{"id":6695,"date":"2024-07-16T20:12:06","date_gmt":"2024-07-16T20:12:06","guid":{"rendered":"https:\/\/brooklandlakeview.org\/formulario-de-inscripcion-al-campamento-de-verano\/"},"modified":"2026-04-01T14:04:42","modified_gmt":"2026-04-01T14:04:42","slug":"summer-camp-registration-form","status":"publish","type":"page","link":"https:\/\/brooklandlakeview.org\/es\/summer-camp-registration-form\/","title":{"rendered":"Summer Camp Registration Form"},"content":{"rendered":"<p><!-- banner area start --><\/p>\n<h1>SUMMER CAMP<br \/>\n<\/h1>\n<p>Find resources and helpful information on our summer camp program<\/p>\n<p>    <!-- banner area end --><\/p>\n<p>Brookland-Lakeview 21st\u00a0Century COLA Program\u00a021st\u00a0Century Community Learning Center |\u00a0 Brookland-Lakeview Empowerment Center\u00a0<\/p>\n<p>\u00a0<b>Summer Camp Registration Form\u00a0<\/b><\/p>\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f6913-o1\" lang=\"es-ES\" dir=\"ltr\" data-wpcf7-id=\"6913\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/es\/wp-json\/wp\/v2\/pages\/6695#wpcf7-f6913-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Formulario de contacto\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"6913\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"es_ES\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f6913-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"row\" style=\"border-bottom:solid 1px #640f24; padding-bottom:60px\">\n\t<div class=\"col-sm-12\">\n\t\t<h5>Informaci\u00f3n del ni\u00f1o\n\t\t<\/h5>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-401\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"fiirstname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-401\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Apellidos<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-402\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"lastname\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-402\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Edad<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-403\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"age\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-403\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Fecha de nacimiento<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-996\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" id=\"birth-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-996\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Grado<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-404\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"grade\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-404\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre de la escuela a la que asiste<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-405\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"name-school-attending\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-405\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">\u00bfEl ni\u00f1o ha asistido antes a un campamento de verano?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-417\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"has-attended-before\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-417\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-417\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">\u00bfNecesita el ni\u00f1o alguna adaptaci\u00f3n especial?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-418\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"require-special-accomodation\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-418\" value=\"S\u00ed\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-418\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">En caso afirmativo, explica (opcional)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-406\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-406\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">\u00bfCu\u00e1l es el estilo de aprendizaje del ni\u00f1o\/C\u00f3mo aprende mejor tu hijo?<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-419\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-419\" value=\"Visual\" \/><span class=\"wpcf7-list-item-label\">Visual<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-419\" value=\"Auditivo (o\u00eddo)\" \/><span class=\"wpcf7-list-item-label\">Auditivo (o\u00eddo)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-419\" value=\"T\u00e1ctil (tacto)\" \/><span class=\"wpcf7-list-item-label\">T\u00e1ctil (tacto)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-419\" value=\"Kinest\u00e9sico (hacer y moverse)\" \/><span class=\"wpcf7-list-item-label\">Kinest\u00e9sico (hacer y moverse)<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"radio\" name=\"radio-419\" value=\"Leer y escribir\" \/><span class=\"wpcf7-list-item-label\">Leer y escribir<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-419\" value=\"Otro\" \/><span class=\"wpcf7-list-item-label\">Otro<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Otros<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-407\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-407\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\" style=\"padding-top:30px\">\n\t\t<h5>Padre\/madre\/tutor n\u00ba 1\n\t\t<\/h5>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-408\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-first-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-408\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Apellidos<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-409\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-last-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-409\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono de casa (opcional)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-410\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"guardian-home-phone\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-410\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono m\u00f3vil<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-411\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-home-cell\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-411\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Env\u00eda un correo electr\u00f3nico