JA BizTown Summer Camp Registration Form | Junior Achievement of the Bluegrass

JA BizTown Summer Camp 

$200 for one child
$350 for two children ($50 discount)

Camp Hours: 9:00 am - 4:00 pm (Late pick-ups are not allowed)

Lunch: Campers will bring a sack lunch daily. Water and lemonade are provided by JA.
An optional pizza lunch (cheese or pepperoni) is available on Friday and will be ordered on Wednesday that week based on the number of campers attending and preference.

Campers will receive a JA Mask during the camp week. Masks are required during camp. No exceptions.

Registration Form
This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.
This field is mandatory.

Emergency Contacts/Pick-Up Procedures:

Campers MUST BE signed in and out on a daily basis by one of the contacts listed below. JA follows a strict drop-off and pick-up policy. Be sure to include all individuals to whom your child may be released to at pick-up time. Your child WILL NOT be released to any person whose name does not appear on this list. NO EXCEPTIONS to this policy will be granted.

This field is mandatory.
This field is mandatory.
This field is mandatory.

Medical Release:

I do hereby grant permission to Junior Achievement of the Bluegrass and their respective agents and employees to secure such medical aid and hospital services as may be deemed necessary for the child noted on this form in the event he/she should sustain injury or illness while attending a summer program. I agree to assume the cost for transport and medical treatment in such an emergency situation. I have indicated below any medical information of which Junior Achievement should be aware in consideration of the child’s physical and mental well-being. I hereby release and discharge Junior Achievement from any and all financial responsibility for medical care and/or transportation of such child to receive medical care. I agree to indemnify and hold harmless Junior Achievement from any and all claims, damages, costs, attorney’s fees, or damages of any kind arising out of participation in camp.

This field is mandatory.
This field is mandatory.

Photo/Video:

Your child may be photographed during JA Summer Camp for use on the JA website, JA promotional literature, or any CD/DVD. Convey your consent for photography/videography of your child with your signature below.

This field is mandatory.
This field is mandatory.

 

Pay Online Here

To pay by check please mail to:
JA of the Bluegrass
2420 Spurr Rd., Ste. 150
Lexington, KY 40511

 

 

 

 

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