Elementary Summer Camps - Meridian Learning

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June 9-13th Micropiece Theatre

Mon-Fri
9:30 - 3:00

Micropiece Theatre

Price:

Number of Children for Micropiece Theatre

Please enter a number from 0 to 3.

Forest Adventure June 16-20

Mon-Fri
9:30 am -3:00 pm

Forest Adventure

Price:

Number of Children for Forest Adventure

Please enter a number from 0 to 3.

June 23-27 Young Explorers

Mon-Fri
9:30 - 3:00

Young Explorers

Price:

Number of Children for Young Explorers

Please enter a number from 0 to 3.

Cooking & Gardening July 14-18

Mon-Fri
9:30 am -3:00 pm

Cooking + Gardening

Price:

Number of Children for Cooking + Gardening

Please enter a number from 0 to 3.

Multi-sibling discount

Price:

Coupon

Total

Parent Information

Parent/Guardian's Name:*

First Last

Parent/Guardian's Email address:*

Enter Email Confirm Email

2nd Parent/Guardian's Name:

First Last

2nd Parent/Guardian's Email address:

Enter Email Confirm Email

Mailing address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Best Number to Reach You:*

Cell Phone

Home Phone

Work Phone

Cell Phone:*

Home Phone:*

Work Phone:

Children's Information & Photo Release

Photo Release Permission:

I/We give permission for photos/videos to be taken of:

1st Child's Name (Micropiece Theatre):*

First Last

1st Child's Date of Birth (Micropiece Theatre):*

2nd Child's Name (Micropiece Theatre):*

First Last

2nd Child's Date of Birth (Micropiece Theatre):*

3rd Child's Name (Micropiece Theatre):*

First Last

3rd Child's Date of Birth (Micropiece Theatre):*

1st Child's Name (Forest Adventure):*

First Last

1st Child's Date of Birth (Forest Adventure):*

2nd Child's Name (Forest Adventure):*

First Last

2nd Child's Date of Birth (Forest Adventure):*

3rd Child's Name (Forest Adventure):*

First Last

3rd Child's Date of Birth (Forest Adventure):*

1st Child's Name (Young Explorers):*

First Last

1st Child's Date of Birth (Young Explorers):*

2nd Child's Name (Young Explorers):*

First Last

2nd Child's Date of Birth (Young Explorers):*

3rd Child's Name (Young Explorers):*

First Last

3rd Child's Date of Birth (Young Explorers):*

1st Child's Name (Cooking + Gardening):*

First Last

1st Child's Date of Birth (Cooking + Gardening):*

2nd Child's Name (Cooking + Gardening):*

First Last

2nd Child's Date of Birth (Cooking + Gardening):*

3rd Child's Name (Cooking + Gardening):*

First Last

3rd Child's Date of Birth (Cooking + Gardening):*

while he/she is participating in Meridian Learning activities. I/We understand that photos/video may be published online, in printed materials and/or for other promotional purposes, but only to help document student work and illustrate Meridian Learning programs. I/We hereby waive any ownership rights, as well as any right that I/we may have to inspect or approve the finished product in which a photographic or video image may be used including the advertising copy or other matter that may be used in connection therewith or the use to which it may be applied.

Children's Medical Information

Does your 1st Child (Micropiece Theatre) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 2nd Child (Micropiece Theatre) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 3rd Child (Micropiece Theatre) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 1st child (Forest Adventure) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 2nd child (Forest Adventure) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 3rd child (Forest Adventure) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 1st Child (Young Explorers) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 2nd child (Young Explorers) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 3rd child (Young Explorers) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 1st child (Cooking + Gardening) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 2nd child (Cooking + Gardening) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Does your 3rd child (Cooking + Gardening) have any allergies? Specific dietary needs/food sensitivities? Medical conditions? Or other special need?*

Emergency Contact:

Emergency Contact Name:*

First Last

Emergency Contact's Relationship to your child(ren):*

Emergency Contact's Address:*

Street Address Address Line 2 City State ZIP Code

Emergency Contact's Phone Number:*

Preferred Hospital:*

Name of Family Physician:*

First Last

Phone Number for Family Physician:*

In case of emergency, do we have permission to administer CPR and/or authorize an ambulance to transport your child(ren) to a hospital?*

Yes

Emergency Contact Acknowledgement:*

By checking the box, you are agreeing that the information provided for Emergency Contact is accurate.

Registration Policy

We regret that we cannot grant refunds for camp registrations. If we must cancel a camp due to low enrollment, your payment will be refunded.
We reserve the right to cancel camps due to low enrollment. Registrants will be notified via email if camp is cancelled.

Waiver

In consideration of the acceptance of my application for Meridian Learning summer camps, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages or which may hereafter occur to my child/ren as a result of their participation in said summer camps. This release is intended to discharge in advance Meridian Learning, LLC, its officials, officers, employees, volunteers, and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assignees.

Parent Agreement

Confidentiality

Meridian Learning is committed to protecting the privacy of all families who participate in our programs, as well as the children in the learning environment. With this in mind, we will not discuss confidential information in the presence of children or other parents. If you wish to discuss sensitive issues pertaining to your child, please contact us via email.

Attendance/Punctuality, Inclement Weather and Make-ups

Whenever possible, please give a two (2) hour notice if you are unable to attend class. We regret that we cannot excuse you from payment or grant refunds for absences. Advanced notice of tardiness is appreciated as it may impact the rhythm of the class. If your child’s class is cancelled due to inclement weather or illness, a make-up class will be offered.

Participant Behavior

We reserve the right to terminate enrollment at any time should a participant’s behavior/needs, consistently and beyond an initial adjustment period, impact the quality of the environment, interfere with the functioning of the class as a whole and/or endanger the child or others.

Children's Information & Photo Release, Children's Medical Information, Emergency Contact, Registration Policy, Waiver, Parent Agreement Acknowledgement:*

By signing below, you are agreeing that the information provided is accurate and that you have read the Photo Release, Registration Policy, Waiver and Parent Agreement. My signature below indicates that I agree to all of the above provisions regarding my family’s participation in the program(s).

Parent/Guardian Name:*

First Last

Parent/Guardian Signature*

2nd Parent/Guardian Name:

First Last

2nd Parent/Guardian Signature