Camp Robinson Registration Form

Elementary & Middle School

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2018 Camp Robinson Programs








Other offerings
















Emergency Information


EMERGENCY AUTHORIZATION/CONSENT:

I do hereby authorize/consent medical treatment for my child. In the event that my child becomes ill or injured at Robinson School or during a Robinson School related activity, the school is authorized to take one or more of the following actions: a) provide first aid; b) release my child to the person(s) listed below; c) take my child to a hospital and/or give consent for emergency care. Please list any medical, educational, or family circumstances that will help us care for your child and any daily medications. This information will be shared with the adults who are in contact with your child during summer session.


Emergency Contact 1

Emergency Contact 2

MEDICAL RELEASE:

PUBLIC RELATIONS RELEASE:


ENROLLMENT AGREEMENT:

The student will receive instruction, guidance, and encouragement in keeping with Robinson School’s statement of purpose and values. The school reserves the right to dismiss any student who in conduct, industry, or progress proves not in harmony with school standards.

FIELD TRIPS AGREEMENT

2x2 Student Photograph


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IMPORTANT NOTE: Classes will be offered with a minimum of five (5) students. The school reserves the right to cancel any class and/or change schedule if necessary. If administrative cancellation occurs, payment of the class will be reimbursed. Withdrawals will be accepted prior to second class for a 75% reimbursement (Registration Fee is non – refundable.)