You must pay in full at the time of registration, using the sign-up link given to you in your camper
If you would like to discuss alternate payment plans, you may do so by emailing
Payment must be received within 72 hours before the start of the camp date (no later than Friday,
June 22, 2018 (for Week One), Friday, July 13, 2018 (for Week Two) and, Friday, July 20, 2018 (for
All withdrawals from a camp session and/or refund requests must be done in
writing or electronic request through the Roxanne or Jade via email.
Refunds/credits will be issued as follows:
1 A partial refund of half the summer camp’s price will be made if the Conscious Summer
Explorers is notified of cancellation prior to Friday, June 22, 2018 (for Week One), Friday, July 13,
2018 (for Week Two) and, Friday, July 20, 2018 (for Week Three)).
2 Within 72 hours of the camp start (Friday, June 22, 2018 (for Week One), Friday, July 13, 2018
(for Week Two) and, Friday, July 20, 2018 (for Week Three)) all payments are non-refundable,
unless the camp has been cancelled by the Conscious Summer Explorers.
3 Registration cancellations must be made 72 hours prior to the start of the camp.
4 NO child will be accepted into camp unless the balance has been paid in full by the start date of
5. The Conscious Summer Explorers reserves the right to remove a child from any program due to
behavioral or other concerns. In the event that this may occur there will be no refund given. Every
attempt will be made to work with children and their families through conferences and direct
Camper Name: _________________________________________________
Last First Middle
Camp directors make every effort to conduct safe programs, to orient and support
children, and to inform families of inherent risks. Some activities may involve risks that
children do not routinely encounter at home. Risk management is an essential element of
all the activities offered. While we anticipate that these efforts will ensure the wellbeing
of each child, we are also aware that it is neither possible to foresee every contingency
nor to eliminate all risk.
I understand that program activities may include, but are not limited to: hiking on uneven
terrain, playing active games, participating in activities near water, and other activities
such as crafts and making healthy snacks.
I acknowledge that such risks exist, and I hereby agree on behalf of my child to assume
such risks. Further, on behalf of my child, I hereby release and forever discharge, and
agree not to sue, and agree to indemnify and hold The Barefoot Health Coach Ltd.,
Rising Sun Shakti LLC., and its directors, employees, and volunteers and each of them,
from and against any and all liabilities and obligations of every kind and description,
which I shall or may have against them or any one or more of them arising out of, or in
connection with, my child’s participation in the holistic camp program and activities,
including, but not limited to, for any personal injury that my child may suffer while
participating in the day camp program and activities, excepting in the case of gross
I understand and agree on behalf of my child that my child shares the responsibility for
safety during the holistic day camp’s programs and activities, and I personally assume on
behalf of my child that responsibility.
I understand and certify that my child’s participation in the camp and its activities is
completely voluntary, and that I have become familiar with the program activities in
which my child may participate, as described in the camp handbook, brochure, or flyer.
Signature of Custodial Parent/Guardian:____________________________
Date: ____________ Print Name: ____________________________
Relationship to camper: ___________________