a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" id=\"guardian-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Direcci\u00f3n<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-412\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-address\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-412\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Ciudad<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-413\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-city\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-413\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">C\u00f3digo postal<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-414\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-zip\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-414\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Lugar de trabajo<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-415\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-placeofwork\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-415\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono del trabajo<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-416\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-work-phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-416\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\" style=\"padding-top:30px\">\n\t\t<h5>Padre\/madre\/tutor n\u00ba 2\n\t\t<\/h5>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-417\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-first-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-417\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Apellidos<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-418\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-last-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-418\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono de casa (opcional)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-419\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" id=\"guardian-sec-home-phone\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-419\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono m\u00f3vil<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-420\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-home-cell\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-420\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Env\u00eda un correo electr\u00f3nico a<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email-sec\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email form-control\" id=\"guardian-sec-email\" autocomplete=\"email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email-sec\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Direcci\u00f3n<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-421\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-address\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-421\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Ciudad<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-422\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-city\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-422\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">C\u00f3digo postal<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-423\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-zip\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-423\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Lugar de trabajo<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-424\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-placeofwork\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-424\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono del trabajo<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-425\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"guardian-sec-work-phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-425\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\" style=\"padding-top:30px\">\n\t\t<h5>Contacto en caso de emergencia\n\t\t<\/h5>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-426\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-first-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-426\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Apellidos<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-427\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency--last-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-427\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\"> Relaci\u00f3n <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-428\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-relatiionship\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-428\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono de casa<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-429\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-homephone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-429\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-3\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\"> Tel\u00e9fono m\u00f3vil<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-430\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-cellphone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-430\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<h6 style=\"padding-top:40px;\">Nombre y n\u00famero(s) de tel\u00e9fono de la(s) persona(s), aparte de ti, autorizada(s) a recoger a tu hijo.\n\t\t\t<\/h6>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-4\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-431\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-fnamce\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-431\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-4\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Apellidos<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-432\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-lnamce\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-432\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-4\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-433\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-433\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-4\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-434\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-fnamce-sec\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-434\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-4\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Apellidos<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-435\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-lnamce-sec\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-435\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-4\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-436\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"emergency-phone-sec\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-436\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<h5 style=\"text-align:center; padding-top:40px\">Formulario de informaci\u00f3n m\u00e9dica del ni\u00f1o\n\t\t\t<\/h5>\n\t\t\t<p>El historial m\u00e9dico de cada campista es obligatorio como parte del proceso de inscripci\u00f3n del campamento. El director del programa del campamento debe ser informado por escrito de cualquier afecci\u00f3n que limite la capacidad del campista para participar en cualquier programa.