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CORE4 Challenge School Holiday Camp
CPS School Holiday - Friday - April 7th
Located at Fitness Formula Club (FFC) - Lincoln Park
939 W. North Avenue
Chicago, IL
8:30am - 4:30pm
Drop off at at lobby door (North & Sheffield)

Participant Information

Parent/Guardian Contact Information

Emergency Contact Information

Medical/Allergy Information

Authorized Pickup

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Registration Fee  (10% discount for siblings, enter code: sibling below) *
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Camp Waiver and Release Form

Please read the CORE4 written policies and waiver below and check the box to acknowledge full understanding and acceptance of policies (required):

Waiver for Participation:
I understand that CORE4 Skills, Inc. (CORE4) activities may have certain inherent risks and I hereby assume all risks and hazards that may occur as a result of my child’s participation in all CORE4 programs and facilities, including transportation to and from said activities. I further release, absolve, indemnify and agree to hold harmless, CORE4, the organizers, supervisors, directors, staff, teachers, trainers, volunteers, participants, as well as persons or parents transporting participants to or from such activities from any claims or injury sustained in use of CORE4 facilities or participation in any CORE4 activity, whether located on CORE4 property or not. I further agree, by participating in any CORE4 activity with, CORE4 shall not be liable for any direct, indirect, special, incidental, consequential, or exemplary damages, for any injury or harm to me or my child, incurred in, on, or around the property where CORE4 activity(s) occurs.

CORE4 Skills Inc. (CORE4) Policy:
Parents have the obligation to disclose to CORE4, any significant, medical, physical or behavioral issues of the child at the time of the child’s enrollment and on an ongoing basis for any significant changes thereto. Due to the large group format of our program, we are unable to provide one-on-one care for any child except on an intermittent basis, such as injuries, immediate disciplinary issues and certain personal care needs customarily provided to other children.

Waiver for Medical Treatment:
In the event that my child requires emergency medical treatment and I cannot be reached, I hereby authorize CORE4 staff to make arrangements to transport my child to the nearest hospital / emergency medical facility or clinic. I give my written consent for any and all necessary medical care treatment for my child during this time.
Waiver for Photo / Video / Audio Release: I give my consent for any photos, video and/or audio taken of my child involved in C4S programs to be used for C4S promotions, trainings and/or displays. I understand that C4S will own the photographs and videotape and all right to use or reproduce such photographs and video, in any media, as well as the right to edit or prepare derivative works thereof, for C4S business purposes.

Change / Cancellation / Refund Policy: I understand that changes / cancellations / refunds are not permitted under C4S.
By Checking this box I agree and accept all terms of CORE4 Camp Waiver AND confirm that I am the participant's parent or legal guardian. *
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Cancellation & Refund Policy
Payment is due at time of registraiton in order to secure your camper's spot in camp. in the event that you need to cancel the registration, please note the following policy:
If you cancel with more than 30 days unitl the session start date, then you will receive all money paid; 15 - 30 days until the session start date, 50% refund; 2 weeks prior to start date or less there will be no refund.
MEDICAL REASON FOR CANCELLATION: We understand that medical issues may arise over the summer or just as your child is set to attend camp. Please call us at (773) 231-7414 as soon as possible to inform us of your need to cancel. We will ask that you submit a written excuse from you child's physician. If your child is sick and there is time and room, we will work with youto switch your camper to a later session. 
If you have any questions or need assistance please contact us at:
(773) 231-7414