day) 85.00
Camp Fee (Week 2: 2 Days) 160.00
Camp Fee (Week 2: 3 Days) 235.00
Camp Fee (Week 2: 4 Days) 305.00
Camp Fee (Week 2: 5 Days) 375.00
Total 0.00

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