I hereby apply for reservation for my child at YMCA Camp Classen. I agree to pay a $100 non-refundable,
non-transferable deposit for each session chosen with this registration to guarantee a spot for Summer
Camp 2010. I understand that one session change is allowed without an extra fee but, $50/change will be
added after the first change. If he/she is accepted for enrollment, I agree to pay the total camp dues BEFORE
OPENING DAY OF THE SESSION(S). I understand the terms covering payment of camp dues, and hereby give
my approval and consent to the application.
IN CASE OF MEDICAL EMERGENCY, I hereby also give my permission to the physician selected by the
Camp Director to hospitalize, secure proper treatment for, and to order injection, anesthesia or surgery for my
child. I accept the responsibility for medical and surgical treatment charges which may be incurred on my
child’s behalf.
I AUTHORIZE the YMCA to use photographs, slides, video tapes, or digital images of the person named on
this registration for its records, public relations or internet programs.