2026 Global Gardens Summer Camp Registration 3 *

2026 Global Gardens Summer Camp 3 Registration

Monday-Thursday, June 29-July 2
Morning drop-off: 8:15am-8:30am

Camp pick-up: 1:00pm - 1:30pm
Student Name

First NameLast Name
Birth date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Race/Ethnicity
School
Currently in Global Gardens After-School Programming?
Grade entering for 26'-27' school year
Qualifies for free or reduced lunch?
Parent(s)/Guardian(s)
Parent/Guardian Name

First NameLast Name
Relationship to student (e.g. father, grandmother, etc.)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Able to receive texts?
Preferred Language
Email
Parent/Guardian 2 Name

First NameLast Name
Relationship to student (e.g. father, grandmother, etc.)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Able to receive texts?
Preferred Language
Email
Transportation
Summer camp will take place at Eugene Field Elementary (see map above), located at 2232 S. Nogales Ave, Tulsa, OK 74107. How will your student get to and from the program? Global Gardens transportation will be made available on a limited basis within Tulsa city limits.
1. Transportation Authorization

I, the undersigned parent/guardian, hereby give permission for my child to be transported by Global Gardens staff or authorized volunteers in an organization-provided vehicle to and from Eugene Field Elementary for the 2026 Summer Camp session.

2. Schedule and Location

Schedule: Morning Pick-up between 7:30 - 8:15am; Drop-off between 1:30 - 2:45pm
Location: Eugene Field Elementary (2232 S. Nogales Ave, Tulsa, OK 74107)
Terms: I understand that transportation is provided on a limited basis and that a staff member will follow up to confirm enrollment in the transport program.

3. Safety and Conduct Rules

To ensure the safety of all passengers, my child agrees to:

- Remain seated with their seatbelt fastened (if equipped) at all times while the vehicle is in motion.
- Keep hands, arms, and objects inside the vehicle.
- Follow all instructions given by the driver or camp chaperone immediately.
- Maintain a respectful noise level to avoid distracting the driver.

4. Parent/Guardian Responsibilities

Punctuality: I agree to have my child ready at the designated pickup spot at the scheduled time. I understand the vehicle cannot wait longer than 10 minutes.
Contact Info: I will ensure Global Gardens has my most current phone number and is notified of any daily changes in transportation needs.

5. Waiver of Liability

In consideration of my child being permitted to use Global Gardens transportation, I agree to release and hold harmless Global Gardens, its officers, board members, and staff from any and all claims for personal injury or property damage that may arise during transit, except in cases of gross negligence.
Parent/Guardian Signature for Transportation
Emergency Contacts
Emergency Contact 1

First NameLast Name
Relationship to student (e.g. aunt, family friend, etc.)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Able to receive texts?
Preferred Language
Emergency Contact 2

First NameLast Name
Relationship to student (e.g. aunt, family friend, etc.)
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Able to receive texts?
Preferred Language
The following person(s) are approved to pick-up my student from camp:

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
The following person(s) are NOT approved to pick-up my student from camp:

First NameLast Name
First NameLast Name
Medical Information

Note: this information is requested only to protect the safety of the participant and others, and/or to assist in making the accommodations necessary to permit the participant to fully take part in activities.
Please indicate whether any of the following medical conditions apply to the participant. If the answer is yes, please provide details.
Any operations, serious injuries, or chronic illnesses in the last 12 months?
Please explain.
Any known allergies (food, environmental, medications)?
Please explain reaction and any medications used.
Any condition requiring activity restrictions in the form of special attention, auxiliary aids or services, removal of physical communication barriers, etc.?
Please explain.
Any medications that your student will need to take during camp time?
Please explain and list. All medications must be administered by camp staff:
Is there anything we need to know about your student to make their camp experience smoother or more enjoyable (e.g., sensory needs, physical supports, learning differences)?
Please explain:
Student can use Global Gardens provided sunscreen?
Student can use Global Gardens provided bug spray?
Parent/Legal Guardian Permissions and Liability Waiver
Child Name
Parent/Guardian Name
Today's Date

MonthDayYear
I agree that my child can participate in outcome surveys and evaluations.
I agree that Global Gardens can use my child's words and pictures or pictures of my child and property in ads and public relations. I give up any rights to get paid for this.
I give permission for my child (or ward) to participate in Global Gardens’ Summer Camp. I agree to observe the rules of Global Gardens. I have discussed the above medical information with my youth and he/she will assume the responsibility for restricting any activities agreed upon and listed above. He/she will exercise good judgment in regard to his/her own health, safety, and well-being at all Global Gardens activities and/or events.

