Camp Registration Wake Camp Registration 2022 1Select Session2Camper Info3Parent Info4Emergency Contact5Waiver6Payment Wake Camp InfoPlease complete this form to register for a Wake Camp. We offer eight Wake Camp sessions on Lake Austin. Each session is Monday–Thursday from 9AM to 4PM. Drop off and pickup locations TBA. Regular price per 2022 session is $850.00 per child, paid in full Wake Camp Summer 2022* Price: Session Dates*Please Select DatesJune 6-9June 13-16June 20-23June 27-30July 11-14July 18-21July 25-28August 1-4Number of Children*A parent or guardian, may register more than one child with this form. 10% Discount applies for registering additional children.1234 Info: Child #1Please provide information for your childName: Child #1* First Last Gender: Child #1* Male Female Birthdate: Child #1* Month Day Year Age: Child #1*How old will your child be when attending camp?Skill Level: Child #1*Please select a skill levelBeginnerIntermediateAdvancedAllergies: Child #1*Does Child #1 have any food allergies? If Yes, please describe. No Yes Allergy Concerns Child #1If Child #1has allergies, please explain.Info: Child #2Please provide information for your childName: Child #2* First Last Gender: Child #2* Male Female Birthdate: Child #2* Month Day Year Age: Child #2*How old will your child be when attending camp?Skill Level: Child #2*Please select a skill levelBeginnerIntermediateAdvancedAllergies: Child #2*Does Child #2 have any food allergies? If Yes, please describe. No Yes Allergy Concerns: Child #2If Child #2 has allergies, please explain.Multi-Child Discount (1) Price: Info: Child #3Please provide information for your childName: Child #3* First Last Gender: Child #3* Male Female Birthdate: Child #3* Month Day Year Age: Child #3*How old will your child be when attending camp?Skill Level: Child #3*Please select a skill levelBeginnerIntermediateAdvancedAllergies: Child #3*Does Child #3 have any food allergies? If Yes, please describe. No Yes Allergy Concerns: Child #3If Child #3 has allergies, please explain.Multi-Child Discount (2) Price: Info: Child #4Please provide information for your childName: Child #4* First Last Gender: Child #4* Male Female Birthdate: Child #4* Month Day Year Age: Child #4*How old will your child be when attending camp?Skill Level: Child #4*Please select a skill levelBeginnerIntermediateAdvancedAllergies: Child #4*Does Child #4 have any food allergies? If Yes, please describe. No Yes Allergy Concerns: Child #4If Child #4 has allergies, please explain.Multi-Child Discount (3) Price: Summer GoalsGoals, Requests, or ConcernsPlease tell us a little about what your child(ren) would like to learn at camp, or any notes or special arrangements you would like to discuss. Parent Contact InfoParent's Name* First Last Parent's Email*Please provide your email for confirmation and communications purposes. Enter Email Confirm Email Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent's Phone* Emergency ContactEmergency Contact* First Last Emergency Contact Relationship* Emergency Contact Phone Number* WATER SPORTS PARTICIPATION WaiverWaiver Option*We require a signature of a parent or guardian. You have the option of reviewing and accepting online, or we can send you a PDF that you can sign and return by email or in person. Review and Accept Online Download Waiver Please download the Watersports Participation Waiver and return it to us before May 15. Further instructions will be sent with registration confirmation.WATER SPORTS PARTICIPATION UNCONDITIONAL GENERAL RELEASE FROM LIABILITY*Please read the following agreement carefully BEFORE DECIDING TO PARTICIPATE. By signing this document and initialing the required sections, YOU ARE EXPRESSLY AGREEING TO HAVE KNOWINGLY, FULLY AND TOTALLY RELEASED the Owner/Company/His Agents and Employees (hereinafter “the Released”) FROM ANY AND ALL CLAIMS, INCLUDING ACTIVE OR PASSIVE NEGLIGENCE BUT EXCLUDING GROSS NEGLIGENCE AND/OR INTENTIONAL MISCONDUCT, arising out of any act, omission, or condition existing prior to the signing of the agreement, and extending to include any act, omission, or condition in any way connected with your participation in (including transit to and from) these water sports activities, occurring at any point in the future from the activities in which you are about to purchase/engage. I have read and accept this StatementEXPRESS ASSUMPTION OF ALL INHERENT RISKS OF WATER SPORTS ACTIVITIES*There are numerous risks inherent in and associated with participation in water sports activities. By executing this RELEASE, you are acknowledging that participation in water sports activities is an inherently dangerous activity that involves risks of death and/or serious bodily injury that cannot be prevented or avoided even by the exercise of reasonable care. The following list, though not exhaustive, exemplifies many of the types of risks and potential injuries you could encounter in connection with your participation in water sports. ▪ changing water flow, tides, currents, wave action, eddies, whirlpools, and vessel wakes; ▪ collision with other participants; collision with watercraft, whether owned or operated by the Released, collision with man-made or natural objects; ▪ the negligent actions and/or omissions of other participants; ▪ your own actions and/or omissions, your level of competency as to the activity, and your own physical and mental conditions; ▪ your sense of balance, physical coordination, ability to operate equipment, and ability to swim; ▪ wind shear, inclement weather, lightning, variances and extremes of wind, weather and temperature; ▪ collision, capsizing, sinking, falling, slipping or other hazards that may result in wetness, injury, exposure to the elements, hypothermia, impact of the body upon the water, injection of water into any body orifices, and/or drowning; ▪ the presence of insects, wild animals, as well as dangerous plant life, bacteria, amoebas, and marine life forms; ▪ equipment failure, improper use of equipment and/or impacting equipment; ▪ heat or sun related injuries or illnesses, including sunburn, sun stroke or dehydration; ▪ fatigue, chill, shock and/or dizziness which may increase your reaction time. By accepting this section and executing this WAIVER below, you are agreeing that you have reviewed the preceding non-exclusive list of sample inherent risks involved in your participation in these activities, and with full knowledge and understanding, you are voluntarily agreeing to engage and participate in these activities and to VOLUNTARILY AND EXPRESSLY ASSUME THE RISK OF SERIOUS BODILY HARM, PERSONAL INJURY, DEATH OR DAMAGE resulting from any and all inherent risks while participating and engaging in (including transit to and from) these water sports activities. By expressly assuming ANY AND ALL INHERENT RISKS involved with these water sports activities, you are voluntarily relinquishing the ability to seek or collect damages from the Released due to any personal injury, claim, or incident occurring or in any way related to or arising from the inherent risks of your involvement in these water sports activities. I have read and accept this StatementINDEMINITY AGREEMENT STATEMENT*By accepting this section and executing this WAIVER below, you are further agreeing to hold harmless and to indemnify the Released against any and all claims, demands, losses, damages, causes of action, judgments, costs, expenses, attorneys’ fees, and other liabilities, including those from third parties, arising out of or relating to your participation in any water sports and/or presence upon the property on which they are located, even if caused by the active or passive negligence of the Released, but excluding any gross negligence or intentional misconduct. By agreeing to indemnify the Released for the acts, occurrences, and expenses as contained within this subsection you are knowingly and voluntarily agreeing that you may be required to reimburse or provide the cost of a legal defense or representation for the Released for any expenses or actions it has to take arising out of your participation in these water sports activities. I have read and accept this StatementWAIVER AND RELEASE OF LIABILITY*By accepting this section and signing this WAIVER below, YOU ARE AGREEING TO KNOWINGLY, VOLUNTARILY, AND UNEQUIVICALLY WAIVE ANY AND ALL CLAIMS, INCLUDING ACTIVE OR PASSIVE NEGLIGENCE BUT EXCLUDING GROSS NEGLIGENCE OR INTENTIONAL MISCONDUCT, against the Released arising out of any act, omission, or condition existing prior to the signing of the agreement, and extending to any act, omission, or condition in any way connected with your participation in (including transit to and from) these water sports activities occurring at any point in the future. THIS WAIVER AND RELEASE OF LIABILITY IS EXPRESSLY PROVIDED TO EXCULPATE THE RELEASED FROM THOSE LIABILITIES WHICH ARE SEPARATE FROM AND IN ADDITION TO THE POTENTIAL LIABILITIES CREATED BY THE RISKS INHERENT IN WATER SPORTS PARTICIPATION. Furthermore, by acccepting and signing this waiver below, you are binding your spouse, heirs, assigns, and any similarly situated personal or legal representative to the waiver’s terms. I have read and accept this StatementDECLARATION OF COMPETENCY AND INTENT TO BE BOUND*By accepting this section and signing this WAIVER below, you are signifying that you have read first, then initialed, all sections contained within this agreement. You are further signifying that you are voluntarily agreeing to execute this waiver and release, and that you understand the legal implications and consequences of doing so. If there are any aspects of this agreement with which you do not have a full and complete understanding, you are encouraged to ask or inquire with the Released BEFORE initialing this section or signing this waiver. I have read and accept this StatementUNCONDITIONAL GENERAL RELEASE FROM LIABILITY*Your acceptance of this statement and signature below reflects your express assent to be bound to the terms of this agreement. Please carefully review each section again and ensure that you fully understand the implications of this agreement. I have read and accept this StatementSignature*I have read this Agreement, understand it, and I agree to be bound by it. Payment Info{order_summary}HiddenNumber of Registered ChildrenHiddenWake Camp PriceHiddenSubtotalHiddenDiscountsTotal $0.00 Payment Method*Only click Paypal once and do not refresh this page or you may be charged twice.PayPal Checkout American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.