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Nombre del pediatra<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-437\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"pediatrician-name\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-437\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Tel\u00e9fono<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-438\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"pediatrician-phone\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-438\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Fecha de la \u00faltima visita<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-154\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" id=\"date-last-visit\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-154\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-6\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Fecha de la \u00faltima vacuna antitet\u00e1nica<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date-155\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date form-control\" id=\"date-tetnus-shot\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"date-155\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Enfermedades<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-439\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"medical-condition\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-439\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Enumera todos los medicamentos que tomas (con o sin receta):<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-440\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"mediication-condition\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-440\" \/><\/span><br \/>\n*Se ruega a los padres\/tutores que administren cualquier medicamento al ni\u00f1o antes de llegar al Programa. El personal del Programa no administrar\u00e1 ninguna medicaci\u00f3n al ni\u00f1o.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Alergias<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-2\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"allergiies\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-2\" value=\"S\u00ed (enumera a continuaci\u00f3n)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">S\u00ed (enumera a continuaci\u00f3n)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-2\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Lista de alergias (opcional)<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-441\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-control\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-441\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">\u00bfNecesita tu hijo un Epi-Pen? En caso afirmativo, debes proporcionar al campamento un Epi-Pen el primer d\u00eda del ni\u00f1o en el campamento. El Epi-Pen se guardar\u00e1 en el campamento durante la inscripci\u00f3n de tu hijo. <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-21\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-21\" value=\"S\u00ed\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-21\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Enumera las actividades espec\u00edficas que deben restringirse por motivos de salud<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-442\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-442\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<h6 style=\"padding-top:40px; text-align:Center\">RECONOCIMIENTO\/PERMISO\n\t\t\t<\/h6>\n\t\t\t<p>El Programa Brookland-Lakeview 21st Century COLA no discrimina por motivos de raza, color, sexo, discapacidad, religi\u00f3n u origen nacional.\n\t\t\t<\/p>\n\t\t\t<p>Entiendo y acepto estas directrices.\n\t\t\t<\/p>\n\t\t\t<p>Para el Campamento de Verano, el Programa Brookland-Lakeview 21st Century COLA no proporcionar\u00e1 transporte de ida y vuelta al domicilio de mi hijo. El transporte en autob\u00fas s\u00f3lo se proporciona para las excursiones. Los padres dejar\u00e1n y recoger\u00e1n a sus hijos.\n\t\t\t<\/p>\n\t\t\t<p>Doy permiso al Programa COLA del Siglo XXI de Brookland-Lakeview para fotografiar y\/o grabar en v\u00eddeo a mi hijo con fines de relaciones p\u00fablicas y\/o marketing. Las fotos permanecer\u00e1n archivadas en la oficina del Programa COLA del Siglo XXI de Brookland-Lakeview y podr\u00e1n utilizarse con fines promocionales sin previo aviso.\n\t\t\t<\/p>\n\t\t\t<p>Doy permiso al Programa COLA Siglo XXI de Brookland-Lakeview para transportar a mi hijo fuera de las instalaciones del campamento con fines de excursiones y\/o atenci\u00f3n m\u00e9dica. Entiendo que tendr\u00e9 a mi disposici\u00f3n un programa de actividades y que todas ellas est\u00e1n sujetas a cambios sin previo aviso debido a las condiciones meteorol\u00f3gicas y\/o a conflictos de programaci\u00f3n.\n\t\t\t<\/p>\n\t\t\t<p>Autorizo a la Direcci\u00f3n del Programa Brookland-Lakeview 21st Century COLA a actuar como agente de los padres en caso de emergencia o a administrar primeros auxilios b\u00e1sicos para la salud y el bienestar del campista implicado. Me hago responsable de los gastos que ello conlleve si se requieren los servicios de un m\u00e9dico o de un hospital. Por favor, solicita una exenci\u00f3n para la persona que solicite la exenci\u00f3n de tratamiento m\u00e9dico.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Preferred Hosptial<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-443\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"preferred-hosptial\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-443\" \/><\/span><br \/>\nAl escribir tu nombre a continuaci\u00f3n, aceptas adherirte a todas las Pol\u00edticas y Procedimientos establecidos por el Programa Brookland-Lakeview 21st Century COLA.