Kids Camp - Snow Day Care - Twister Sports

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I need care for:*

Number of Children

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I need childcare for:*

For more than 2 children, please complete this form again.

1 child
2 children

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I need childcare for:*

For more than 2 children, please complete this form again.

1 child
2 children

I need full-day childcare on Jan. 27 for:*

For more than 2 children, please complete this form again.

1 child
2 children

Student #1

Student's Name*

First Last

Child's Date of Birth*

Grade*

What school does your child attend?*

If school is releasing early, please notify Ridgeview and/or Sterling that your child will need to ride the bus to Twisters. (If your child attends Martin Warren/Maple Grove, please provide transportation to Twisters as our Twister bus is currently full.)

Student #2

Student's Name*

First Last

Child's Date of Birth*

Grade*

What school does your child attend?*

If school is releasing early, please notify Ridgeview and/or Sterling that your child will need to ride the bus to Twisters. (If your child attends Martin Warren/Maple Grove, please provide transportation to Twisters as our Twister bus is currently full.)

Student #3

Student's Name*

First Last

Child's Date of Birth*

Grade*

What school does your child attend?*

If school is releasing early, please notify Ridgeview and/or Sterling that your child will need to ride the bus to Twisters. (If your child attends Martin Warren/Maple Grove, please provide transportation to Twisters as our Twister bus is currently full.)

Previous Participants

Have you previously attended Summer Day Camp or Kids Camp Before & After School Program since January 2024?

Yes
No

Has any of your contact information or employer changed?*

Yes, I need to update.
No

Has any of your child's health information changed to include allergies or medications?*

Yes, I need to update.
No

Do you need to add or change adults authorized to pick up your child?*

Yes, I need to update.
No

Parent/Guardian Information

Parent's Name*

First Last

Cell Phone*

By providing your phone number, you agree to receive recurring marketing and transactional text messages from Twister Sports. Message frequency varies. Message and data rates may apply. Reply STOP to unsubscribe or HELP for help. View our Terms of Service and Privacy Policy.

Work Phone*

Employer*

Email*

Address*

Street Address City State ZIP Code

Parent's Name

First Last

Cell Phone

Work Phone

Employer

Email

Emergency Contact Information

Emergency Contact #1*

First Last

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer*

Work Schedule*

Emergency Contact #2*

First Last

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer*

Work Schedule*

Pick Up Authorization

Who may pick up your child/children besides parent/guardian(s) listed above?*

Please include emergency contacts if applicable. Note: Children will not be released other than to those on this list. Photo identification may be required from anyone other than a parent or guardian.

Health Record

List all allergies, any special precautions and treatment indicated for these allergies (ie: food, medication or environmental allergies).*

Please be sure to include ALL food allergies. You may type "N/A" if this question is not applicable.

List all medications or modified diets currently being administered to your child.*

You may type "N/A" if this question is not applicable.

List all chronic illnesses, history of hospitalization or anything else the staff would need to know to properly care for your child.*

You may type "N/A" if this question is not applicable.

Health Statement*

Please select which option describes your child:

My child is in good health, is able to participate in group care, has no special health or medical requirements.
My child is able to participate in group care but has special health or medical requirements as listed below.

Health Statement*

Describe the special health or medical requirements that pertain to your child.

Upload Immunization Records Here:

Drop files here or

Max. file size: 50 MB.

Waivers & Agreements

Policy Agreement*

1. I give permission for my child to participate in Kids Camp activities such as group led enrichment, movies, outdoor play, etc. at Twister Sports.

2. I give permission for my child to be included in pictures or other publicity connected with the camp, including Instagram, Facebook and other social media platforms.

3. I understand this payment is non-refundable as there are a limited number of slots available for childcare.

4. If my child is not picked up by the designated time, a $35 fee will apply for each occurrence. A parent may add additional care as space is available.

I HAVE READ AND UNDERSTAND ALL POLICIES.

Waiver of Liability*

I am aware of the nature of this activity and I hereby assume responsibility for the participant listed above to participate. I acknowledge that, while not common, any activity that involves height and motion (such as bounce houses, tumbling and stunting) involves risk of injury ranging from minor (bruises and sprains) to more serious and catastrophic injuries. I will not hold Central Missouri Twisters (Twister Sports) or its employees responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of Twister Sports prior to participation in any program. If, at any point, I have a question or a concern regarding the safety of my child or the intent of the program, I will contact the owner, manager or instructor immediately. I also allow the participants listed to be photographed and videotaped for publicity and advertising purposes only.

Coupon

Total

$0.00