Clone of 2025 Innovative Mind Lab Day Camp Registration Form

📅 July 27–31, 2026 | 🕘 9:00 AM – 12:00 PM
📍 910 W Loop 1604 N, San Antonio, TX 78251
Registering your child for a week of confidence, teamwork, and creative leadership.

Camper Information

Camper's Name*

First NameLast Name

Date of Birth*

MonthDayYear

Grade*

Gender*

MaleFemale

Are you registering siblings today?*

YesNo

If 'Yes', please proceed to complete this form for your first child. For each additional child, you will need to fill out a separate form.

Is this your child’s first camp or team-based experience? (We love first-timers and want to make sure they feel extra welcome!)

YesNo

Anything that would help support your child well during camp

Parent/Guardian Information

Name*

First NameLast Name

Relationship to Camper*

Primary Number*

Format: (000) 000-0000.

Secondary Number

Format: (000) 000-0000.

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Food Policy

Morning Snack Policy Please be aware that the Vinny the Fly Creative Leadership Camp operates on a "Bring Your Own Snack" policy. Since camp runs from 9:00 AM to 12:00 PM, we ask parents to provide a simple morning snack for their child.

⚠️ Peanut-Free Zone: To ensure the safety of all our leaders, we strictly request that you do not pack any snacks containing peanuts. Your cooperation helps us keep our "Team Practices" safe and inclusive for everyone.

Acknowledgment*

I have read and understood the Food Policy for The Vinny the Fly Creative Leadership Camp.

Behavior Policy

The Leadership Mindset: Behavior Expectations
At the Vinny the Fly Creative Leadership Camp, our mission is to provide a "practice ground" for character and confidence. We believe every child is a leader-in-training, and we anticipate all attendees will:

Lead with Kindness: Use their voice to encourage others and treat peers and staff with genuine respect.

Carry Their Part: Stay engaged in "Team Practices," follow the guidance of our mentors, and take responsibility for their role in the group.

Foster Courage: Maintain a positive, "can-do" attitude that helps create a supportive environment for everyone.

Honor the Space: Value the camp resources and the personal property of their fellow leaders.

Behaviors That Hinder the Team
To protect the safety and growth of all campers, the following behaviors are considered inconsistent with our leadership goals:

Bullying, ridiculing, or intimidating others.
Physically aggressive acts or confrontations.
Persistent defiance or disruption that prevents the team from moving forward.
Intentional damage to camp amenities or the property of others.

Our Approach to Support
When a child struggles to meet these expectations, we see it as an opportunity for growth and "heart-level" coaching. Our team will take the following steps:

A Leadership Reminder: A gentle, verbal conversation focused on the "why" behind the behavior.

A "Reset" Moment: A brief pause from the current activity to reflect and prepare to try again.

Parent Partnership: We will contact parents to discuss the concern and work together to support the child’s success.

Removal from Session: In instances of severe misconduct or repeated infractions that affect the safety of the group, parents will be asked to collect their child for the day. (Please note: no refunds are provided for behavioral removals).

Acknowledgment*

I have read and understood the Leadership Mindset and Behavior Expectations for the Vinny the Fly Creative Leadership Camp.

Medical Information

Does your camper have any allergies, chronic illness, or medical conditions? If yes, please describe here. If no, please type 'None'.*

Medical Release and Authorization

As the Parent or Guardian of the specified camper, I hereby empower a competent and licensed medical professional to diagnose and treat in the occurrence of a medical crisis. This applies when, in the judgment of the attending medical professional, immediate intervention is essential to avert further risk to my child's life, severe physical deformity, significant impairment, or to alleviate excessive pain, distress, or discomfort if postponed.

I grant the attending physician the right to proceed with any medical or minor surgical treatment, x-ray analysis, and vaccinations for the named camper. If a severe illness, a need for major surgery, or substantial accidental injury arises, I comprehend that every effort will be made by the present physician to swiftly contact me. This authorization applies only after making a genuine attempt to reach me.

I also bestow permission to Vinny the Fly Creative Leadership Camp, its parent organization The Innovative Mind Lab, and its partners, encompassing staff and mentors, to administer the essential emergency aid before the child's admission to a medical facility.

This consent is sanctioned for the dates and/or duration of the registered camp session.

This approval is provided willingly, solely aiming to authorize medical aid in urgent scenarios, to safeguard the well-being and physical integrity of the aforementioned minor, in my absence.

Acknowledgment*

I have read and agree to the Medical Release and Authorization for the Vinny the Fly Creative Leadership Camp.

Is there anything else you would like us to know about your camper?

Terms and Conditions

Confirmation and Payment

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Date*

Date

Signature*

Payment Options: Sibling Discount Code: "Sibling20"*

Camp Tuition – $149 per child

This registration covers the full 5-day Vinny the Fly Creative Leadership Camp (July 27–31).

Registration Includes: All camp materials, daily leadership 'Team Practices,' and a Vinny the Fly certificate.

Note: If you are registering multiple children, please use the coupon code Sibling20 at checkout to apply your 20% discount.

$149.00

Enter coupon

Total

$0.00

Payment Methods

Credit Card

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ACH Bank Transfer

Afterpay

Vinny the Fly Creative Leadership Camp Registration 🎨🌟

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