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Escribe tu nombre y apellidos<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"text-444\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required form-control\" id=\"type-your-fn-ln\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"text-444\" \/><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<h6 style=\"padding-top:40px; text-align:Center\">Autorizaci\u00f3n y renuncia a transportar al menor\n\t\t\t<\/h6>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Mi hijo necesita un asiento elevador: (todos los ni\u00f1os menores de 8 a\u00f1os deben ir en un asiento elevador<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"radio-22\"><span class=\"wpcf7-form-control wpcf7-radio\" id=\"booster-seat\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"radio-22\" value=\"S\u00ed\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">S\u00ed<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"radio-22\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p>Autorizo a Brookland-Lakeview Empowerment Center a transportar a mi hijo menor de edad en un coche, furgoneta o autob\u00fas conducido por una persona autorizada por Brookland-Lakeview Empowerment Center. Entiendo que se espera que mi hijo cumpla todas las leyes aplicables relativas a viajar en un veh\u00edculo de motor y que siga las instrucciones proporcionadas por el conductor y\/o el personal o voluntario. Entiendo que la participaci\u00f3n en el evento identificado no es un requisito para participar en el programa.\n\t\t\t<\/p>\n\t\t\t<p>He le\u00eddo, entendido y discutido con mi hijo:\n\t\t\t<\/p>\n\t\t\t<ol>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Mi hijo viajar\u00e1 en un veh\u00edculo de motor conducido por un adulto y deber\u00e1 llevar puesto el cintur\u00f3n de seguridad durante el viaje;\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Se espera que mi hijo escuche al personal supervisor\/conductor, respete al personal y a los dem\u00e1s ni\u00f1os, a los veh\u00edculos en los que viaja y a las dem\u00e1s personas con las que viaja durante el viaje;\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Viajar en un veh\u00edculo de motor puede provocar lesiones personales o la muerte a causa de choques, colisiones o actos de los motoristas, otros conductores u objetos.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Mi hijo debe permanecer en su asiento y no molestar al conductor del veh\u00edculo.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ol>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-sm-12\">\n\t\t<div class=\"form-group\">\n\t\t\t<p><label for=\"name\">Selecciona cada afirmaci\u00f3n para estar de acuerdo<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-235\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-235[]\" value=\"Reconozco que la participaci\u00f3n en esta actividad, como en cualquier actividad que implique el transporte en veh\u00edculo de motor, mi hijo puede correr el riesgo de sufrir lesiones personales o p\u00e9rdidas permanentes. Por la presente, doy fe y verifico que se me ha informado de los riesgos potenciales y que tengo pleno conocimiento de los riesgos que conlleva esta actividad, y asumo cualquier gasto en que se incurra en caso de accidente, enfermedad u otra incapacidad, independientemente de que yo haya autorizado dichos gastos.\" \/><span class=\"wpcf7-list-item-label\">Reconozco que la participaci\u00f3n en esta actividad, como en cualquier actividad que implique el transporte en veh\u00edculo de motor, mi hijo puede correr el riesgo de sufrir lesiones personales o p\u00e9rdidas permanentes. Por la presente, doy fe y verifico que se me ha informado de los riesgos potenciales y que tengo pleno conocimiento de los riesgos que conlleva esta actividad, y asumo cualquier gasto en que se incurra en caso de accidente, enfermedad u otra incapacidad, independientemente de que yo haya autorizado dichos gastos.<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-236\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-236[]\" value=\"Como condici\u00f3n para el transporte recibido, yo, en mi nombre, en el de mi hijo, en el de mis albaceas y cesionarios, acepto adem\u00e1s liberar y eximir para siempre a Brookland-Lakeview Empowerment Center y a sus agentes, directivos, empleados y voluntarios de cualquier reclamaci\u00f3n que yo mismo pudiera tener o que pudiera presentar en nombre de mi hijo en relaci\u00f3n con cualquier da\u00f1o, demanda o acci\u00f3n de cualquier tipo, incluidas las basadas en negligencia, de cualquier manera derivada de este transporte.\" \/><span class=\"wpcf7-list-item-label\">Como condici\u00f3n para el transporte recibido, yo, en mi nombre, en el de mi hijo, en el de mis albaceas y cesionarios, acepto adem\u00e1s liberar y eximir para siempre a Brookland-Lakeview Empowerment Center y a sus agentes, directivos, empleados y voluntarios de cualquier reclamaci\u00f3n que yo mismo pudiera tener o que pudiera presentar en nombre de mi hijo en relaci\u00f3n con cualquier da\u00f1o, demanda o acci\u00f3n de cualquier tipo, incluidas las basadas en negligencia, de cualquier manera derivada de este transporte.<\/span><\/label><\/span><\/span><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"checkbox-237\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"checkbox-237[]\" value=\"He le\u00eddo todo este formulario de renuncia y autorizaci\u00f3n, comprendo plenamente sus t\u00e9rminos y condiciones y acepto estar legalmente obligado por sus t\u00e9rminos.\" \/><span class=\"wpcf7-list-item-label\">He le\u00eddo todo este formulario de renuncia y autorizaci\u00f3n, comprendo plenamente sus t\u00e9rminos y condiciones y acepto estar legalmente obligado por sus t\u00e9rminos.<\/span><\/label><\/span><\/span><\/span>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n\t<div class=\"col-md-12\">\n\t\t<div class=\"form-group pt-10 mb-0\">\n\t\t\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Enviar\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"87\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>SUMMER CAMP Find resources and helpful information on our summer camp program Brookland-Lakeview 21st\u00a0Century COLA Program\u00a021st\u00a0Century Community Learning Center |\u00a0 Brookland-Lakeview Empowerment Center\u00a0 \u00a0Summer Camp Registration Form\u00a0<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-6695","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/pages\/6695","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/comments?post=6695"}],"version-history":[{"count":17,"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/pages\/6695\/revisions"}],"predecessor-version":[{"id":8347,"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/pages\/6695\/revisions\/8347"}],"wp:attachment":[{"href":"https:\/\/brooklandlakeview.org\/es\/wp-json\/wp\/v2\/media?parent=6695"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}