PARENT - PROVIDER AGREEMENT
The following is an agreement between The Music Tree, LLC, and the parent/guardian for the children enrolled in The Music Tree's Summer Music Camp
A non-refundable deposit of $100.00 will hold a child's space and will be applied to the total due prior to July 17th.
1. Student activities will be provided at The Music Tree’s “Summer Music Camp” from 9am to 12:30pm, Monday through Friday during the camp.
2. The agreed upon cost of care will be $450.00 for the full two weeks of camp.
3. Payment will be made in the form of: parent check, cash, or credit card/bank card.
4. Payment is due before the first day of camp.
5. Overtime pay will be $15.00 for every 15-minutes parent is late.
Parent agrees to provide, prior to the first day of camp, the following information:
-The name, address, and phone number for any persons authorized to pick the child(ren) up from camp.
-Parent contact information for urgent and emergent matters during camp hours.
-The name, address, and phone number of the child's family doctor.
-The name of the child's insurance carrier, insurance policy holder, and policy number.
If your child is sick, please do not bring them to the camp. If your child takes medication, make sure all medications are taken prior to the camp. The camp will not be responsible for administering or supervising the taking of any medicine.
If the child requires medical care, the parent/guardian will be called immediately. In the event that The Music Tree is unable to contact a parent or guardian, the child's family doctor will be called. If the child's family doctor is unavailable, an ambulance will be called and the child will be taken to the nearest hospital emergency room for treatment.
Provider or parent can terminate this agreement in writing no fewer than 2 weeks prior to the first day of camp.
In consideration of my child's participation in The Music Tree's Summer Music Camp, I hereby waive and release, on behalf of myself, my child(ren), any participating caregiver, relative, or any other party or entity of my child(ren), The Music Tree, LLC, its owners, affiliates, respective employees, representatives and agents and all other related entities from and against any and all liability, loss, damage, injury, claim, cost or expense of any kind arising out of or in connection with the participation or attendance in this program.
I also agree to allow The Music Tree, LLC, to photograph/video my child and use these in promotional materials.