2021 Camp Registration

CHERRY CREEK COUNTRY CLUB KID’S CAMP

2021 APPLICATION

Kids Camp 2021 Quick Glance PDF

Letter From Kyle PDF

Please Note: To ensure your spot online, Camp Registration must be submitted by 5:00pm on Friday prior to the Monday of Camp each week.  
(ie. Registration due June 4th,  for Camp June 7th-June 11th)

If you have more children that you would like to signup, the form will prompt you after you click submit.  
Each child must be entered separately.

Parent's Name*:  
Address*:
Email*: 
Home Phone*:
Cell Phone*:

Child
Name*:
DOB*:
Male Female

Junior Creeker Golf Academy is available as an add-on to Kid’s Camp for ages 6-14.  For more information or to register for the Junior Creeker Golf Academy offered on Wednesdays, please contact the Pro Shop at 303-597-0370.


PLEASE SELECT THE DAYS/WEEKS:
Week 1: June 7th - June 11th         
Attending Full Week 1
Mon, June 7th

Tues, June 8thWed, June 9thThurs, June 10th Fri, June 11th 
Week 2: June 14th - June 18th           
Attending Full Week 2
Mon, June 14th

Tues, June 15th
Wed, June 16th
Thurs, June 17thFri, June 18th
Week 3: June 21st - June 25th         
Attending Full Week 3
Mon, June 21st

Tues, June 22nd
Wed, June 23rd
Thurs, June 24th
Fri, June 25th
 Week 4: June 28th - July 2nd        
Attending Full Week 4
Mon, June 28th

Tues, June 29thWed, June 30thThurs, July 1st Fri, July 2nd
Week 5: July 5th - July 9th         
Attending Full Week 5
Mon, July 5th

Tues, July 6th
Wed, July 7th
Thurs, July 8thFri, July 9th
Week 6: July 12th - July 16th           
Attending Full Week 6
Mon, July 12th

Tues, July 13thWed, July 14th
Thurs, July 15thFri, July 16th
Week 7: July 19th - July 23rd
Attending Full Week 7
Mon, July 19thTues, July 20thWed, July 21stThurs, July 22nd

Fri, July 23rd
Week 8: July 26th - July 30th
Attending Full Week 8
Mon, July 26thTues, July 27thWed, July 28thThurs, July 29th
Fri, July 30th

Week 9: August 2nd - August 6th        
Attending Full Week 9
Mon, August 2nd

Tues, August 3rd
Wed, August 4th
Thurs, August 5th
Fri, August 6th
Week 10: August 9th - August 13th
Attending Full Week 10
Mon, August 9th

Tues, August 10th
Wed, August 11th
Thurs, August 12th
Fri, August 13th

Payment Option
Please note that in order to properly accommodate all children, cancellations must be made no later than 24 hours before the day of camp.  Late cancellations or no shows will result in full charge.  Members will be considered children and grandchildren of Members only.

Price:
$475 per week (5 days)
$105 per day (individual days)
Member Account or Credit Card
*We will contact you to get this information
*Member #: (required) 

Child's Medical Information

Medical Information Form Advanced care would be obtained at the hospital of choice or nearest facility depending on the emergency.

 *I initial and I authorize Cherry Creek Kids’ Camp to obtain on-site emergency medical care and also transportation for advanced emergency care for my child. This is a Release of liability, assumption of risk, indemnification, and waiver of legal rights.  Read Carefully.  In consideration of taking part in Summer Kid’s Camp (“Camp”), I, on behalf of my minor child, on my own behalf and the behalf of any of our heirs, administrators, assigns, fully release and discharge the Cherry Creek Country Club and its partners, officers, directors, employees, agents, contractors, insurers and assigns from all claims, demands, liability and causes of action for injury sustained by my child during participation in the Camp.  I agree to indemnify and hold harmless the Cherry Creek Country Club from any claim, demand, liability or cause of action for any injury to my child or me or to my property or my child’s property.  This release includes, but is not limited to, the release of claims based on wrongful death that could be brought by either of our heirs, administrators or assigns, in so far as any such loss is not attributable to negligence.
*Physician of Choice:
*Hospital of Choice:
*Physician Phone #:
*Hospital Phone #:

Emergency Numbers

Mother Home #:
Mother Work #:
*Mother Cell #:
Father Home #:
Father Work #:
*Father Cell #:
Additional Emergency Contacts:
Name/Home Numbers/Cell Numbers  
Other pertinent Medical information:

Additional persons authorized to pick up child.  Required if any additional person will be picking up your child.
Name, Address, Relationship and Number:  

AUTHORIZATION TO ADMINISTER MEDICATION
To Be Completed by Parent/Guardian only if camper needs medication during the camp day.

Camper Name:  
DOB:
Parent Name:
Email: 
Home Phone:
Cell Phone:
Work Phone

I REQUEST THAT MY CHILD BE ASSISTED IN TAKING THE MEDICINE(S) DESCRIBED BELOW AT CAMP BY CAMP STAFF.

(If more than one medication is required, please complete a separate authorization form for each.)

Name of Medicine:  
Reason for Medication:
Form:
Other Explanation:
Dose:
If Medicine is to be given DAILY, what time:
If Medicine is to be given WHEN NEEDED,
describe indications:
 Possible Side Effects/Adverse Reactions:
 

I authorize for medications for my child.


*By typing your name in this box, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.

If you have more children that you would like to signup, the form will prompt you after you click submit.
Each child must be entered separately.