Summer Camp Enrollment

    Summer Camp Enrollment Form
    1. Child's Name

    2. Birthdate

    3. Address

    4. Home Phone

    5. Cell Phone

    6. Email

    7. Emergency Contact Name

    8. Emergency Contact Phone

    Camps without a minimum of (8) children enrolled will be cancelled.
    Reminder: Full-day campers need to bring their lunch.

  • Which weeks will you be attending?

    1. Week 1Week 2Week 3Week 4Week 5

    1. Week 6Week 7Week 8Week 9Week 10

    1. What time period will you attend? Full-DayHalf-Day

    1. Payment Amount

    2. Payment must be received (2) weeks prior to camp start date.

    1. Parent's Signature

    2. I understand as a parent or guardian of the above child, that I do hereby agree for myself, spouse and all members of my immediate family, the I'm Big Now Learning Center, Inc. and its staff shall not be resposible for any personal or bodily injury to the above child during activities including but not limited to day camps or school sessions which occur in connection with I'm Big Now Learning Center, Inc.