Summer Camp Waitlist Form
If a summer camp spot becomes available, we will get in touch with you using the contact details you provided in this form. If you're not available, we'll try to contact you again but if we cannot reach you in 24-48 hours, we'll contact the next in the queue.
Parent/Guardian Information
Parent/Guardian Name
First Name Last Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Child/Camper Information
Camper Name
First Name Last Name
Gender
Male Female
Date of Birth
Month Day Year
Date
Grade Level
School
Summer Camp Programs (Start at May 2, 2021)
1 Week 2 Weeks 3 Weeks 4 Weeks 6 Weeks
Release and Waiver Agreement
- I authorized my child to participate in this summer camp.
- I released the summer camp staff from any liabilities, damage, or injuries that might happen in the camp.
- I understand that there are some risks to the activities but I know that there are staff and health care staff will be available if needed.
- I indemnify and hold harmless the summer camp staff against claims, lawsuits, complaints, or charges from activities where my child will participate.
- I give permission to my child to participate in the enrolled activity camps.
Signature of Parent/Guardian
Clear
Date Signed
Month Day Year
Date
Should be Empty:

Summer Camp Waitlist Form

Parent/Guardian Information