*Click here if you have already registered for Summer Expeditions Day Camp and need to pay your remaining balance.  Please contact Jennifer Hricak if you are unsure of your remaining balance.

 

Before registering, please review the Tuition & Schedule page.

 

Please note that this form will time out after 50 minutes, after which point, it will not be submitted correctly.  If you have any problems submitting this, or any other form, please contact the ITS Office.

 

Summer Expeditions Registration

  1. Info
  2. Payment
  3. Review

Info

Camper Information
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Note - Requested t-shirt sizes guaranteed for Adventure Seekers division registrations received by May 1. T-shirts will only be provided to campers in this division. Children in the Early Explorers division will receive a one-size-fits-all bucket hat.
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Parent/Guardian 1 Contact Information
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Parent/Guardian 2 Contact Information
Emergency Contact Information
(in case of emergency, parents will be contacted first)
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Payment Information
Agreement
TERMS AND AGREEMENT PERMISSIONS I understand that by submitting Summer Camp and/or Summer Session registration for the above-named camper, I am hereby granting permission for the above-named camper to participate in all Academy Summer Camp and/or Summer Session activities [ Harrisburg Academy Summer Programs], including Academy-sponsored trips off-campus and swimming. I understand Harrisburg Academy may deny enrollment or dismiss any student whom it considers not to be participating properly in the program. I also understand that any of the programs receiving an insufficient registration may be cancelled. In the event of an emergency requiring immediate medical treatment, I understand that the staff of Harrisburg Academy will try to reach me by using the telephone numbers listed on this form. In the event that I cannot be reached, I authorize treatment by appropriate personnel as approved by Harrisburg Academy staff. We understand and accept the need for Harrisburg Academy to be fully informed as to the physical and mental health of the enrollee. Failure to disclose such essential information at the time of enrollment or upon the request of Harrisburg Academy can be cause for disenrollment. Harrisburg Academy pledges to respect the confidentiality of such information and to use it only for professional purposes. MEDIA PERMISSIONS I understand that unless I give the Harrisburg Academy written notice to the contrary, by signing this form I am granting permission: (a) for the Academy to use information, photos, and video of and/or prepared by the above-named student on the Web and in Academy publications and to share that material with newspapers, magazines, and radio/television media as appropriate; and (b) for Harrisburg Academy to use information, photos, and video of and/or prepared by the above-named student in social media applications (including but not limited to Facebook, Twitter, Flickr, YouTube, and other web-based communication tools). I am aware that I have the right to add the above-named camper to the Academy’s summer 2018 media exclusion list by providing written notice to Jennifer Hricak, director of summer camp. I understand that the media exclusion list is all-inclusive, and if the above-named camper is listed, all information, photos, and video of and/or prepared by the above-named camper will be excluded from all internal and external media, including but not limited to: Academy print publications, external newspapers and magazines, radio/television media, the school website, and social media platforms. I also understand that the media exclusion list is compiled annually and that it is my responsibility to submit required written notice each year for the above-named camper to remain on the list. The permissions noted above extend in perpetuity beyond the camper’s enrollment and/or termination of this agreement. By signing this Agreement, I irrevocably release Harrisburg Academy, its successors and assigns, and those acting with its permission and upon its authority, from any liability, responsibility, or claim that may arise by reason of exercise of the authority granted above. RELEASE STATEMENT In consideration of the acceptance of the camper for enrollment in Harrisburg Academy Summer Programs, I hereby release and discharge Harrisburg Academy, its agents, employees, and officers from any claims, demands, actions, judgments, and executions which the undersigned, as a parent or guardian of the camper, ever had or now has, or may have, or which the undersigned’s heirs, executors, administrators, or assigns may have or claim to have against Harrisburg Academy, its successors or assigns, for all personal injuries, known or unknown, and injuries to property, real or personal, caused by or arising out of, the camper’s enrollment. EXPECTATIONS ON BEHAVIOR We expect campers to act respectfully at all times when they are participating in our programs to help each other achieve the best possible experience in a safe environment. If a camper has difficulty meeting this expectation, parents/guardians may be called upon to assist. Campers should talk to a counselor or any camp staff member if they are uncomfortable with any experiences or need assistance while at camp. Physical violence or bullying toward another camper or staff member, willful property damage, or illegal acts will result in immediate dismissal from Harrisburg Academy’s Summer Program(s). Camper fees are non-refundable if a camper is sent home for disciplinary reasons.
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DEPOSIT & PAYMENT *A DEPOSIT OF $50 FOR EACH WEEK A STUDENT PLANS TO ATTEND HARRISBURG ACADEMY SUMMER CAMP IS DUE WITH THIS FORM. The remainder is due before the start of each program. This deposit is non-refundable unless the student is not accepted or the program is cancelled.

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