generic camp hyatt 2014 - Hyatt Regency Guam [PDF]

8 downloads 243 Views 701KB Size Report
Children are not permitted to bring money, electronic devices or any other valuable items. Hyatt Regency ... PARENT'S SIGNATURE ... authorize Hyatt Regency Guam to take my child to the hospital or medical facility of their choice. Consent to ...
for children 4 – 14 years old

Refund Policy: 100% refund with notification 24 hours prior to applicable session start date. Cancellations with less than 24 hours notice will be subject to a $30.00 cancellation fee. Fees will not be refunded for withdrawals during the session. If for any reason your child should not be able to participate in our program on any given day, no refunds or make-up days will be permitted. Drop-off: A child may be dropped off no sooner than 10 minutes prior to the start of the session and only if there is a camp counselor present at the Camp Hyatt Facility.

PARENT’S INITIALS

PARENT’S INITIALS

Pick-up: Children may only be picked up by the designated parent/guardian. Should a parent require special arrangements for designated pick-up person, kindly call Hyatt at 647-1234.

PARENT’S INITIALS

Late Pick-up: You may drop off your child as early as 10 minutes prior and pick up no later than 10 minutes past the scheduled finish time. There will be a $10 charge for late pick up after the 10 minute grace period and an additional $10 for every 30 minutes thereafter.

PARENT’S INITIALS

Happy Camper Policy: Vulgar language, bullying, fighting, or any other form of violence will not be tolerated. Children must adhere to camp rules at all times. Parents will be contacted immediately for serious incidents.

PARENT’S INITIALS

Preparing Your Child: Children are not permitted to bring money, electronic devices or any other valuable items. Hyatt Regency Guam will not be held liable for any lost personal property. Children are not permitted to bring food or drinks. Any special dietary requirements will be accommodated within reason. Please advise in writing in advance.

______________________________________ PARENT’S SIGNATURE ______________________________________ DATE

PARENT’S INITIALS

CAMP HYATT REGISTRATION FORM CHILD INFORMATION

PARENT INFORMATION

NAME:

MOTHER’S FULL NAME:

FATHER’S FULL NAME:

DATE OF BIRTH (4-14 YEARS ONLY):

MAILING ADDRESS:

MAILING ADDRESS:

EMAIL ADDRESS:

EMAIL ADDRESS:

CONTACT NUMBER (HOME):

CONTACT NUMBER (HOME):

CONTACT NUMBER (MOBILE):

CONTACT NUMBER (MOBILE):

CONTACT NUMBER (WORK):

CONTACT NUMBER (WORK):

NAME OF EMPLOYER

NAME OF EMPLOYER

SCHOOL: ANY ALLERGIES? ANY MEDICATIONS? ANY PHYSICAL / MEDICAL CONDITIONS? ANY SPECIAL INSTRUCTIONS?

EMERGENCY CONTACT INFORMATION NAME:

RELATIONSHIP:

CONTACT NUMBERS (HOME): (WORK):

(MOBILE):

NAME:

RELATIONSHIP:

CONTACT NUMBERS (HOME): (WORK):

(MOBILE):

PERSON AUTHORIZED TO PICK UP CHILD (OTHER THAN PARENTS) INFORMATION NAME:

RELATIONSHIP:

CONTACT NUMBERS (HOME): (WORK):

(MOBILE):

NAME:

RELATIONSHIP:

CONTACT NUMBERS (HOME): (WORK):

(MOBILE):

Under no circumstances will a child be released to anyone without authorization from parents or guardians. Person(s) authorized to pick up child, other than the parent(s) will be required to present a picture ID prior to release of child. Note: It is legal for either parents to pick up a child unless we have a copy of a court order restricting visitation.

INDEMNITY AGREEMENT I hold harmless and indemnify: P.H.R MICRONESIA, INC., P.H.R HOLDING GUAM, INC., KEN REAL ESTATE LEASE LTD., ORIX REAL ESATE CORPORATION, and TUMON BAY ENTERPRISES. INC., ED & JOE ENTERPRISES, INC., HYATT INTERNATIONAL (ASIA) LTD. HYATT OF GUAM, LTD., HYATT INTERNATIONAL, HYATT CORPORATION (“INDEMNITIES”), and their officers, directors, agents and employees from and against any and all actions, costs, claims, losses, expenses and/or damages, including attorney’s fees, arising out of or in any way relating to the Camp Hyatt program. In the event I cannot be contacted to make arrangements for emergency medical attention at the time of an illness or accident, I hereby authorize Hyatt Regency Guam to take my child to the hospital or medical facility of their choice. Consent to First Aid: I hereby give permission that my child, ______________________________, may be given first aid treatment by a Camp Hyatt Counselor and agree to hold Hyatt and its employees harmless. I have carefully read this indemnity agreement prior to its execution and I fully understand its contents By providing your email address you will receive updates, special offers and more from Hyatt Regency Guam. To opt out of receiving marketing from us please select the option below.

□ I would like to opt out from receiving marketing updates from Hyatt Regency Guam.

________________________________________________

By filling out this application form, I confirm that I have read and agreed to the use of the personal information I am giving you in accordance with the Global Privacy Policy for Guests available at privacy.Hyatt.com.

______________________________

______________

PARENT’S SIGNATURE

DATE

PARENT’S PRINT NAME

OFFICIAL USE ONLY FRONT OFFICE GSO’S NAME:

PAYMENT AMOUNT:

PARENT GUAM RESIDENT ID NUMBER & TYPE:

DATE PAYMENT RECEIVED:

SESSION DATES

APPLICATION & RECEIPT FWD TO (RESORT STAFF NAME/DATE/TIME):