American Heritage
Summer Day Camp
2017 Camper Enrollment Application
American Heritage Camp 6200 Linton Blvd. Delray Beach, Fl 33484
Office: 561-637-2440 Fax: 561-495-5573 Website: www.ahschool.com
Email: [email protected]
[email protected]
Director: Robert Stone Assistant Director: Sally Phipps-Schleifer
Office Manager: Gail Schneider
Summer 2017 Camps, Dates and Tuition Information
DAY CAMP: JUNE 5TH – AUGUST 4TH
3 sessions of 3 weeks / $1350 per session
For ages 3 – 13 (3 & 4 year olds have a half day option until 1:00 p.m.)
Half day 3 sessions of 3 weeks / $1095 per session
ART CAMP JUNE 5TH – AUGUST 4TH
3 sessions of 3 weeks / $1350 per session
Ages 6 - 14
ROBOTICS CAMP JUNE 5TH – AUGUST 4TH
3 sessions of 3 weeks / $1350 per session
Ages 8 - 14
SCIENCE ADVENTURE CAMP JUNE 5TH – AUGUST 4TH
3 sessions of 3 weeks / $1350 per session
Ages 8 - 14
MUSICAL THEATRE CAMP JUNE 5TH – JULY 14TH
6 week session $2700
Ages 6 - 14
Camp Hours: 9:00 a.m. – 3:15 p.m. Lunch and snacks are included.
Transportation and Extended Care are available.
2017 TUITION DISCOUNTS
If you register and pay in full by March 1, 2017
you will receive a 10% discount.
Choose one of our five camp programs
1. Traditional Day Camp (3-13 years old) - campers have a weekly schedule that
is filled with swim, sports, nature, science, arts & crafts, computers, game rooms,
music, cooking, theatre arts, magic and much more. Cabins for ages 3-5 (Jr.
Camp) are coed and run by a certified teacher. Cabins for ages 6-13 (Sr. Camp)
are separated into boys and girls groups and get an hour free period daily to pick
their favorite camp activity. Swim lessons with our certified lifeguards are
included in tuition and given on a daily basis to our 3-9 year old campers.
2. Young Artist Camp (6-14 years old) – explores each camper’s creativity and
individuality while working with a variety of visual arts media including
ceramics, sculpture, drawing, painting, collage, mosaics, and more. Daily swim
and free period are included.
3. Musical Theatre Camp (6-14 years old) – provides your camper the opportunity
to work with theatre professionals, experience the exhilaration of all aspects of
producing a musical/comedy, and participate in daily singing, acting, and dancing
lessons. MTC campers will also have an hour free period daily.
4. Robotics (8-14 years old) - campers will design, construct, program, power, and
operate at their skill level and produce their very own take home robot. The
campers will also have an hour free period everyday outside of their lab. Each
three-week session will teach a brand new engineering/robotic project.
5. Science Adventure Camp (8-14 year olds) – this hands-on program is filled with
field trips, lab experiments, and outdoor projects that will keep your little scientist
very happy. Each three-week session will be a brand new topic: Marine Biology,
Everglades & the Environment, and Weird & Wacky Science.
How To Enroll Your Camper
1. Fill out the application completely on the front and back. No application will be
processed that is not signed by a parent or legal guardian and completely filled out
on both sides. Remember to check off which camp program and the sessions that
your camper will be attending.
2. To secure your camper’s spot, a non-refundable, non-transferable deposit of
$300 per camper is required at the time of registration and is credited toward
tuition. Make checks payable to American Heritage or fill out the credit card
authorization form included in this packet. Please return everything to: American
Heritage Camp Office 6200 Linton Blvd. Delray Beach, Fl 33484. Payment in
full for all sessions is due on or before April 1, 2017.
Bus Transportation
FREE Express Bus Service is available to Wellington, Lake Worth, Boca Raton, Delray
Beach, and Boynton Beach areas. Bus transportation is provided by C & L Bus Company, Inc.