I understand that there are risks and dangers associated with participating in an outdoor gardening program such as Global Gardens, including those associated with environmental hazards and use of gardening and cooking equipment.

In recognition of these risks and in consideration of my child/ward being allowed to participate in and benefit from Global Gardens activities, I agree on behalf of myself and my child/ward to release, waive and disclaim any and all liabilities of or claims against Global Gardens, its officers, board members, staff, agents and volunteers, including but not limited to any and all liabilities or claims for illness, personal injury, property damage, court costs, attorney’s fees and interest, however caused or accrued as a result of my child/ward participating in Global Gardens.

I understand that reasonable measures will be taken to safeguard the health and safety of all participants, and that I will be notified as soon as possible in case of any emergency affecting my child (or ward).

I understand that it is my responsibility to keep current the contact information held by Global Gardens.

In the event that I cannot be reached in an emergency, I hereby authorize representatives of Global Gardens to obtain necessary medical treatment for my child on my behalf. I accept responsibility for the cost of such medical treatments.

Print name below to agree.
Parent/Guardian Signature
This summer camp is free thanks to support from TRSA
Need to enroll another student?
Student Name

First NameLast Name
Birth date

MonthDayYear
Gender
Race/Ethnicity
School
Grade entering for 26'-27' school year
Currently in Global Gardens After-School Programming?
Please indicate whether any of the following medical conditions apply to the participant. If the answer is yes, please provide details.
Any operations, serious injuries, or chronic illnesses in the last 12 months?
Please explain.
Any known allergies (food, environmental, medications)?
Please explain.
Any condition requiring activity restrictions in the form of special attention, auxiliary aids or services, removal of physical communication barriers, etc.?
Please explain.
Any medications that your student will need to take during camp time?
Please explain.
Is there anything we need to know about your student to make their camp experience smoother or more enjoyable (e.g., sensory needs, physical supports, learning differences)?
Please explain.
Student can use Global Gardens provided sunscreen?
Student can use Global Gardens provided bug spray?
Parent/Legal Guardian Permissions and Liability Waiver
Student Name
Parent/guardian name
Date

MonthDayYear
Date
I agree that my child can participate in outcome surveys and evaluations.
I agree that Global Gardens can use my child's words and pictures or pictures of my child and property in ads and public relations. I give up any rights to get paid for this.
I give permission for my child (or ward) to participate in Global Gardens’ Summer Camp. I agree to observe the rules of Global Gardens. I have discussed the above medical information with my youth and he/she will assume the responsibility for restricting any activities agreed upon and listed above. He/she will exercise good judgment in regard to his/her own health, safety, and well-being at all Global Gardens activities and/or events.

I understand that there are risks and dangers associated with participating in an outdoor gardening program such as Global Gardens, including those associated with environmental hazards and use of gardening and cooking equipment.

In recognition of these risks and in consideration of my child/ward being allowed to participate in and benefit from Global Gardens activities, I agree on behalf of myself and my child/ward to release, waive and disclaim any and all liabilities of or claims against Global Gardens, its officers, board members, staff, agents and volunteers, including but not limited to any and all liabilities or claims for illness, personal injury, property damage, court costs, attorney’s fees and interest, however caused or accrued as a result of my child/ward participating in Global Gardens.

I understand that reasonable measures will be taken to safeguard the health and safety of all participants, and that I will be notified as soon as possible in case of any emergency affecting my child (or ward).

I understand that it is my responsibility to keep current the contact information held by Global Gardens.

In the event that I cannot be reached in an emergency, I hereby authorize representatives of Global Gardens to obtain necessary medical treatment for my child on my behalf. I accept responsibility for the cost of such medical treatments.

Print name below to agree.
Parent/Guardian Signature
Should be Empty:

2026 Global Gardens Summer Camp 3 Registration

Morning drop-off: 8:15am-8:30am

Parent(s)/Guardian(s)

Transportation

Emergency Contacts

Medical Information

Parent/Legal Guardian Permissions and Liability Waiver

This summer camp is free thanks to support from TRSA

Parent/Legal Guardian Permissions and Liability Waiver