Camp “Friendship” (“Дружба”) Registration

Thank you for your interest in Camp “Friendship” (“Дружба”)!  We’re very excited to be offering it!  Please fill out the form below to confirm your registration.

Camp Friendship Registration 2016 - Daily

Parent Information

City
State/Province
Zip/Postal

Camper Information

Campers ages 5-11 are being accepted into the camp this year.
By Wisconsin law, is your child required to sit in a car or booster seat?
Please detail any allergies or medications your child has/takes that the camp staff need to be aware of.
Please detail any medical or behavioral conditions your child has that the camp staff need to be aware of.

Attendance Details

Acceptance and Checkout

I understand that typing my name in this box constitutes a legal signature confirming that I acknowledge and agree to the below Terms of Acceptance.

I acknowledge that I’m the parent or legal guardian of the child(ren) identified below and voluntarily authorize my children to participate in activities at the Russian School Summer camp. If I am not the parent or legal guardian, I have the express permission of the child(ren)’s legal parent or guardian.

I understand that participation in the Madison Russian School Summer Camp activities is risky and that risks of injury include without limitation, scrapes, bruises, cuts, and even more serious injuries, such as paralysis or death, and I fully accept and agree to assume all of these risks (including risks arising from the negligence of other participants), for myself and my child(ren) listed below.

  • I give permission for my child to participate in activities related to transportation and to take trips to the public park facilities, museums, and other field trips and activities. I do this with the understanding that such activities are under the supervision of authorized personnel of the Madison Russian School Summer Camp and that all possible precautions are taken to ensure the health and safety of my child(ren).
  • In the event of bodily injury, I hereby give permission for authorized personnel of the Madison Russian School Summer Camp to administer first aid to my child and/or contact emergency services if necessary. I authorize and desire medical transport and care for my child(ren), and accept responsibility for all associated expenses.
  • I am aware that no child will be released to anyone who has not been authorized by a parent/guardian to pick them up.

I agree to defend, indemnify, hold harmless, waive and release Madison Russian School Summer Camp, together with its employees, volunteers and members, against any and all liability, claims and and causes of action arising out of, or in any way connected with my child(ren)’s participation and visit of the Madison Russian School Summer Camp activities and facility.

I agree to provide the necessary car/booster seat(s) required by the Wisconsin Child Passenger Safety Law for my child(ren). I agree and understand that any fines and/or penalties assessed against the Madison Russian School Summer Camp and/or its personnel as a result of my not having provided proper automobile safety seat(s) for my child(ren) shall be my responsibility to pay.

I agree and understand that this agreement is binding on myself, my child and all children listed below and the heirs, successors and assigns of myself, my child and all children listed below. I understand that this is a permanent waiver to be kept on file by Madison Russian School Summer Camp for today’s visit and all future visits.

I have fully informed myself of the contents of this waiver and release from liability and indemnity agreement by reading before signing it.

Please check the box!
Sending
Madison Russian School © 2016