every day, remember to bring…...parents/guardians) knows that es/vi trampoline activities are...

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Page 1: Every day, remember to bring…...PARENTS/GUARDIANS) knows that ES/VI trampoline activities are active and vigorous and, consequently, involve some risks of injury that are inherent
Page 2: Every day, remember to bring…...PARENTS/GUARDIANS) knows that ES/VI trampoline activities are active and vigorous and, consequently, involve some risks of injury that are inherent

THEME: MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY

WEEK 1: Getting to Know You

23 Human

Caterpillar Races (K-5)

Visit our website for more information about Summer Camp!

http://beforeandafterschoolcare.weebly.com/ summer-camp1.html

WEEK 2: Through the

Looking Glass

26 Find Alice’s Key Scavenger Hunt, Queen of Hearts

Croquet (K-5)

27 Build A Bear (K-2)

Museum of Flight (3-5)

28 Down the Rabbit

Hole Obstacle Course, Tea Cup

Relay (K-5)

29 Chuck E Cheese

(K-2) Lunch provided

Build a Bear (3-5)

30 Wonderland Tea

Party (K-5) Crazy Hair/Hat Day

WEEK 3: Party in the

USA

3 The Amazing Race,

Jump Rope Enrichment (K-5)

4 Closed for 4th

of July

5 Family Fun Center (K-2) lunch provided Lucky Strike (3-5) Lunch provided, socks required

6 Kids Quest

Muesum (K-2)

UW Hub Games (3-5)

7 Sub-Zero Ice Cream, Fire

Cracker 500 RC Car Race (K-5) Color Wars

WEEK 4: Time

Travelers

10 Build a Time

Machine, Drama Workshop (K-5)

11 Despicable Me 3 @ Woodinville AMC

(K-5)

12 Teepee Making,

Drama Workshop (K-5)

13 Chism Beach (K-2)

Newcastle Beach (3-5)

14 Cardboard Box

Maze, Drama Workshop (K-5)

Decades 60s, 70s, 80s

WEEK 5: Typhoon Lagoon

17 Wipe Out,

Hula Show(K-4) Humans vs.

Zombies @ BLMS (5)

18 Seattle Aquarium

(K-2)

Jim’s U-Fish (3-5)

19 Rain Gutter

Regatta, Kiddie Pool Kickball (K-5)

20 Renton Aquatic

Center (K-3)

Wild Waves (4-5) lunch provided

21 Summer Luau (K-5)

Hawaiian Attire

WEEK 6: Everything

Seattle

24 Sports Day:

Gear, Banner, Hair Accessories, Create Your Own Mascot,

Rugby (K-5)

25 Elevated Sportz

(K-2) socks required

Pacific Science Center (3-5)

26 Seattle Mariners

Game (K-5) Return @ 4:30

27 Bike Day: Deco-

rate Bike and Hel-mets, Bike Wash, Tour de Seattle,

Rugby (K-5)

28 Recreate Our

Own Pikes Place Market (K-5)

Favorite Sports Team Gear

WEEK 7: Into the Woods

31 Earn Your Badge Day, Mud House

Pottery (K-5)

1 Pt Defiance Zoo

(K-2)

Northwest Trek (3-5)

2 Wilderness

Survival Training & Scavenger Hunt

(K-5)

3 Remlinger Farms

(K-2) Next Step Archery

(3-5)

4 Wilderness Camp

Day (K-5)

WEEK 8: Sound of

Music

7

Create Your Own Instruments, Brian’s Music

Workshop (K-5)

8 Newcastle Beach

(K-2) Gene Coulon Beach (3-5)

9 Camp Rock Talent Show Auditions,

Brian’s Music Workshop (K-5)

10 Lynnwood

Bowl & Skate (K-2) lunch provided

Laser Quest (3-5)

11 Camp Rock

Talent Show, Brian’s Music

Workshop (K-5) Dress Like Your

Favorite Celebrity

WEEK 9: Surf’s Up

14 Water Relays,

Water Balloon Toss, Jonny’s

Soccer Club (K-5)

15 Vasa Park (K-2)

lunch provided bouncies on-site**

Harry Potter Portraits (3-5)

16 Renton Aquatic

Center (K-3) Wild Waves (4-5) Lunch provided @ WW

17 Calling all Cars

with a Twist (K-2) Lake Wilderness

(3-5) lunch, bouncies on-site**

18 Campers vs.

Counselors Water Battle, Johnny’s

Soccer Club (K-5) Beach Attire

WEEK 10: Food

Extravaganza

21

All About Scandinavia, Flying

Pizza—Art of Making Pizza (K-5)

22 Cupcake Wars,

Food Experiment (Sub Zero Ice Cream) (K-5)

23 Bouncy Houses on-site, lunch provided, face painting (K-5)

All field trips, enrichment, and activities are subject to change without notice based upon weather, attendance, and other unforeseen occurrences.

Important Reminders! Hours of Operation: 7:00 AM—6:30 PM $3 per minute per child late fee If child is present past 6:30 PM

*Please remember to bring your IDupon pick up.

Every day, remember to bring…

A sack lunch with a drink

Sunscreen

Swimsuit and towel

A change of clothes

Field trips will depart at 9:30 AM and return by 4:00 PM unless otherwise indicated.

Campers will attend field trips on the days that correspond with their grade. They will not have the option to stay behind if another group is on-site.

Teal: On -Site Activities

Orange: Field Trips

Blue: On-Site Enrichment

Gray: Spirit Days

Underlined: Requires an additional Permission Form—See website for more details.

**There will be bouncy houses on-site on 8.15, 8.17 and 8.23. The required permission form is included in the Summer Camp registration.

Look What’s Happening At Club Connection!

NO REFUNDS Dates registered for are the dates services will be provid-ed. There will be no switching or adding days after regis-tration is closed. Fees will not be prorated for absences, special events or vacations. There will be no drop-in ser-vices. Parents are responsible for payment based upon the days registered, regardless of attendance. A $20.00 per day credit will be applied to your account if parents submit withdrawal requests by June 2, 2017.

Page 3: Every day, remember to bring…...PARENTS/GUARDIANS) knows that ES/VI trampoline activities are active and vigorous and, consequently, involve some risks of injury that are inherent

Elevated Sportz/Venture Irresistible, LLC

Assumption of Risk, Waiver of Liability, and Indemnification Agreement

Nature of the Activity: Elevated Sportz/Venture Irresistible, LLC (hereafter referred to as ES/VI) is a trampoline park which offers clients the opportunity to participate in a number of trampoline-related physical activities. These activities can help produce many benefits for the client – including pleasure, opportunity for competition, improved physical fitness, more attractive appearance, more energy, greater enjoyment of life, and many health benefits. However, while there are many benefits to trampolining, ES/VI feels it is important that the PARTICIPANT/PARENT (which refers to either an ADULT Participant, OR a MINOR Participant and PARENTS/GUARDIANS) knows that ES/VI trampoline activities are active and vigorous and, consequently, involve some risks of injury that are inherent to the activity.

Some of the activities available at ES/VI include: General Trampoline Jumping, Dodge Ball, Basketball Slam Dunk, Foam Pit Jumping, and Kidz Adventure Castle. ES/VI also serves as a host for birthday parties, school field trips, summer day camps, corporate events, fitness classes, and sports training for diving and gymnastics. ES/VI feels that it is important that the PARTICIPANT/PARENT understands that all physical activities include some inherent risks. The inherent risks of ES/VI activities might be divided into two types – the first of which is those risks inherent in any trampoline jumping (e.g., landing wrong, colliding with other participants, landing on another participant, over-exertion, attempting flips that are beyond participant’s capacity, landing on a hard surface or the wrong trampoline, unexpected failure of the equipment (including, but not limited to, trampoline surface, attachments, exposed springs or hooks, and padding), erratic behavior of other participants, and supervisory or judgment error by supervisory staff. The second type is those risks related to the specific ES/VI activities offered (e.g., dodgeball, basketball slam dunk, foam pit jumping, adventure castle). These include, but are not limited to, being struck in the face or head by a ball, breaking a finger, colliding with the basketball backboard or goal, becoming entangled with the goal, muscle strains, missing the foam pit or landing wrong, colliding with another participant at bottom of adventure castle slide, falls from steps or ladders, heart attack or asthma attack. For hosted events, some of the inherent risks include over-enthusiastic participation due to excitement or competition within the group, over-exertion when building fitness, weather and other environmental conditions, and injury resulting from attempting difficult stunts or tasks.

Further, ES/VI feels that it is important that the PARTICIPANT/PARENT understands the three types of injuries that can occur. First is the common Minor Injury. This type includes, but is not limited to, muscle strains and sprains, bruises, abrasions, and contusions. The second type of injury is the Serious Injury. Examples of serious injuries are broken bones, ligament and joint injuries, concussions, and eye injury. These are rare, but do occasionally occur. The third type of injury is the Catastrophic Injury. Some examples of catastrophic injury are brain injury, paralysis, heart attack, and death. Even though the likelihood of such an injury is very remote, we feel that the PARTICIPANT/PARENT should be aware of all possibilities.

