activity waivers online - WaiverElectronic

We are thrilled to have our Summer Camp at our newest location, Chrysalis Cove by Hugs & Bugs Club!

There will be so much for your children to explore with different themes each week, field trips around town, and much more!

Summer camp is available for children 3.5-7 years old. Sessions will be held Monday-Friday from 9:30am-2pm. (Must be 3.5 by July 1st).

A few notes regarding our Summer Camp 2019

There is a 2 week minimum for all our summer campers. In order for our children to feel comfortable and ready to explore, makeups and date switches are not permitted.

A full refund (with exception of non-refundable deposit) will be issued if notified in writing by May 1st. 50% of refund will be issued if notified by June 1st. No refunds will be issued if cancellation after June 1st.

Here is what happens after your form has been submitted and accepted:

Once we have received your electronic registration form with deposit, you will receive an email confirmation from us regarding your remaining balance which must be paid in full within 10 days of completed registration form. If you are paying by cash or check, you may bring it by one of our locations before noon during the week. You may also mail a check to Hugs & Bugs Club 537 Park Avenue Hoboken, NJ 07030. If you are paying Venmo, it can be sent to: Olivia Burks @hugsandbugsclub.

Please make sure to send us a copy of your child's immunization records prior to the first day of camp. You can scan and email with subject line "Child's Name Immunizations" to: [email protected]

Please email us at [email protected] with any questions or concerns.

Child's Name *

Please enter your full name.

Parent Name 1 *

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Phone number: * Please enter your phone number.

Email: * Please enter your email.

Parent Name 2 *

Please enter your full name.

Phone number: * Please enter your phone number.

Email: * Please enter your email.

Please fill child's home address: *

Please enter address.

Child's Age as of June 1st 2019 *

3.5

4.5

5.5

6.5

Please select at least one choice above.

Date of Birth: *

Please enter valid date.

Please list any allergies or health concerns we need to be aware of: * Please enter your answer here.

Sign Out #1 Authorization: (Other than parent) Please enter your name.

Please include Image of primary pick up/drop off person (Optional)

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Hugs & Bugs Club TEE SHIRTS - All campers will receive ONE Hugs & Bugs Club t-shirt and we will do our best to have your child's exact size.* *

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I would like to order extra t-shirt ($15 each) *

1 Extra

2 Extra

No thank you

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Week ONE: 6/24-6/28 ($450) Bringing the Outdoors In Please check it here.

Week TWO: 7/1-7/5 ($360 *no class 7/4) Mindfulness & Movement Please check it here.

Week THREE: 7/8-7/12 ($450) Folklore & Fairy Tales Please check it here.

Week FOUR:7/15-7/19 ($450) Blast from the Past Please check it here.

Week FIVE: 7/22-7/26 ($450) A Community of Superheroes Please check it here.

Week SIX: 7/29-8/2 ($450) Hugs & Bugs Club Marketplace Please check it here.

Week SEVEN 8/5-8/9 ($450) Cast Away Please check it here.

Week Eight 8/12-8/16 ($450) Animals & Mythological Creatures Please check it here.

Week NINE: 8/19-8/23 ($450) Mixing it Up Please check it here.

Week TEN: 8/26-8/30 ($450) Planting New Seeds Please check it here.

Within one to two days of submission, you will be sent an email with the balance and date the balance is due. I would like to pay the balance by *

Check - Made to: Hugs & Bugs Club (I will mail to 537 Park Avenue Hoboken, NJ 07030)

Cash - I would like to stop by Hugs & Bugs Club and set up a time to drop off cash

Venmo - Olivia Burks @hugsandbugsclub

Please select at least one choice above.