The cost of door-to-door bus transportation is $75 per week per camper. Buses have seat belts,
air-conditioning and are driven by personnel with appropriate licenses.
Morning/Afternoon Care
FREE MORNING CARE is available from 8:00 a.m. - 9:00 a.m.
Afternoon care is available from 3:45 p.m. - 5:30 p.m. and is $10 per day per camper.
American Heritage Summer Day Camp
Application for Admission
Family Information
Mother/Guardian_________________________________________ Cell #___________________
Camp Office Use Only:
Date enrolled___________
Deposit amt. $__________
Payment type___________
Address_______________________________________________________________________________
Street
City
State
Zip
Occupation________________________ Home/Work #_________________________________________
E-mail________________________________________________________________________________
Father/Guardian__________________________________________ Cell #_________________________
Address_______________________________________________________________________________
Street
City
State
Zip
Occupation________________________ Home/Work #_________________________________________
E-mail________________________________________________________________________________
Camper Information
Camper #1
Boy□
Girl□
Camper #2
Boy□
Girl□
Name__________________________________
Name__________________________________
Age____ Grade Entering in 2017/18__________
Age____ Grade Entering in 2017/18__________
Date of Birth__________ 2016 School________
Date of Birth__________ 2016 School________
Bus Yes__ No__ Afternoon Care Yes__ No__
Bus Yes__ No__ Afternoon Care Yes__ No__
Friend Request__________________________
Friend Request__________________________
Circle Camp & Sessions
Circle Camp & Sessions
DAY CAMP
Session 1
6/5-6/23
DAY CAMP
Session 1
6/5-6/23
FULL DAY____ HALF DAY____
Session 2
Session 3
6/26-7/14
7/17-8/4
FULL DAY____ HALF DAY____
Session 2
Session 3
6/26-7/14
7/17-8/4
YOUNG ARTIST CAMP
Session 1
Session 2
6/5-6/23
6/26-7/14
Session 3
7/17-8/4
YOUNG ARTIST CAMP
Session 1
Session 2
6/5-6/23
6/26-7/14
Session 3
7/17-8/4
ROBOTICS CAMP
Session 1
Session 2
6/5-6/23
6/26-7/14
Session 3
7/17-8/4
ROBOTICS CAMP
Session 1
Session 2
6/5-6/23
6/26-7/14
Session 3
7/17-8/4
MUSICAL THEATRE CAMP
Session 1
Weeks 1 2 3 4 5 6 June 5 – July 14
MUSICAL THEATRE CAMP
Session 1
Weeks 1 2 3 4 5 6 June 5 – July 14
SCIENCE ADVENTURE CAMP
Session 1
Session 2
Session 3
6/5-6/23
6/26-7/14
7/17-8/4
* NO CAMP ON JULY 4TH *
SCIENCE ADVENTURE CAMP
Session 1
Session 2
Session 3
6/5-6/23
6/26-7/14
7/17-8/4
*NO CAMP ON JULY 4TH *
Release, Waiver, Financial Responsibility and Authorization
As a Parent or Guardian of my Enrolled Camper(s):
• I agree to pay American Heritage Summer Day Camp in full (at the published rate and on date due) for all services
requested.
• I agree to allow the American Heritage Summer Day Camp to use my/our camper(s)’ photograph, image, likeness, and/or
voice in camp publications, promotional materials, website, DVDs, videos, CD or other mediums, without compensation and
without prior notice. I/we release and hold American Heritage Summer Day Camp harmless from any liability stemming
from such use.
• I agree that I will be responsible for any loss, damage or destruction by my camper to any property of the American
Heritage Summer Day Camp or to any property for which American Heritage Summer Day Camp is liable or chargeable.
• I am aware that American Heritage Summer Day Camp may unilaterally dismiss or suspend a camper or deny a camper’s
participation in any activity, should it determine that the conduct or behavior of the camper, parent/guardian, or other family
member is deemed unsatisfactory and/or not in the best interest of American Heritage Summer Day Camp. NO REFUND will
be issued in the event of such dismissal.