While it is impossible to eliminate all risk and possibility of injury, ES/VI 1) has designed the facility with safety as a prime concern; 2) requires viewing of a safety video prior to participation; 2) has trained supervisors on hand; 3) provides general supervision of activities; 4) provides instruction in some activities; 5) has developed rules and policies that focus on safety; and 5) has almost completely eliminated the major traditional hazard of trampoline jumping (striking a hard surface or the floor).

Assumption of Inherent Risks: I, the PARTICIPANT/PARENT, have read the above paragraphs and know that ES/VI trampoline activities contain inherent risks which vary with the activity. I understand the demands of those activities relative to my physical condition and skill level, and I appreciate the types of injuries that may occur as a result of ES/VI activities and their potential impact on my well-being and lifestyle. I hereby assert that my participation is voluntary and that I knowingly assume all inherent risks.

Waiver of Liability for Ordinary Negligence: In consideration of permission to use the ES/VI property, facilities, and services, today and on all future dates, I, the PARTICIPANT/PARENT, on behalf of myself, my spouse, my heirs, my parents or guardians, personal representatives, and assigns [hereafter referred to as Releasing Parties] do hereby release, waive, discharge, and covenant not to sue ES/VI, its owners, directors, officers, affiliates, employees, volunteers, independent contractors, equipment providers, and agents [hereafter referred to as Protected Parties] from liability from any and all claims arising from the ordinary negligence of ES/VI or the protected parties. This agreement applies to 1) personal injury (including death) from incidents or illnesses arising from participation in ES/VI activities (including, but not limited to, instruction, aerial training, individual or group play, trampoline competition, classes, observation, individual use of facilities or equipment, and all premises including the associated sidewalks and parking lots); and to 2) any and all claims resulting from the damage to, loss of, or theft of property.

Indemnification Agreement: I, the PARTICIPANT/PARENT, agree to hold harmless, defend, and indemnify ES/VI and Protected Parties (that is, defend and pay any judgment and costs, including investigation costs, attorney’s fees and related expenses) from any and all claims of the Releasing Parties arising from my injury or loss due to my participation at ES/VI (including claims arising from the inherent risks of ES/VI activities and those arising from the ordinary negligence of ES/VI or Protected Parties.

Page 4: Every day, remember to bring…...PARENTS/GUARDIANS) knows that ES/VI trampoline activities are active and vigorous and, consequently, involve some risks of injury that are inherent

I further agree to hold harmless, defend, and indemnify ES/VI and Protected Parties (that is, defend and pay any judgment and costs, including investigation costs and attorney’s fees) against any and all claims of co-participants, rescuers, and others arising from my conduct in the course of my participation at ES/VI (including claims arising from the inherent risks of ES/VI activities and those arising from the ordinary negligence of ES/VI or Protected Parties).

Clarifying Clauses: 1) I, the PARTICIPANT/PARENT, confirm that this agreement supersedes any and all previous oral or written promises or agreements. I understand that this is the entire agreement between me and ES/VI and cannot be modified or changed in any way by representations or statements by any agent or employee of ES/VI. 2) I further expressly agree that the foregoing Assumption of Risk, Waiver of Liability, and Indemnification Agreement is intended to be as broad and inclusive as is permitted by the laws of the State of Washington and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. 3) I also understand that if any legal action is brought, the appropriate trial court for the County of Snohomish in the State of Washington has the sole and exclusive jurisdiction and that only the substantive laws of the State of Washington shall apply. 4) In the event of a dispute, I, the PARTICIPANT/PARENT, agree to engage in good faith efforts to mediate a settlement. Any agreement reached will be formalized by a written contractual agreement at that time. Should the issue not be resolved by mediation, I agree that all disputes, controversies, or claims arising out of my participation at ES/VI shall be submitted to binding arbitration in accordance with the applicable rules of the American Arbitration Association then in effect.

