Please provide the info below after buying camps. 

One form per camper, please.

Any info from school (such as DRA, dibels, Rigby, istation, grade level equivalency, or whatever measure your school uses) would be useful in designing instruction ahead of time, but not required. We can easily gauge reading level on day one!
Parent 1 name
Parent 1 name
Parent / Guardian 2 (optional)
Parent / Guardian 2 (optional)
How did you hear about us? *
I hereby enroll my child in Camp Fun Brain located at Westover Hills Church in Austin, TX. I agree to pay the balance of camp fees on or before May 31, 2017. I understand that any remaining balance after the date of May 31, 2017 will receive a 15% finance charge which must be paid in full before my child attends camp. I understand that reserved space may not be held after May 31, 2017 without full payment. Refund/cancellation policy: a full refund less a $100 deposit is available if cancelled 30 days prior to first day of scheduled camp. No refund is available beyond 30 days prior to first day of scheduled camp. All cancellations must be received in writing. I understand that my child / children are to be picked up at Westover Hills Church by 5:30 pm. I understand that a late fee of $1 per minute will be assessed at that time, and that late fees are due when my child returns to camp the next day. There will be no exceptions. I hereby grant Camp Fun Brain and its agents full authority to take whatever action they deem necessary regarding my child's health and safety, and I fully release Camp Fun Brain from any liability in connection there within. In the event of an emergency, I understand that prudent attempts will be made to contact the undersigned immediately. I understand that I will be responsible for all medical and medication bills. I understand that my child must comply with the camp's rules and standards of conduct and that the organization may terminate my child's participation in the camp's program if he/she does not maintain these standards. Refunds will not be issued in the case of a child who is removed if they do not meet the standards of safety and conduct. Camp Fun Brain will not be responsible for an lost, stolen, or damaged personal articles. I individually and corporately agree to hold harmless Camp Fun Brain and its agents irrespective of any negligent act. (required)
I authorize Camp Fun Brain to have and use photographs, slides, and videos of the above named participant in promotional materials and public relations programming. (not required)
Please provide name, phone number, and relationship to camper of at least one additional person (not parents listed above) who is an authorized pick up and emergency contact.

Please fill out form once per sibling. After first sibling, no need to fill in parent or emergency contact information again.