PLEASE READ THE FOLLOWING AGREEMENT AND WAIVER CAREFULLY. BY REGISTERING FOR PROGRAMS BY HUGS & BUGS CLUB LLC, YOU ACKNOWLEDGE AND AGREE THAT YOU HAVE CAREFULLY READ THIS ACCIDENT WAIVER, RELEASE OF LIABILITY, AND ASSUMPTION OF RISK FORM AND AGREE TO THE TERMS SET FORTH BELOW. I am the parent or legal guardian of the child whose name is noted below as the participant (the “Child”) who will be participating in a Hugs & Bugs Club program, including, but not limited to, (1) a Hugs & Bugs Club class at Hugs & Bugs Club located at 529 Willow Avenue and Chrysalis Cove by Hugs & Bugs Club located at 537 Park Avenue or at your chosen venue such as Belly Babies, Cute Crawlers, Daring Dashers, Jabbering Jammers, Tinker Play, Open Play, (2) a birthday party or other event whereby Hugs & Bugs Club provides activities and entertainment, (3) Hugs & Bugs Club Preschool Prep (4) Hugs & Bugs Club school break camps and summer camp (collectively the “Programs”). I hereby agree that my Child and I will be bound by all the provisions contained herein. I HEREBY ASSUME ALL OF THE RISKS OF MY CHILD’S PARTICIPATION IN ANY/ALL ACTIVITIES ASSOCIATED WITH THE PROGRAMS. I agree that my Child’s participation in the Programs is purely voluntary and I elect to allow my Child to participate knowing the potential risks. I certify that there are no health-related reasons or problems which preclude my Child’s participation in the Program. I acknowledge and agree that I am solely responsible for deciding whether or not to allow my Child to participate in the Programs or to rely upon any instructions, advice, or information regarding the Programs. In consideration of the Programs provided by Hugs & Bugs Club, I hereby agree as follows for my Child, myself, our executors, administrators, heirs, next of kin, successors, and assigns as follows: I fully understand the risks associated with sensory play such as choking and allergic reactions; I fully understand the risks associated with the equipment and furniture within Hugs & Bugs Club locations such as the sensory bins, fort, ladder, tables; I WAIVE, RELEASE, AND DISCHARGE from any and all claims, actions, causes of action, demands, judgments, damages (including compensatory, general, special, consequential, exemplary and punitive), liability, which may hereafter occur as they are related to the Programs, Hugs & Bugs Club and/or its directors, officers, employees, volunteers, representatives, and agents; I INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE HUGS & BUGS CLUB and/or its directors, officers, employees, volunteers, representatives, and agents from any and all losses, liabilities, claims, obligations, costs, damages, and/or expenses whatsoever, including but not limited to, any and all attorneys’ fees, costs, damages, and/or judgments directly or indirectly arising out of, or relating to my or my Child’s acts or omissions while participating in the Programs, whether caused by the negligence of Hugs & Bugs Club or otherwise. I acknowledge that Hugs & Bugs Club and its directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a portion of the Programs on their behalf. I hereby consent to allow my Child to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during participation in the Programs. In the event of sickness, accident, or injury, I authorize Hugs & Bugs Club and its representatives to obtain, on my behalf, emergency medical treatment for my Child to secure such medical treatment at my expense. This Agreement shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. This Agreement shall be construed and enforced according to the laws of the State of New Jersey and any dispute under this Agreement must be brought in this venue and no other. I further understand that Hugs & Bugs Club reserves the right to cancel programs due to low enrollment at which point, I will receive a full refund including deposit. I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I UNDERSTAND AND AGREE THAT I AM GIVING UP LEGAL RIGHTS BY SIGNING THIS AGREEMENT AND THAT I AM DOING SO VOLUNTARILY, FREELY, UNDER NO THREAT OF DURESS, WITHOUT INDUCEMENT, PROMISE, OR GUARANTEE BEING COMMUNICATED TO ME. THE SIGNATURE BELOW IS PROOF OF MY INTENTION TO EXECUTE A COMPLETE AND UNCONDITIONAL WAIVER AND RELEASE OF ALL LIABILITY TO THE FULL EXTENT OF THE LAW. *

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We wholeheartedly respect you and your child's privacy. We love to share what we do because they come with lots of smiles and inspiration! We regularly post pictures and how-to's on social media with hopes of sharing creativity. If at any time you would like to opt out of the picture taking and social media sharing, please let us know as soon as possible by emailing us directly at [email protected] *

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I am the parent and/or guardian for the child noted in the signature block below. My child is enrolled in the 2019 Summer camp program with Hugs & Bugs Club/ Chrysalis Cove by Hugs & Bugs Club. As part of Hugs & Bugs Club/ Chrysalis Cove by Hugs & Bugs Club summer camp, my child may be participating in local walking activities in and around Hoboken and outside of the Hugs & Bugs Club studio. My signature below indicates that I am granting permission for my child to participate in any walking activities taking place during Hugs & Bugs Club/ Chrysalis Cove by Hugs & Bugs Club summer camp. *

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By checking this box, I understand that registration is not complete until the balance payment for summer camp is submitted within 10 days of completing this registration form. * Please check it here.

By checking this box, I understand that makeups and/or date changes for camp days are not permitted once this form has been submitted. * Please check it here.

By checking this box, I understand a full refund (with exception of non-refundable deposit) will be issued if notified in writing by 5/1 & 50% of refund will be issued if notified by if notified by 6/1. NO REFUNDS will be issued if cancellation after 6/1. * Please check it here.

Your signature *

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Your Name * Please enter your answer here.

Signature Date *

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Help your children who will participate in the summer camp sign digital activity waivers.