Roseville Community Preschool's Calendar

To register for an event or for more information, click on any of the upcoming events listed below.

 

Individual Registration

Please enter information in the form below to process registration for Summer Camp Week 4.

If you wish to register more than 1 person for this event, please go back and chose the "Register (Group)" option

Roseville Community Preschool Child Emergency Contact Information

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If parents are divorced/separated, Legal custody document is required

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Authorized person to pick up your child

If I do not pick up my child at the designated time, if there is an emergency, or if I cannot pick up my child when my child is ill, I hereby give day camp staff permission to release my child to authorized persons named below.

Prescription and over-the-counter medication cannot be administered by school personnel.

Waiver for participation: Please read and agree to the information below

I attest that my child is physically fit and sufficiently prepared for this program. I understand that my child's participation in this program is voluntary. I further understand that serious accidents could occur during Summer Day Camp programs and that participants, including my child, could sustain personal injuries, even death. Knowing these risks, and in consideration of the acceptance of the application for my child's participation in the above referenced program, I hereby agree to the following:
1) I assume the risk of personal injury and property damage, and waive, release and discharge Roseville Community Preschool, its officials, employees, and agents for any and all claims for damages for personal injuries or property which I or my child and our heirs, assigns, executors, or administrators may have or may accrue on my and my child's behalf as a result of the release of my child to any person named on this form, except for injury or damage caused by the sole negligence or willful misconduct of the Roseville Community preschool
2) and I assume the risk of personal injury and property damage, and waive, release and discharge the Roseville Community Preschool for any and all claims for damages for personal injuries or property which I or my child and our heirs, assigns, executors, or administrators may have or may accrue on my and my child's behalf, arising out of my or my child's participation in this program, regardless of the negligence of Roseville Community Preschool, whether active or passive, except for injury or damage caused by the sole negligence or willful misconduct of the Roseville Community Preschool
3) and I agree to accept and abide by the rules and regulations set by Roseville Community Preschool, sponsors, and promoters.

Payment Information

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