After enrolling, please submit the form below on behalf of each camper. 

 

How would you describe your camper as a reader?
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 prior to the first day of camp. 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 the end of their camp day (12 noon for half day camps, 3pm for full day camps, 5pm for full day + after care). 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)
(We love to take pictures!) I authorize Camp Fun Brain to have and use photographs and videos of the above named participant in promotional materials and public relations programming.
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.