Alma Learning Lab: 2026 Summer Camp Enrollment Form

Alma Learning Lab: 2026 Summer Camp Enrollment Form
Student Information
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Grade level for 2026/2027 school year*
Parent/Guardian Information
Parent/Guardian 1
Name*

First NameLast Name
Email*
example@example.com
Phone*
Please enter a valid phone number.
Parent/Guardian 2
Name

First NameLast Name
Email
example@example.com
Phone
Please enter a valid phone number.
Parent/Guardian 3
Name

First NameLast Name
Email
example@example.com
Phone
Please enter a valid phone number.
Parent/Guardian 4
Name

First NameLast Name
Email
example@example.com
Emergency contact
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to student*

Liability Waiver and Parent Acknowledgement
1. Assumption of Risk
I understand that participation in Alma Learning Lab summer camp activities includes, but is not limited to, outdoor play, water activities, physical games, sports, climbing, use of playground equipment, art projects, STEM projects, cooking activities, and hands-on learning experiences.
I acknowledge that participation in these activities involves inherent risks, including but not limited to minor injuries, falls, allergic reactions, illness exposure, or other unforeseen incidents.
I voluntarily assume all risks associated with my child’s participation in Alma Learning Lab summer camp.

2. Release of Liability
I release and hold harmless Alma Learning Lab, its owner (Kristi Oliva), staff, volunteers, contractors, and affiliates from any and all claims, liabilities, damages, or expenses arising from or related to my child’s participation in camp activities, except in cases of gross negligence or willful misconduct.

3. Medical Authorization
In the event of illness or injury, I authorize Alma Learning Lab staff to:
• Provide basic first aid

• Seek emergency medical treatment if necessary

• Contact emergency medical services

I understand that every effort will be made to contact me immediately using the emergency contact information provided. I accept financial responsibility for any medical treatment required.

4. Health & Illness Policy
I agree not to send my child to camp if they are experiencing:
• Fever within the past 24 hours

• Vomiting or diarrhea within the past 24 hours

• Contagious illness

• Symptoms that would prevent them from safely participating

I understand that if my child becomes ill during camp hours, I will be contacted and expected to pick them up promptly.

5. Behavior Expectations
I understand that Alma Learning Lab is a collaborative, respectful learning environment. If my child’s behavior poses a safety concern or significantly disrupts the camp environment, I understand that I may be contacted to pick them up and that continued participation may be reviewed.

6. Acknowledgment
By signing below, I confirm that:
• I have read and understand this agreement

• I voluntarily agree to its terms

• I understand that this is a binding liability release
I grant permission for Alma Learning Lab to photograph or record my child during camp activities for use in social media, website, marketing materials, and/or newsletters. No student names or identifying personal information will be shared.
Signature

Powered by Jotform SignClear

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Alma Learning Lab: 2026 Summer Camp Enrollment Form

Student Information

Parent/Guardian Information

Parent/Guardian 1

Parent/Guardian 2

Parent/Guardian 3

Parent/Guardian 4

Emergency contact

Liability Waiver and Parent Acknowledgement

Camp Weeks and Payment