Winter Camp Registration – Deerfield

REGISTRATION FORM

Winter Camp 2019- Deerfield
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If your child has allergies or any special conditions that require our attention please let us know here

Week 1 - Deerfield

Week 2 - Deerfield

Mia Cake House Policy

I understand that once payment is processed, no refund or credit will be issued. You can transfer the spot to another child informing Mia Cake House of the new camper.
Mia cake house may cancel the activity with full refund in case registration does not reach 12 participants

AGE REQUIREMENTS: Camper must be 8 – 13 years old.
ALLERGIES: We are a peanuts free environment. We do use Almond flour, so if your child is tree nut sensitive, please consider it. Unfortunately we cannot accommodate special dietary needs.

ABSENCE / CANCELLATION / NO SHOW Absences, withdrawals, no-shows or dismissals will not be eligible for refunds, transfers, or prorating.

MEDICAL EMERGENCY In the event of an extreme medical emergency, Mia Cake House staff will contact emergency medical personnel and will then contact the child’s parent or guardian. In the event a parent/guardian cannot be reached the Emergency contact will be called. Based on medical personnel’s assessment, your child may be transported to a local hospital to receive further medical attention. Emergency Medical personnel will not honor requests to take children to specific hospitals, doctors or medical establishments.

Camp activities require the ability to follow instructions, concentrate and be seated for periods of 2-3 hours. You as a parent know your child better than anyone to decide if your child will enjoy the activities and follow the rules.

PHOTO RELEASE I authorize Mia Cake House Museum to take photographs of my child/children for marketing purposes. I give permission for these pictures to be used in the Company’s printed materials, including advertisements, brochures, flyers, websites, and social media.

I agree that in consideration of Mia Cake House allowing myself or my child’s participation in this these activities, under the terms set forth herein, I, the rider or the parent, for myself and on behalf of my child(ren) and/or guests, legal ward, heirs, administrators, personal representatives or assigns, do agree to hold harmless, release and discharge Mia Cake House Corp., its owners, agents, employees, officers, directors, representatives, assigns, members, owners of premises and trails, affiliated organizations, and insurers, and others acting on its behalf (hereinafter, collectively referred to as “Associates”), of and from all claims, demands, causes of action and legal liability, whether the same be known or unknown, anticipated or unanticipated, due to Mia Cake House and/or IT’S ASSOCIATES ordinary negligence; and I, the rider or the parent, do further agree that except in the event of Mia Cake House gross negligence and willful and wanton misconduct, I shall not bring any claims, demands, legal actions and causes of action, against Mia Cake House Corp. and IT’S ASSOCIATES as stated above in this clause, for any economic and non economic losses due to bodily injury, death, Property damage, sustained by me and/or my minor child, guest or legal ward in relation to the premises and operations of Mia Cake House.

Further, I confirm that my child is in good physical health and represent that my child has no existing physical disability, illness or condition of any type that might be aggravated by the participation in the above event.

I have read this Assumption of Risk and Release of Liability and understand that it is an absolute release and I execute the same freely and voluntarily and accept and agree to its terms and conditions.

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