Summer Camp Enrollment Form

We will let you know ahead of time when your child will need to wear their swimsuit. On swim days, you will need to supply them with a change of clothes & a towel inside of a plastic grocery bag so that wet clothes can go back in it to return home in.

If you're notified that your child is ill, you agree to arrange for yourself or one of your listed contacts to pick your child up within 1 hr. If your child or a member of your immediate household become ill or exposed to a Communicable Disease, you agree to notify TAC within 48 hrs.

In the event I cannot be reached, I authorize TAC to act on my behalf for my child to receive emergency care, and if deemed necessary, arrange for emergency transport to the hospital of my choice.

In the event your child sustains an injury while in our care but is NOT transported to the hospital or doctor from our site location, you agree to contact the main office at 540-382-3783 within 24 hrs, should you decide at a later time to take your child to the hospital or doctor to be evaluated. Per Virginia State Licensing Standards, The Adventure Club is mandated to report any medical treatment sought for the child's injury AFTER the child has been picked up from our program.

If your child requires any medication, we MUST have a signed medication consent and the medicine supplied in the original box with your child's full name, DOB, and name of medication on the box. We will NOT ACCEPT any medication that DOES NOT meet these requirements! On the med consent form we require both sections to be completed if the medication is by prescription only (not over the counter). The parent completes section 1 and the physician completes section 2. If you're supplying an Epi Pen or Inhaler the physician MUST also complete the appropriate plan of action.If medication needs to be administered, please click the link below to the Medicine Consent Form and have the pediatrician complete it. With the completed form, provide your child’s medicine in its original box to the director of the center. Describe any specific details in the box below.

Medication Consent (PDF)
VA Athsma Action Plan (PDF)
General Healthcare Plan (PDF)
Food Allergy & Anaphylaxis Emergency Care Plan (PDF)

Camp tuition includes ALL field trip fees for all children. If you Opt-Out your child from attending any field trips, there will be no discounts to waive this option.

*Please bring a water bottle with your child's name written on it with a sharpie pen to use throughout the day.*

TAC reserves the right to make changes in the parent handbook to maintain compliance & integrity of the program. Click Here to view:

We accept: Visa, MC, Check Card, or Checking Account Withdrawal (ACH). (we do not accept Cash, Checks, AMEX or Discover)

If your card only shows the MM/YYYY, you may just enter the last date of the month in the "DD" space.

By typing my name below, I acknowledge that I am responsible for all tuition & fees that I incur upon receipt of this enrollment and while my child is actively enrolled in Summer Camp at TAC.

I authorize TAC to debit Summer camp tuition on a weekly basis each Thursday and thereafter for the weeks I have reserved for my child.

I also authorize TAC to debit my Activity fee(s) of $75 per child upon receipt of this enrollment. If my enrollment is received after 5/1/22, I also authorize TAC to debit my Registration fee(s) of $25 per child upon receipt of this enrollment.

I understand that ALL enrollment fees are Non-Refundable!