March Break Camp Registration Step 1 of 2 50% This field is hidden when viewing the formNext Steps: Install a Payment Add-OnTo accept payments on this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.Contact DetailsWould you like to register for the full week or a single day? (Choose "Full Week" or the Days you wish to join.)(Required) Full Week Monday March 10 Tuesday March 11 Wednesday March 12 Thursday March 13 Friday March 14 Child’s Full Name(Required) Full name Child’s Date of Birth(Required) MM slash DD slash YYYY Parent/Guardian’s Name(Required) Full name Parent/Guardian’s Phone Number(Required)Parent/Guardian’s Email(Required) Enter Email Confirm Email Home Address Street Address City ZIP / Postal Code Emergency Contact Name(Required)Emergency Contact Phone Number(Required)Authorized Pick-Up Persons(Required)Medical Information (allergies, dietary restrictions, medications, or any special needs)(Required)Family Doctor Contact Information (Optional)Before/After Care Needs(Required)YesNoI authorize JoyfulBites Cake Studio & Kids’ Events to obtain necessary emergency medical treatment for my child if I cannot be reached.(Required) Yes No I acknowledge that I have reviewed the camp schedule and understand the drop-off, pick-up, and additional fees for extended care services.(Required) Yes No I give permission for my child to participate in all camp activities, including cooking, baking, arts and crafts, candle-making, and other scheduled events.(Required) Yes No I give permission for my child to be photographed/video recorded during camp activities. I understand that these images may be used for promotional purposes by JoyfulBites.(Required) Yes No I understand that while all reasonable precautions will be taken, JoyfulBites Cake Studio & Kids’ Events is not liable for any injury, illness, or damage that may occur during my child’s participation in camp activities.(Required) Agree Disagree I understand that meals and snacks will be provided, and I have informed the camp of any allergies or dietary restrictions. I acknowledge that while efforts will be made to accommodate allergies, JoyfulBites cannot guarantee an allergen-free environment.(Required) Agree Disagree I hereby release, waive, and discharge JoyfulBites Cake Studio & Kids’ Events, its staff, and affiliates from any liability for injury, illness, loss, or damage incurred during camp activities, except in cases of gross negligence.(Required) Agree Disagree I accept full responsibility for any damages caused by my child to camp property or materials.(Required) Agree Disagree I agree to indemnify and hold harmless JoyfulBites from any legal claims arising from my child’s participation in the camp.(Required) Agree Disagree Print your full name(Required)Date(Required) MM slash DD slash YYYY Payment DetailsEvent Price: $0.00 Total This field is hidden when viewing the formCredit CardReplace this field with a field specific to your payment gateway whenever possible.
