14. Symone Center for The Arts Summer Program is not responsible for any personal items that are lost stolen
or damaged while attending.
15. On the physical camp days I consent that in an emergency Symone Center for The Arts may obtain
medical treatment if necessary. I understand that if medical treatment is deemed necessary I will be
informed as soon as possible.
16. I reviewed the application and all the information provided is accurate and true. I agree to all the terms and
conditions.
17. I have received a copy of “A Parent’s Guide to Regulated Child Care.”
18. I understand that if my child is displaying any signs of illness, they will not be able to attend physical camp
days.
as parent/guardian, authorize Symone Center for the Arts personnel to
seek emergency treatment as required and to transport my child to the appropriate medical facility in the event that urgent/emergency care is necessary.
The information listed on this health information form is correct to the best of my knowledge, and the participant described herein has permission to engage in all prescribed program activities, except as noted on this form.
Who is responsible for making payments?
I hereby, agree to submit summer program payments to the Symone Center for the Arts, Inc. I understand that if I pay late my account will be charged a $40.00 late fee per week/per occurrence. Additionally, non-payment may result in the termination of all services conducted by Symone Center for the Arts, Inc. I understand that I am enrolling my child for the weeks indicated in the application. I understand that I am responsible for the payment of fees for the 2022 summer program.
Thanks for submitting! We look forward to being of service to your family!