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Summer Camp – Week #2

August 16, 2021 9:00 am - August 20, 2021 1:00 pm

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STILLWATER TOWNSHIP SUMMER CAMP

STILLWATER TOWNSHIP SUMMER CAMP

RECREATION PROGRAM

CAMP WILL BE HELD AT STILLWATER COMMUNITY CENTER, SWARTSWOOD

THE WEEKS OF AUGUST 9th – AUGUST 13th AND AUGUST 16th – AUGUST 20th 2021 (9:00 AM – 1:00 PM) AGES 4 THRU 12 /PRESCHOOL(Potty-trained) THRU 6TH GRADE REGISTRATION FEE IS $45.00 PER CHILD, PER WEEK, PAYABLE AT THE TIME OF REGISTRATION.

MAKE CHECKS PAYABLE TO: STILLWATER TOWNSHIP, 964 STILLWATER ROAD, NEWTON, NJ 07860

THIS PROGRAM IS FOR STILLWATER TOWNSHIP RESIDENTS PLEASE FILL OUT ONE APPLICATION PER CHILD

NAME: ______________________________________________________________

WEEK #1 _____ WEEK # 2 _____ OR BOTH WEEKS __________ GRADE IN SEPTEMBER ______________

CHILD’S SPECIAL NEEDS OR ALLERGIES

_________________________________________________________________________________________

PARENTS/GUARDIANS:_________________________________________________­­­­­­­­­­­­___________

ADDRESS:_______________________________________________________________________

PHONE: ____________________________ CELL PHONE:____________________________

EMERGENCY CONTACT & PHONE # _____________________________________________________________________________________

*EMAIL ADDRESS______________________________________________________

*Must provide email address for daily forms that need to be submitted * Due to COVID-19 Stillwater Township Summer Recreation program will be following New procedures to keep all campers, counselors, and their families safe. These standards are based on the current guidelines and recommendations set forth by the Center for Disease Control’s (CDC) Suggestions for Youth and Summer Camps, American Camp Association (ACA), as well as the NJ Health Department NJ COVID-19 Youth Summer Camp Standards, and are subject to change.

*Parents/Guardians need to sign the Attached 2021 Acknowledgment Release and Waiver Form*

SAVE HARMLESS CLAUSE: THE UNDERSIGNED HAS READ THE RULES AND REGULATIONS OF THE STILLWATER TWP. REC. COMMISSION PERTAINING TO THE USE OF STILLWATER TWP FACILITIES AND AGREES TO ABIDE BY THEM. UNDERSIGNED FURTHER ASSUMES ALL RISK INCIDENT TO ITS OPERATION ON ITS SAID GROUNDS AND FACILITIES AND AGREES NOT TO SUE THE STILLWATER TWP. REC. COMMISSION OR THE TWP. OF STILLWATER. THE UNDERSIGNED FURTHER AGREES TO INDEMNIFY THE STILLWATER TWP. REC. COMMISSION AND THE TWP. OF STILLWATER AND SAVE IT HARMLESS FROM ANY AND ALL CLAIM OR CLAIMS BROUGHT AGAINST IT BY OR ON BEHALF OF ANY PERSON, FIRM OR CORPORATION BASED UPON ANY ACT OR OMISSION OR ANY ALLEGED NEGLIGENCE OF THE UNDERSIGNED.

IN WITNESS, WHEREOF, I HAVE HEREUNTO SET MY HAND THE ____ DAY OF ______, 2021

LEGAL SIGNATURE: ______________________________________________________________

REGISTRATION MUST BE RECEIVED NO LATER THAN AUGUST 9, 2021

Details

Start:
August 16, 2021 9:00 am
End:
August 20, 2021 1:00 pm
Event Categories:
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Venue

Stillwater Community Center/Stillwater Park
931 Swartswood Road
Newton, NJ 07877 United States
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