Junior Camp 2.0 2023 Registration - Cherry Creek Country Club

Junior Camp 2.0 2023 Registration

CHERRY CREEK COUNTRY CLUB JUNIOR CAMP 2.0

CAMPERS AGES 8-10 YEARS OLD; For campers 4-7 please REGISTER for 2023 KID'S CAMP

2023 REGISTRATION

2023 Junior Camp 2.0 Quick Glance Guide

2023 Junior Camp 2.0 Letter

Please Note: To ensure your child's spot in camp, a completed registration must be submitted and confirmed 24 hours prior to your intended day of attendance.

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 7th, Junior Creeker Day.

PLEASE SELECT THE INDIVIDUAL DAYS OR FULL WEEKS:

Week 1: June 5th - June 9th
Attending Full Week 1
Mon, June 5th	Tues, June 6th	Wed, June 7th	Thurs, June 8th	Fri, June 9th
	On course instruction with CCCC Golf Pros	Play-Well TEKnologies Pokemon Master Engineering	Play-Well TEKnologies Pokemon Master Engineering	Play-Well TEKnologies Pokemon Master Engineering
Week 2: June 12th - June 16th
Attending Full Week 2
Mon, June 12th	Tues, June 13th	Wed, June 14th	Thurs, June 15th	Fri, June 16th
	On course instruction with CCCC Golf Pros	Sound Formation Piano Elements	Sound Formation Piano Elements	Sound Formation Piano Elements
Week 3: June 19th - June 23rd
Attending Full Week 3
Mon, June 19th	Tues, June 20th	Wed, June 21st	Thurs, June 22nd	Fri, June 23rd
	On course instruction with CCCC Golf Pros	Mad Science AstroInnovators NASA	Mad Science AstroInnovators NASA	Mad Science AstroInnovators NASA
Week 4: June 26th - June 30th
Attending Full Week 4
Mon, June 26th	Tues, June 27th	Wed, June 28th	Thurs, June 29th	Fri, June 30th
	On course instruction with CCCC Golf Pros
Week 5: July 3rd - July 7th-No Kid's Camp offered Tuesday, July 4th.
Attending Full Week 5
	Mon, July 3rd	Wed, July 5th	Thurs, July 6th	Fri, July 7th
		Play-Well TEKnologies Mandalorian Missions	Play-Well TEKnologies Mandalorian Missions	Play-Well TEKnologies Mandalorian Missions
Week 6: July 10th - July 14th
Attending Full Week 6
Mon, July 10th	Tues, July 11th	Wed, July 12th	Thurs, July 13th	Fri, July 14th
	On course instruction with CCCC Golf Pros	Sound Formation World Percussion	Sound Formation World Percussion	Sound Formation World Percussion
Week 7: July 17th - July 21st
Attending Full Week 7
Mon, July 17th	Tues, July 18th	Wed, July 19th	Thurs, July 20th	Fri, July 21st
	Mad Science STEM It's All Fun and Games	Mad Science Engineering the Future Camp	Mad Science Engineering the Future Camp	Mad Science Engineering the Future Camp
Week 8: July 24th - July 28th
Attending Full Week 8
Mon, July 24th	Tues, July 25th	Wed, July 26th	Thurs, July 27th	Fri, July 28th
	On course instruction with CCCC Golf Pros
Week 9: July 31st - August 4th
Attending Full Week 9
Mon, July 31st	Tues, August 1st	Wed, August 2nd	Thurs, August 3rd	Fri, August 4th
	On course instruction with CCCC Golf Pros
Week 10: August 7th - August 11th
Attending Full Week 10
Mon, August 7th	Tues, August 8th	Wed, August 9th	Thurs, August 10th	Fri, August 11th
	On course instruction with CCCC Golf Pros
I am intending to attend the Junior Athletic Banquet on August 13th
Yes	Unable to Attend
If yes, how many will be in attendance?

*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, 2023 will receive a full refund.

Cancellations made after June 1st, 2023 are non-refundable. Days and weeks are transferable to another available date.

Payment Option

Members will be considered children and grandchildren of Members only.

Member Price: Invited Guests:	$600 per week (5 days) $140 per day (individual days) $690 per week (5 days) $160 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.

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

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: