I would like to enroll my child for the following sessions.
Please check all that apply. Daily fees are $55 until May 4, $60 after May 4.
PARENT INFORMATION
EMERGENCY INFORMATION

Please list an emergency contact other than a parent.

PICK UP AUTHORIZATION

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 camp days 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.