Event Application

For staff: reserve here | Have a record number? Login here | For families, apply here

Please Select an Event

Shabbos Chazon DU- Aug. 9-Aug. 11

The Trip is free. $35 bus fee must be prepaid here in advance by credit card. Payment is non refundable.

Attendee Information

First Name

Last Name

Address

City

State

Zip

Home Phone

Cell Phone

Date of Birth

Current Grade

School

Gender

Please list two Zone staff members or a school reference along with their contact info for references.

Reference 1

Name

Number/Email

Reference 2

Name

Number/Email

Affiliation

Emergency Contact

Emergency Number

Select bus departure location

Credit Card Information

Your credit card will be refunded if you are not approved.

Credit Card Number

Expiration Date

Security Code

Please send current clear photo of just the applicant’s face. Sending any other photo may hinder the acceptance.

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Terms and Conditions

I agree to allow my child to participate in the Zone Camp and affirm that my child's participation is completely voluntary. I understand that there are risks inherent in the activities my child will engage in at the Zone Camp which may cause serious injury or even death. I agree to hold the Camp and its agents, affiliates and employees harmless from all damages and costs to the extent permitted by the law. I also understand that, despite safety precautions, the Zone Camp cannot guarantee that my child will not be injured. My child and I are willing to assume these risks. To minimize the risk, I have instructed my child to obey all the rules, regulations and instructions of the Zone Camp Staff.
	 
In case of emergency, accident, illness or other incapacity which occurs while I or my minor child are using the property, facilities, equipment and/or services of The Zone and/or participating in any sports activities, I give my permission for myself/ourselves and/or my child to be treated by a medical professional and admitted to a hospital, if necessary. I understand and agree that I am/are responsible for all medical and emergency expenses incurred on my behalf or that of my child regardless of whether I have authorized such expenses.
	 
I voluntarily agree to release, waive, hold  harmless, discharge, & agree not to sue the person or entity responsible for administering the Zone Summer Camp or its trustees, officers, employees,  agents, students, and staff from any and all liability, claims, actions, demands, expenses, attorney’s fees, breach of contract actions, breach of statutory duty, or other duty of care, warranty, strict liability actions, and causes of action whatsoever, that I might now have or may acquire in the future, arising out of or related to any loss, damage, or  injury, including death, that may be sustained by me or my child, or to any property belonging to myself or my child while participating in the Zone Summer Camp.
	 
I agree that The Zone Camp shall have the right at its discretion to enforce established rules of conduct and/or terminate my/my child’s participation for failure to maintain these standards, or for actions or conduct detrimental to or incompatible with the welfare, comfort, harmony or interest of the group and its program as a whole.  
	 
Rules – the following forms of behavior are considered a violation of this document and are unacceptable and could result in the immediate dismissal of camper(s) at the expense of the parent or guardian: 
Cigarettes or any tobacco products, alcohol, non-prescribed drugs, and weapons  MUST NOT be brought to camp .
	 
Using language which is offensive, sexist or racist 
Fighting, bullying or any other forms of aggressive behavior 
Leaving camp boundaries without permission 
Behaving in a manner which is potentially dangerous to self and others 
Behaving in a manner which damages or vandalizes the property of others or The Zone Camps campus’s.

By reserving for this trip, I am agreeing to the terms and conditions listed above.
Submitting this registration is a REQUEST to attend the trip. Upon checking with your 2 Zone staff member references, you will be sent approval to attend the trip. If you are not approved, your credit card will be refunded.