2022 Camp Registration

CHERRY CREEK COUNTRY CLUB KID’S CAMP

2022 APPLICATION

Day in the Life of a Camper Guide

2021 Thank You Letter From Kyle PDF

Please Note: To ensure your spot online, Camp Registration must be submitted before the first week of camp. All registrations must be filled out completely and one per child attending.

If you have more children that you would like to signup, the form will prompt you after you click submit.  
Each child must be entered separately.

Child Information 
Name*:
DOB*: Age of Child at the Time of Camp*:


Parent's Name*:  
Address*:

Creeker Golf Academy is available as an add-on to Kid’s Camp for ages 6-14.  For more information or to register for the Creeker Golf Academy offered on Tuesdays, please contact the Pro Shop at 303-597-0370. Sign ups are available starting May 1st, Junior Creeker Day.


PLEASE SELECT THE INDIVIDUAL DAYS OR FULL WEEKS:

Week 1: June 6th - June 10th         
Attending Full Week 1
Mon, June 6th

Tues, June 7thWed, June 8thThurs, June 9th Fri, June 10th 
Week 2: June 13th - June 17th           
Attending Full Week 2
Mon, June 13th

Tues, June 14th
Wed, June 15th
Thurs, June 16thFri, June 17th
Week 3: June 20th - June 24th         
Attending Full Week 3
Mon, June 20th

Tues, June 21st
Wed, June 22nd
Thurs, June 23rd
Fri, June 24th
 Week 4: June 27th - July 1st      
Attending Full Week 4
Mon, June 27th

Tues, June 28thWed, June 29thThurs, June 30thFri, July 1st
Week 5: July 5th - July 8th-No Kid's Camp offered Monday, July 4th.   
Attending Full Week 5


Tues, July 5th
Wed, July 6th
Thurs, July 7thFri, July 8th
Week 6: July 11th - July 15th           
Attending Full Week 6
Mon, July 11th

Tues, July 12thWed, July 13th
Thurs, July 14thFri, July 15th
Week 7: July 18th - July 22nd
Attending Full Week 7
Mon, July 18thTues, July 19thWed, July 20thThurs, July 21st

Fri, July 22nd
Week 8: July 25th - July 29th
Attending Full Week 8
Mon, July 25thTues, July 26thWed, July 27thThurs, July 28th
Fri, July 29th

Week 9: August 1st - August 5th        
Attending Full Week 9
Mon, August 1st

Tues, August 2nd
Wed, August 3rd
Thurs, August 4th
Fri, August 5th
Week 10: August 8th - August 12th
Attending Full Week 10
Mon, August 8th

Tues, August 9th
Wed, August 10th
Thurs, August 11th
Fri, August 12th

*In the event that Cherry Creek Country Club cancels a program for COVID-related or other reasons, all deposits and fees paid will be refunded. If the closure is for a partial week, the refund will be prorated.

The following cancellation policies apply:

Cancellations made prior to May 31st, 2022 will receive a full refund.

Cancellations made after June 1st, 2022 are non-refundable.


Payment Option

Members will be considered children and grandchildren of Members only.

Member Price:


Invited Guests:
$485 per week (5 days)
$115 per day (individual days)

$575 per week (5 days)
$135 per day (individual days)
Member Account or Credit Card
*We will contact you to get this information
*Member #: (required)

Child's Medical Information

Medical Information Form Advanced care would be obtained at the hospital of choice or nearest facility depending on the emergency.

 *I initial and I authorize Cherry Creek Kids’ Camp to obtain on-site emergency medical care and also transportation for advanced emergency care for my child. This is a Release of liability, assumption of risk, indemnification, and waiver of legal rights.  Read Carefully.  In consideration of taking part in Summer Kid’s Camp (“Camp”), I, on behalf of my minor child, on my own behalf and the behalf of any of our heirs, administrators, assigns, fully release and discharge the Cherry Creek Country Club and its partners, officers, directors, employees, agents, contractors, insurers and assigns from all claims, demands, liability and causes of action for injury sustained by my child during participation in the Camp.  I agree to indemnify and hold harmless the Cherry Creek Country Club from any claim, demand, liability or cause of action for any injury to my child or me or to my property or my child’s property.  This release includes, but is not limited to, the release of claims based on wrongful death that could be brought by either of our heirs, administrators or assigns, in so far as any such loss is not attributable to negligence.
*Physician of Choice:
*Hospital of Choice:
*Physician Phone #:
*Hospital Phone #:

Emergency Contact Information

Emergency Contact 1 Name:
Phone Number:
Email:
Emergency Contact 2 Name:
Phone Number:
Email:
Additional Emergency Contacts:
Name/Home Numbers/Cell Numbers  
Other pertinent Medical information:

Additional persons authorized to pick up child.  Required if any additional person will be picking up your child.
Name, Address, Relationship and Number:  

IMPORTANT: Does your Child have any known allergies?**
This is required information. If your Child does not have any allergies we should be aware of, please indicate with N/A.

Type of Allergy*:  

AUTHORIZATION TO ADMINISTER MEDICATION To Be Completed by Parent/Guardian only if camper needs medication during the camp day.

Camper Name:  
DOB:
Parent Name:
Email: 
Home Phone:
Cell Phone:
Work Phone

I REQUEST THAT MY CHILD BE ASSISTED IN TAKING THE MEDICINE(S) DESCRIBED BELOW AT CAMP BY CAMP STAFF.
(If more than one medication is required, please complete a separate authorization form for each.)

Name of Medicine:  
Reason for Medication:
Form:
Other Explanation:
Dose:
If Medicine is to be given DAILY, what time:
If Medicine is to be given WHEN NEEDED,
describe indications:
 Possible Side Effects/Adverse Reactions:
 

I authorize for medications for my child.


*By typing your name in this box, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

If you have more children that you would like to signup, the form will prompt you after you click submit.
Each child must be entered separately.