I would like to enroll my child in the following sessions:
Please check all that apply. Weekly fees are $400 except Weeks 3 & 4 which are $325 (4 day weeks).
Before Care is offered from 8:30am until 9:00am and After Care is available from 2:00pm until 3:00pm at the rate of $16/hour (by cash or check, payable to Ridgefield Academy). All Before and After Care charges must be paid in full to the Westport main office at time of service.
Please list an emergency contact other than a parent.
The following people are authorized to pick up my child from camp (in addition to parents)
By submitting this form, I understand that Ridgefield Academy/Landmark Preschool is a non-profit organization which makes it facilities, programs and activities available to persons only on the condition that they agree to assume complete responsibility for any injury or damage. I acknowledge that Ridgefield Academy/Landmark Preschool programs and activities may involve risk, and assume those risks for my child. Further, in consideration of acceptance of my child into the Ridgefield Academy/Landmark Preschool Camp and/or it’s sponsored programs and activities, I release and agree to hold harmless Ridgefield Academy/Landmark Preschool, it’s officers, directors, employees and staff from any claims or damage or loss (including but not limited to physical injury, and property damage) that may occur as a result of my child’s participation in any Ridgefield Academy/Landmark Preschool sponsored program or activity. I hereby give the foregoing release on behalf of myself, my child, and all family members of either of us, and confirm that I authorize to do so. I understand that Ridgefield Academy/Landmark Preschool does not carry medical/accident insurance, and that I am responsible for any and all charges for medical treatment, property damage, or acquiring my own insurance. I acknowledge that participation in Ridgefield Academy/Landmark Preschool sponsored activities is conditional upon compliance with all applicable rules and policies established at Ridgefield Academy/Landmark Preschool. I further acknowledge that Ridgefield Academy/Landmark Preschool sponsored activities and participants may be photographed, filmed or videotaped from time to time, and hereby consent use of my child’s picture and likeness for Ridgefield Academy/Landmark Preschool related promotional purpose without further consideration.
Upon submission, your card will be charged the full amount for all camps selected. Refunds will only be granted due to a child’s illness or injury lasting for three consecutive days or longer and verified by a physician. Refunds are pro-rated for the portion of the program your child has attended.
A confirmation email will be sent to you upon registering. Please enter your preferred email address as this will also be used for all non-urgent Landmark Summer Program correspondence.