This application is made and accepted in accordance with the provisions of the Fernbrook Farms Environmental Education Center (FFEEC) Registration and Cancellation Policies.

I certify that my child’s current physical condition is satisfactory for participating in all the FFEEC Summer Programs. I recognize and acknowledge that there are certain risks of physical injury in any recreational program and I hereby assume full responsibility for any expenses incurred as a result of my child’s participation in the FFEEC Programs.

In case of emergency I authorize my child to receive first aid from Fernbrook staff and/or be transported to the nearest hospital by emergency medical personnel. I desire that notification of such emergency be sent to me by prompt means of communication. I understand that I am responsible for any bills related to hospital or doctor visits.

I hereby (a.) release and discharge (b.) waive and relinquish and (c.) covenant not to sue Fernbrook Farms Environmental Education Center, Fernbrook Nursery, The Inn at Fernbrook Farms, Fernbrook Farms CSA, it’s respective administrators, directors, agents, officers, members, volunteers, employees, and owners and Lessees of premises on which activities take place from all liability, claims, demands, losses, or damage on my account caused or alleged to be caused in whole or in part by the negligence of any of the above named including the negligence of emergency operations.

It is my desire that my child be enrolled, as indicated on the application, subject to the above conditions. I will make payment, including nonrefundable administrative fee, and agree to pay full tuition within the terms stated in the enrollment information. In agreeing to this application, I certify that my child is covered by health and accident insurance or Medicaid and I understand that I am obligated to provide the camp with the name of the carrier and policy number. By agreeing to this registration, I accept full responsibility for all incurred program fees and expenses.

YOUNG STEWARDS ONLY: In order that FFEEC may provide each camper maximum opportunity for learning and personal development we transport children to off premise activities such as state parks and nature centers. I give permission to transport my child off premise. Also, I understand that these off premise activities may require additional waivers to be signed in order to participate in their activities.

Furthermore, I agree to the terms of the Minor Participant Waiver, Release, Indemnification of All Claims & Covenant Not to Sue Form

I have read this agreement and all other information referenced herein, fully understand that I have given up certain rights by agreeing to it and have agreed to it freely and without inducement or assurance of any nature.