Summer Camp - Queens

Kids 'N Shape Queens
162-26 Cross Bay Blvd, Howard Beach, NY 11414

Summer Camp at Kids ‘N Shape is seven weeks of action packed fun. Kids ‘N Shape Summer Camp New York City features licensed NYC teachers and weekly themes to ensure a great time for all. Campers receive complimentary daily snacks, t-shirts and always have plenty of awesome art projects to show off by the end of the summer camp New York City…

Your Information

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First name

Last name

Phone

Additional Questions

Campers Name

Date of Birth

Address (Street, City, State)

Cell Phone

Home Phone (optional)

Emergency Contact

Contact Name (optional)

Contact Phone (optional)

Camper's Grade as of 9/16 (optional)

T-shirt Size (optional)

Please select all desired sessions

*Closed Tuesday, July 4th

Week 1: July 3rd to July 7th - July 4th Celebration (optional)

Week 2: July 10th to 14th - Dinosaur Week (optional)

Week 3: July 17th to 21st - Circus Week (optional)

Week 4: July 24th to 28th - Wild West Week (optional)

Week 5: July 31st to August 4th - Superhero Week (optional)

Week 6: August 7th to 11th - Safari Week (optional)

Week 7: August 14th to 18th - Olympics Week (optional)

Waiver

In consideration of being allowed to participate in any way in the program, related events and activities, I undersigned, acknowledge, appreciate, and agree that:

The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death.
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation.
I willingly agree to comply with terms and conditions for participation. If I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately.
I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Kids N Shape of Howard Beach, Incorporated, its officers, officials, agents and/or employees, other participants, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the event (RELEASES), from any and all claims, demands, losses, and liability arising out of related to any INJURY, DISABILITY OR DEATH I may suffer, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

FOR PARENTS/GUARDIANS OF PARTICIPANT OF MINOR AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above all of the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liability incidents to my minor childs involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

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