In order for ES/VI to more effectively provide for the safety of the participant, ES/VI asks PARTICIPANT/PARENT to help us by certifying the following: I, the PARTICIPANT/PARENT, Rules and Actions

agree to obey all safety rules and alert the staff to any rules violations or dangerous behavior of co-participants.

agree to stay in areas that will not place me in undue danger.

acknowledge that it is the my duty to inform staff and cease exercise immediately if I feel any unusual discomfort (e.g., faintness, shortness of breath, high anxiety, chest pains) during participation. Safety Video

understand that all participants must watch the safety video each visit prior to jumping.

understand that participants may be required to view the video again during a jump session if he or she does not obey the rules.

have viewed a safety video and agree that I will not attempt to jump until I feel capable of safe participation.

acknowledge that the ES/VI may need to end my participation if I present a danger to myself or others. Health and Safety

acknowledge that one should get medical clearance prior to participation in a vigorous physical activity.

possess a sufficient level of skill and physical fitness for safe participation in ES/VI trampoline activities.

agree to attempt only activities that I feel I am capable of performing safely.

have no health problems that would make participation in ES/VI trampoline activities unwise.

authorize ES/VI to administer emergency first aid, CPR, and use an AED when deemed necessary by ES/VI.

authorize ES/VI to secure emergency medical care or transportation (i.e., EMS) when deemed necessary by ES/VI and I agree to assume all costs of emergency medical care and transportation. Use of Likeness

authorize ES/VI to use participant’s likeness in its publications, websites, and marketing materials without payment.

Acknowledgment of Understanding: I, the PARTICIPANT/PARENT, have read this Agreement and understand that I am giving up substantial rights, including the right of both the participant and the parent or guardian to sue for damages in the event of death, injury or loss. I, the PARTICIPANT/PARENT, acknowledge that I am voluntarily signing this agreement, and intend my signature to be a complete release of all liability, including that due to inherent risks or the ordinary negligence by the Protected Parties, to the greatest extent allowed by law of the State of Washington. Additionally, I, the Parent/Guardian of a minor participant, assert that I have explained the risks of the activity to my minor son or daughter and that he or she understands this Agreement.

WAIVER CAN ONLY BE ACCEPTED IF ALL INFORMATION IS COMPLETE AND IS VALID ONLY FOR TODAY’S VISIT.

_______________________________________ __________ If Participant is a Minor, Parent/Guardian Must Complete the following: Name of PARTICIPANT (Print) Date _________________________________________ __________________________ ______________________________________ _________ Name of Parent/Guardian Date of Birth Signature of ADULT PARTICIPANT Age _____________________________________________ ____________________ ______________________________________ _________ Signature of Parent/Guardian Date Date of Birth of PARTICIPANT Gender _____________________________________________ ____________________ ________________________________________________ Driver’s License Number of Parent or Guardian State Address, City, State of PARTICIPANT Zip Required _____________________________________________ Parent Telephone Number Required

Emergency Contact Person ________________________ Phone___________________ Cell _________________________

Page 5: Every day, remember to bring…...PARENTS/GUARDIANS) knows that ES/VI trampoline activities are active and vigorous and, consequently, involve some risks of injury that are inherent

WAIVER AND RELEASE OF LIABILITY, ASSUMPTION OF RISK AND PARENTAL CONSENT AND INDEMNITY AGREEMENT (MINORS UNDER AGE 18)

In consideration of my minor child being permitted to participate in any way in Next Step Archery in sponsored (“Activity”), I agree:

1. Int.______I understand the nature of Next Step Archery activities and the Minor’s Experience and capabilities believe the Minor to be qualified to participate in such Activity. I further acknowledge that I and the Minor are aware that the Activity will be conducted in facilities open to the public. I further agree and warrant and will instruct the Minor that if, at any time, the Minor believes conditions to be unsafe, he/she will immediately discontinue further participation in the Activity.

2. Int.______I FULLY UNDERSTAND that: (a) Next Step Archery activities involve risks and

dangers of SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS AND DEATH (“Risks”); (b) these Risks and dangers may be caused by the minor’s own actions, or inaction’s, the actions or inaction’s of others participating in the Activity, the condition in which the Activity takes place or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW; (c) there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILTY FOR LOSSES, COSTS, AND DAMAGES incurred as a result of the Minor’s participation in the Activity.

3. Int.______I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREE TO INDEMNIFY,

SAVE, AND HOLD HARMLESS Next Step Archery, their respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which Activity takes place (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or damages on the Minor’s account caused or alleged to be caused in whole or in part by the negligence of the “Releasees” or otherwise, including negligent rescue operations and further agree that if, despite this release, I, the Minor, or anyone on the Minor’s behalf makes a claim against any of the Releases named above, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSE, ATTORNEY FEES, LOSS LIABILITY, DAMAGE OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I AND THE MINOR HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY THE LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THAT THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT. __________________________ Name of Minor Child (Please print) __________________________ ___________________________ ____________ Print Name of Participant Print Name of Witness Date __________________________ ___________________________ ____________ Signature of Participant Signature of Witness Date

All forms must be completed and signed.