Camp Registration Form-Duchesne

Summer Camp Registration Form

  • Please complete this form for the upcoming cooking camp at Duchesne. Thank you.

What session are you registering for?


Child Information (Please complete a separate form for each child enrolling in the program


Parent/Guardian Information


Medical Information/Permission to Treat

  • I give my consent and permission to Cook Learn Grow to provide medical attention to my child in the event of an emergency deemed necessary for the well-being of my child at my expense. This may include transportation to the nearest emergency center. If a field trip is offered, I give my consent and permission for my child to go on the Cook Learn Grow sponsored field trip as part of the camp experience. This includes transportation to and from the field trip designated for the week of camp via a private chartered bus, professional driver and CookLearnGrow chaperones. RELEASE OF LIABILITY: I hereby assume all risks, responsibility or danger incidental to any class, camp or event occurring prior to, during, or after the same and participant(s) agree not to bring any legal action against Cook Learn Grow, the owner, employees, my child's current preschool, daycare or school or sponsors in connection with such risk or danger so assumed. Photographs and/or video may be shot during class for the purpose of publicizing the Cook Learn Grow program(s). Parent or legal guardians agreement (indicated by checking the box where so indicated below) on this registration form authorizes the use of students' likeness in this manner. No refunds within 3 weeks of class/camp start date.
  • By checking the box next to the statement below, you are agreeing to all of the terms of the Consent Statement



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