LPAC Kids Club Summer Camp Registration

Please fill out the form below.  Someone will contact you shortly for payment information.  Enrollment is not confirmed until payment is received.

Week 1: Summer Safety Week - June 11, 12, 13, 14 & 15

Week 2: All Star Week - June 18, 19, 20, 21 & 22

Week 3: Around the World Week - Jun 25, 26, 27, 28 & 29

Week 4: Fitness Fun Week - July 9, 10, 11, 12 & 13

Week 5: Adventure Week - July 16, 17, 18, 19 & 20

Week 6: Book Worm Week - July 23, 24, 25, 26 & 27

Week 7: Super Hero Week - July 30, 31, August 1, 2 & 3

Week 8: Into the Wild Week - August 6, 7, 8, 9 & 10

Week 9: Fairy Tale Week - August 13, 14, 15, 16 & 17

Week 10: Family Week - August 20, 21, 22, 23 & 24

Mini-Camp (2-3 yrs)
Tuesdays and Thursdays - 9:00am-11:00am
Member: $30/day, $50/week, $200/five weeks
Non-Member: $40/day, $70/session, $300/five weeks

Little Camp (3 1/2-4yrs)
Monday-Friday 12:00-4:00pm
Member: $75/day, $350/week, $1625/five weeks
Non-Member: $85/day, $400/week, $1875/five weeks

Big Camp (5-7 yrs)
Super Camp (8-10 yrs)
Monday-Friday 12:00-4:00pm
Members: $85/day, $400/week, $1875/five weeks
Non-Members: $95/day, $450/week, $2000/five weeks

Sibling Discount (if registered for 3 or more days) - $50 off total amount
Monthly Unlimited Discount - 10% off total
Late Registration (After May 31, 2012) - add $10 per day
Register by May 1st to receive a t-shirt! Additional t-shirts will be available for purchase

You agree that you are aware that the child named will be engaging in play and/or physical activity involving various sports, coordination events, general fitness training, and movement, specifically including swimming and rock climbing, which could cause injury to him or her. You understand that the child is voluntarily participating in these activities and is assuming all risks of injury that may result from engaging in any exercise program or sport related event including tripping, slipping, or falling, on or off the club premises, even if the Chicago Athletic Clubs or its officers, directors, employees or agents, through negligence or otherwise, might be deemed liable. You hereby release, waive, discharge and covenant not to sue Chicago Athletic Clubs or its officers, directors, employees or any agents, coaches, participants, sponsoring agents, sponsors, advertisers or others associated with Chicago Athletic Clubs and, if applicable, owners and leasers of premises used to conduct Climbing Wall and Swimming Pool activities and programs, from any and all liability arising out of your child’s participation on the Climbing Wall or in the Swimming Pool, even if the liability arises out of negligence that may not be foreseeable at this time. This release shall be effective even though said loss, damage or injury results or has resulted from the negligence, wrongful acts, omissions, breach of warranty or strict tort liability of Chicago Athletic Clubs. You understand that we will make no evaluation or recommendation as to whether or not the child is capable or deemed physically fit to engage in any activity. If the child has any physical or mental condition that may impair his or her ability to engage in any of the club activities, it is your responsibility to obtain a physician’s release statement. It is recommended you consult a physician prior to your child participating in any physical exercise program. In the event that a medical emergency concerning your child should occur, you hereby grant permission to the club to obtain emergency medical care for your child and agree to waive any claim against the club, our employees, owners, officers, or agents for any injury that may occur through the use of emergency medical services.

I hereby understand that this medication will be administered in good judgment and with ethical practice. I understand the possible consequences in the administration of the medication listed below. In consideration of administering said medication, I hereby release, waive, discharge and hold harmless Lincoln Park Athletic Club and its employees from any claims, demands, or suits for damages from any injury or complication which may result from the administration of the below-mentioned medications to my child, named in this registration form.

Please list all allergies, symptoms, and medication required for your child.

We cordially ask you to give us the permission to use your child’s picture (taken in action here at the Kids Club!) for promotional purposes. We ask for this right to use all of their images. Images may be used without notification for any and all uses under the name Chicago Athletic Clubs, Lincoln Park Athletic Club, West Loop Athletic Club, Lakeview Athletic Club and/or Lincoln Square Athletic Club – Kids Club for magazine, fundraisers, print ads, or signage around the club and/or in the community. Should child’s image be used for Club marketing/advertising collateral, parent will receive a digital layout for reference via email in advance of press/posting.

My electronic signature acknowledges that I have read and understand the “Policies and Procedures” of Summer Camp 2012, especially the Kids Club Wellness Policy. I understand there are no refunds or transfers and have read and agree to the above waivers.

Groups:

Schedule

 1Monday2Tuesday3Wednesday4Thursday5Friday6Saturday7Sunday
55:00am
66:00am
      
6.36:30am
      
77:00am 
     
7.37:30am 
     
88:00am  
    
8.38:30am  
    
99:00am   
   
9.39:30am   
   
1010:00am    
  
10.310:30am    
  
1111:00am     
 
11.311:30am     
 
1212:00pm      
12.312:30pm      
131:00pm
      
13.31:30pm
      
142:00pm 
     
14.32:30pm 
     
153:00pm  
    
15.33:30pm  
    
164:00pm   
   
16.34:30pm   
   
175:00pm    
  
17.35:30pm    
  
186:00pm     
 
18.36:30pm     
 
197:00pm      
19.37:30pm      
208:00pm
      
20.38:30pm
      
219:00pm 
     
21.39:30pm 
     
2210:00pm  
    

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