• I understand that reasonable precautions are taken to ensure that the programs and activities, at American Heritage
Summer Day Camp, are conducted by qualified personnel, in a safe and responsible manner. However, I further understand
that because of the nature of some activities within the camp program, there is a possibility of personal or bodily injury,
serious injury, disability, and death. These activities include (but are NOT limited to) swimming, ice skating, horseback
riding, field sports, gymnastics, basketball, football, cheerleading, karate, and archery. I understand that some activities will
include activities and field trips off the premises.
I: (1) recognize and understand these risks; (2) understand that these risks can be a consequences of not only my camper(s)’
acts or omissions, but also the actions or negligence of American Heritage Summer Day Camp (including staff, employees,
volunteers, or any other of the Released Parties as defined below), other participating campers, independent contractors or
third parties, or transportation and equipment; and (3) agree to allow my camper(s) to participate in the programs and
activities, including those off premises.
• I agree individually, and on the behalf of my camper(s) to assume full, sole, and complete responsibility for ALL RISKS,
inherent and otherwise, known and unknown, whether or not they have been described to me, and waive, release and
discharge, and covenant not to sue, American Heritage Summer Day Camp, American Learning Systems, Inc., American
Heritage School of Boca/Delray, Inc. and each of their employees, directors, trustees, agents, insurers, and volunteers and their
successors and assigns (Collectively the “Released Parties”) from any and all liability and/or claims, suits, damages, injury,
disability, death, costs and expenses, whether arising before, during or after participation in camp activities (including any
motor vehicle transportation, morning care, afternoon care, or administration of medicines/treatment) and whether caused by
the sole or joint negligence, gross negligence, or tortuous act or omission of the Released Parties, or any of them, or any third
party (Collectively the “Claims”). This Waiver and Release does not apply to the willful misconduct of the Released Parties.
The Releasors hereby knowingly and voluntarily waive, to the fullest extent permitted by law, the benefits of any statue, law,
rule or common law, which may limit the scope of this Waiver and Release.
• I release and hold harmless American Heritage Summer Day Camp, its officers, trustees,
directors, employees, and agents from any responsibility or liability for any lost, stolen, or damaged personal property which
my camper(s) brings to camp.
• If I cannot be reached, I hereby give permission for emergency medical treatment, emergency transportation,
hospitalization, anesthesia, x-ray or necessary injections for my camper(s), and will be responsible for the bills of same. This
authorization does not include major surgery, unless life-threatening, and only then when the medical opinions of two (2)
licensed physicians or dentists concur in that treatment.
Refund Policy
As a Parent or Guardian of my Enrolled Camper(s):
• I understand and agree that once camper(s) is/are enrolled, that there will be absolutely no refunds of tuition paid unless
Parent cancels this contract in strict accordance with the cancellation procedures, as follows:
1). Parent must submit a letter/email of cancellation so that it is received by the Camp Director no later than
APRIL 1, 2017.
2). In the event of timely cancellation, Parent will receive refund of all amounts paid in excess of the NonRefundable, Non-Transferable deposits/processing fees which are $300.00 per camper.
3). After April 1, 2017, there will be absolutely No Refunds of any amounts for any circumstances, including, but
not limited to, extended illness, family emergency, hurricane/tropical storm watch/warning closures, expulsion, or withdrawal.
4). In addition, in the event of closure for hurricane/tropical storm watch/warning, American Heritage Summer
Day Camp will close for the duration of the watch/warning and will not issue make-up days.
Is there anyone who is NOT allowed to pick up your camper(s) as per a court order? YES__ NO__ (If Yes Please List)
Are there any legal custodial issues that we should be aware of? YES___ NO___
(If Yes, Please attach documents with details)
My/Our Signature below indicates that I/We have read the above Release, Waiver, Financial
Responsibility and Authorization Statement/Refund Policy and agree to abide with the terms stated.
Father’s Name____________________________Father’s Signature______________________________Date____
Please Print
Mother’s Name___________________________Mother’s Signature______________________________Date____
Please Print