How to Register and Enroll Your Demigod Read the 2013 Camp Half-Blood/ Camp Jupiter application Complete the following forms: 1. Day camp enrollment form 2. Emergency medical care authorization 3. Payment method authorization 4. Tee shirt & camp merchandise order form You may turn these forms into BookPeople in person, by mail, fax. BookPeople Literary Camps (Camp Half-Blood/Camp Jupiter) 603 N. Lamar Austin, TX 78703 512-472-5050 ext. 103 cell: 619-865-3391 [email protected] Fax: 512-482-8495 • Only paid participants are allowed to attend camp. • Application and payment must be turned in to BookPeople. Camp is first come first served. Once slots are filled, that’s it! • No refunds will be given unless BookPeople is notified in writing and received by the Camp Director’s office at least 10 days in advance of the start of camp session. It’s first come first served. When spots fill up we’ll close registration. Registration Fees & Refunds Refunds: in order to receive a refund of camp fees you must cancel your space at least 10 days before the session begins. We require notification in writing. No refunds will be provided for cancellations received within 10 days of the start of the camp session. Nsf payments: $25.00 is charged for all non-sufficient funds and declined credit card charges. Children will not be allowed to attend Camp Half-Blood/Camp Jupiter unless payment has been received and recorded by the accounting department. BookPeople may, at their discretion, adjust the fees applicable to this childcare program at any time. I understand that I will be given at least a 30-day notification prior to any such change. It is my understanding that if I wish to terminate my childcare, for any reason, I must give BookPeople a 10-day written notice in advance of my camp session. If proper notice is not received, I will be held responsible for camp fee regardless of whether my child attends summer day camp. Camp ends at 5:00 p.m. Please pick your child up on time. You will have a fifteen minute grace period before we charge you $5.00 for every five minutes you are late. Please call us if you are going to be late. We will not serve lunch. We will provide drinks and snacks. Enrollment Form (Check your preference) Camp Half-Blood (Greek) _____ Camp Jupiter (Roman) _____ (Check all that apply) Session 1: July 8th – 12th, 2013 _____ Session 2: July 15th – 19th, 2013 _____ Session 3: July 22nd-26th, 2013 _____ Session 4: (Older) Jul 29th- Aug 2nd, 2013 _____ Session 5: August 5th – 9th, 2013 _____ Session 6: August 12th – 16th, 2013 _____ Session 7: August 19th – 23rd, 2013 _____ Child’s name: _______________________________________________________________________________ Gender:________ Birth date: ______________________ Age: _____(time of camp) Parent’s name: _______________________________________________________________________________ Email: _____________________________________________________________________________________ Address: ___________________________________________________________________________________ City:____________ State: ___________ Zip:________ Home phone:______________________________________Work phone: Cell:_________________________________ Emergency contact: yes / no Authorized to pick up: yes / no Employer: __________________________________________________________________________________ Parent 2’s name: _____________________________________________________________________________ Email: _____________________________________________________________________________________ Address: ___________________________________________________________________________________ City:____________ State: ___________ Zip:________ Home phone:______________________________________Work phone: Cell:_________________________________ Emergency contact: yes / no Authorized to pick up: yes / no Employer: __________________________________________________________________________________ Emergency contacts and/or authorized pick-ups (Other than mortal parents): Emergency Contacts Name: _____________________________________________________________________________________ Phone: ____________________________________________________________________________________ Alternate phone: _____________________________________________________________________________ Driver’s license number: _______________________________________________________________________ Authorized to pick up: yes / no Name: _____________________________________________________________________________________ Phone: ____________________________________________________________________________________ Alternate phone: _____________________________________________________________________________ Driver’s license number: _______________________________________________________________________ Authorized to pick up: yes / no Authorized to Pick-up Name: _____________________________________________________________________________________ Phone: ____________________________________________________________________________________ Alternate phone: _____________________________________________________________________________ Driver’s license number: _______________________________________________________________________ Emergency Contact: yes / no Authorization for Emergency Medical Care Child’s Name: _______________________________________________________________________________ In the event that I cannot be reached I authorize BookPeople program Staff to take my child to: Physician: __________________________________________________________________________________ Phone Number: _____________________________________________________________________________ Address: ___________________________________________________________________________________ Currently we have no doctor use closest: yes / no Hospital: ___________________________________________________________________________________ Phone number: ______________________________________________________________________________ Address: ___________________________________________________________________________________ In an emergency use closest: yes / no Dentist: ____________________________________________________________________________________ Phone number: ______________________________________________________________________________ Address: ___________________________________________________________________________________ Currently have no dentist use closest: yes / no Medications: ________________________________________________________________________________ Dietary modifications: ________________________________________________________________________ __________________________________________________________________________________________ Operations/serious injuries: ____________________________________________________________________ Disabilities/chronic/recurring illnesses/allergies: ___________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ • Consent for treatment: I give consent for any necessary treatment when my child is in the care of this physician, hospital or dentist. • Immunization: I can provide my child’s immunization records and / or the records are on file at my child’s school. All required immunizations and / or tuberculosis test are current. • Authorization: In case of sickness or accident, I hereby give my permission to the medical personnel selected by BookPeople to order and/ or perform any medical attention deemed necessary if I am unable to be contacted. I accept financial responsibility if such treatment is necessary. I further understand that neither BookPeople nor its workers can be held responsible in the event of accident or accidental death. X_________________________________________________________________________________________ Signature of Mortal Parent/Guardian & Date Mortal Parent and Participant Statement of Agreement • I understand that I am not to leave my child at Camp Half-Blood/Camp Jupiter before 7:45 a.m. and only if there is a Camp staff member present. • I understand that my child will not be allowed to leave the program with an unauthorized person or staff. Only adults can be authorized to pick up the child. Staff will require a valid photo i.d. • I understand that BookPeople is mandated by Texas law to report any suspected cases of child abuse or neglect. • I understand that I will be charged a late fee if I fail to pick my child up on time. • I understand that Camp Half-Blood/Camp Jupiter staff may not baby-sit, transport or care for children other than during camp half-blood hours. • I understand that my child may be removed from Camp Half-Blood/Camp Jupiter for any of the following reasons: • Failure to pay program fees by designated deadlines. • Inappropriate behavior of a child/parent that endangers anyone involved with BookPeople and Camp HalfBlood/Camp Jupiter. • Failure to observe any of the behavioral conduct guidelines set forth in the behavioral guidelines. Note: failure to sign this parent agreement does not nullify this agreement. X_________________________________________________________________________________________ Signature of Mortal Parent/Guardian & Date Camp Half-Blood/Camp Jupiter is a Literary Day Camp presented by BookPeople Ph: 512.472.5050 ext.103 I authorize my child(ren) to participate in the following activities while enrolled at Camp Half-Blood/Camp Jupiter: • Swimming/water activities • View a PG rated film • Travel on BookPeople arranged transportation • Participate in camp activities – including field trips • Participate in photos or videos for BookPeople publications X_________________________________________________________________________________________ Signature of Parent/Guardian & Date BookPeople child behavior contract: Disciplinary problems may require a 5-15 minute Time Out Period. Time out will only be given 2 times per day. Parents may be called to pick up any child who does not behave after 2 time outs. If your child requires assistance or is prone to outbursts or erratic behavior your presence will be required at camp while your child is in attendance. Persistent behavioral problems may result in suspension or removal from the camp program indefinitely, at the program director’s discretion. Statement of responsibility: I understand and acknowledge that BookPeople does not offer any medical insurance to protect against injuries, makes no claims to do so, and has no responsibility for any medical expenses incurred. I understand that each participant must assume the risk and any related financial responsibility that could result from participation in any of these activities. I agree to assume such risks and such financial responsibility. X_________________________________________________________________________________________ Signature of Parent/Guardian & Date Tee shirt Order Form Camper’s Name: _____________________________________________________________________________ Please note: Every camper will receive one shirt per session enrolled (at no charge). Please pick your child’s shirt size, using the form below, so we can order the appropriate size and number of shirts. Use this form regardless of whether you enroll Greek or Roman. (Free Shirt - Please check size needed) Children’s sizes: Medium: _____Large:_____ Adult sizes: Small:_____ Medium:_____ Large: _____ (For extra shirts only - Please place quantity needed next to size) Additional shirts cost: $15.00 (tax is included in this price) Children’s sizes: Medium: _____Large:_____ Adult sizes: Small:_____ Medium:_____ Large: _____ XL: _____ Total number of shirts @ $15.00 (does not include free shirt) Total __________ Camp Extras We’ve gotten a lot of parent feedback over the years and the following item has come up every year. Our Central Texas summers are VERY hot and water is essential. So this year we will offer: BookPeople Water Bottles – “Keep Austin Weird.” The bottles are made with the BPA free plastic. $15.00 Camper’s Name: _____________________________________________________________________________ Payment Authorization Form Session 1: July 8 - 12 ($450): __________ Session 2: July 15 - 19 ($450): __________ Session 3: July 22 - 26 ($450): __________ Session 4: July 29 - Aug. 2 ($450): __________ Session 5: August 5 – 9 ($450): __________ Session 6: August 12 – 16 ($450): __________ Session 7: August 19 – 23 ($450): __________ Extra Camp Half-Blood/Jupiter tee-shirt(s) @ $15 each: __________ BookPeople Water Bottles @ $15 each: __________ Total __________ Payment Method: Cash / Check / Credit Card CREDIT CARD INFORMATION: Card Number: __________________________________________________________________________ Exp. Date: ________/________ Visa, M/C, Amex, Discover (Circle One) Authorization: I hereby authorize BookPeople to debit the above credit card for extra, water bottles, Lightsaber pommels and/or the date indicated for my 2013 Camp Half-Blood/Camp Jupiter Camp. X _____________________________________________________________________________________ Signature of Card Holder & Date Who is Your Greek/Roman God/Goddess Parent? The demigods in this photo know their parent. . . you should too! Fill this form out and hand it in with your registration. This is only for first timers. If you’ve already been claimed, don’t fill this out – even if you are switching from Greek to Roman! If returning, what cabin were you in last year? This holds true for those going into Camp Jupiter from Camp HalfBlood. We need to know what Greek cabin you were in. ______________________________________________________ Camper’s Name: _____________________________________________________________________________ Camper’s Name: _____________________________________________________________________________ 1. Do you have any friends who are Greek or Roman dragons? Yes no 2. If you had the choice of wearing Nike or Converse shoes which would you choose? Nike Converse 3. Given the choice to defend the world from monsters, would you choose. A. Bow & Arrow B. Pen C. can of Mace D. Wristwatch E. An earthquake F. Hammer G. Spear H. A burrito I. Hand mirror J. Light switch 4. Which is your favorite foot, the left or the right? (Yes, you should be worried about the tone of the question.) Left Right 5. Do you have an inexplicable craving for tin cans? Yes No 6. What word or short series of words would you use to describe the differences between the Greek and Roman gods? ____________________________________________________________________________________ 7. Can you speak any dialects of Dryad or Dragon or Latin? Yes No 8. Do you most like to be? A. In a forest B. In a belly flop contest at the pool with or without water C. Out numbered and kicking butt with your bare hands D. Gazing at your own reflection E. Chariot racing F. Rewiring the electrical sockets at home G. writing your next sonata while sipping on a cool drink 9. What’s the name of your favorite Roman/Greek god? ___________________________________________ 10. Have you ever learned to catch knives with your teeth? Yes No 11. What is your favorite pet? A. Boar B. Sea Cucumber D. Robot E. Satyr G. Lolly Pop H. An armed Legion C. Owl F. Eagle I. Wood Nymph 12. Given that you have bad teeth you’d choose fillings made of. A. Celestial Bronze B. Lightning C. Sacred Gold D. Aluminum E. Wisdom F. Rose-flavored chocolate G. Hostess Ding Dongs H. Heck, you’d just take someone else’s teeth because you could. 13. Would you rather wear orange or purple? OrangePurple 14. What flavor soda goes with dragon hunting? (Assuming you can survive the battle and enjoy a drink.) __________________________________________ 15. Which Compass point is your favorite? A. South B. East C. North E. Within F. Salsa D. west 16. Who wins in a name-calling fight between the Hunters of Artemis and the Hunters of Diana? (if there were such a group as the Hunters of Diana) ArtemisDiana 17. What color is thunder? ___________________________________________________________________ 16. Explain the nature of the Universe. TrueFalse Any additional and ultimately futile attempts at humor or pleas for divine audience may be made here... I guess.
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