Virtual Fun-Day Event Registration Information

Camper Information *

	First Name	Last Name	School Grade	Age
Attendee #1	First Name	Last Name	School Grade	Age

Are you registering another attendee? *

Yes

No

Camper Information *

	First Name	Last Name	School Grade	Age
Attendee #2	First Name	Last Name	School Grade	Age

Are you registering another attendee? *

Yes

No

Camper Information *

	First Name	Last Name	School Grade	Age
Attendee #3	First Name	Last Name	School Grade	Age

Are you registering another attendee? *

Yes

No

Camper Information *

	First Name	Last Name	School Grade	Age
Attendee #4	First Name	Last Name	School Grade	Age

Are you registering another attendee? *

Yes

No

Camper Information *

	First Name	Last Name	School Grade	Age
Attendee #5	First Name	Last Name	School Grade	Age

Languages spoken/read at home *

Have you attended a Sunrise/Horizon/Aurora Day Camp before? *

Yes

No

Which Sunrise Association Camp have you previously attended? *

Primary Hospital Name *

Primary Hospital Location *

Please specify: *

Were you referred by another camp? *

Yes

No

What is the name of the camp? *

Parent/Guardian First name *

Parent/Guardian Last name *

Email Address *

Phone Number *

How did you hear about this event? *

If other, please specify: *

Name of Instagram account?

Name of support group?

Name of Hospital staff member?

If other, please explain: *

Questions & Permissions

Do you have any questions or concerns?

Your presence is important to us! In order to ensure an inclusive virtual experience for all participants, please let us know if you have any specific accessibility needs or requirements.

Are you interested in learning more about our other virtual programs, such as our 8-week virtual summer camp and other monthly year-round events? *

Yes

No

Maybe

Have you heard about our SunriseVX TV Show, shown on the Sunrise Association YouTube channel and the Sunrise Studios app? *

Yes

No

Would you like to learn more about our SunriseVX TV Show? *

Yes

No

Maybe

I acknowledge and accept that my child(ren)/family may be participating in video activities and webinars that may include them being seen and heard on a webcam over the internet. *

Yes

I acknowledge and accept that SunriseVX/Sunrise Association will be using a third-party platform like Zoom to facilitate video sessions and I agree that Sunrise VX/Sunrise Association assumes no liability for any performance issues with Zoom or any other third-party software. *

Yes

I will encourage my child(ren) to follow appropriate online conduct as explained to them or risk losing privileges to participate. *

Yes

I acknowledge and accept that others may see our home environment during live sessions. *

Yes

By allowing your child to participate in our virtual program, you are granting Sunrise Association Camps the right to use such images and/or recordings.I acknowledge and accept that virtual camp program sessions may be recorded from time to time, and that all or portions of such recordings/images may be used for purposes including but not limited to sharing with children and families, staff and/or potential staff, teaching and training, and/or marketing/fundraising. *

Yes

These authorizations are limited to the date signed below through July 1st of the following year. By signing below, I agree to signing this release and the items as initialed above *

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