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Registration Info
Are you registering more than one attendee?
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Yes
No
Camper Information
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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
I am a...
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Enrolled SunriseVX family (virtual camp)
Enrolled in another Sunrise Association Camp (in-person camps)
New to Sunrise
Which Sunrise Camp have you previously attended?
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Long Island
Pearl River
Aurora
Staten Island
Greater Philadelphia
Horizon - Baltimore
Horizon - Metro DC
Primary Hospital Name
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Primary Hospital State
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Were you referred by another camp?
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Yes
No
What is the name of the camp?
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Parent/Guardian First name
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Parent/Guardian Last name
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Email Address
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Phone Number
*
How did you hear about this event? (Instagram, Facebook, Hospital (name), Sunrise Staff Member)
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Do you have any questions or concerns?
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.
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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.
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Yes
I will encourage my child(ren) to follow appropriate online conduct as explained to them or risk losing privileges to participate.
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Yes
I acknowledge and accept that others may see our home environment during live sessions.
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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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