Summer Camp Detailed Registration Form

Summer Camp Registration

Creators Design Lab
Student Information

Please fill out form for each student. A pay link will be sent to the email and number listed.
Student's Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registered for 26'/27' school year at PVCP?
Do you have additional Students you want to register?
If yes, additional form on next page
Parent/Guardian Information
Name

First NameLast Name
Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the student prescribed an inhaler? If yes, please explain any instructions.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Created to Discover Steam LLC during the selected camp. In exchange for the acceptance of said child’s candidacy by Created to Discover Steam LLC ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Created to Discover Steam LLC . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Created to Discover Steam LLC. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization

As Parent and/or Guardian of the named student(s) I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Creators Design Lab . and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Confirmation

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

MonthDayYear
Date
Signature

2nd Student's Name

First NameLast Name
2nd Student's Birth Date

MonthDayYear
Grade
Gender
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the student prescribed an inhaler? If yes, please explain any instructions.
3rd Student's Name

First NameLast Name
3rd Student's Birth Date

MonthDayYear
Grade
Gender
Does the student have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the student prescribed an inhaler? If yes, please explain any instructions.
Signature

Consent for additional students listed above

⭐Creators Design Lab Summer STEAM Camp⭐ — FAQ for Parents

1. What are the camp hours?
Camp runs 9:00 AM–3:00 PM, Monday through Friday. Extended care 4:00 PM- 5:00PM.

2. What should my child bring each day?
Packed lunch
Refillable water bottle
Any medications with required forms
Snacks are included daily.

3. What should my child wear?
Comfortable, weather‑appropriate clothing that can get messy. Closed‑toe shoes are required for safety.

4. Are electronics allowed?
Electronics must stay in backpacks unless staff gives permission for a specific activity.

5. What is the camper‑to‑staff ratio?
We maintain small groups to ensure safety, individualized attention, and hands‑on learning. All staff CPR trained

6. What kinds of activities will campers do?
Each week includes:

Hands‑on science experiments
Engineering challenges
Art & design projects
Outdoor games
Team‑building activities
Faith‑integrated lessons about creativity and God’s design

7. How do you handle allergies or medical needs?
Parents must list all allergies and medical conditions on the registration form. We follow all PVCP safety protocols and keep emergency contacts on file.

8. What is your discipline policy?
We use a progressive, grace‑filled approach:

Verbal reminder
Temporary removal from activity
Parent notification
Early pick‑up or dismissal for repeated or serious behavior
Our goal is always restoration, safety, and kindness.

9. What if my child is absent?
Please email hello@creatorsdesignlab.com , call or text 425-589-4922 to notify us. Refunds are not issued for missed days.

10. Are parents allowed to visit?
For safety, the campus is closed during camp hours. Parents may attend designated showcase moments if scheduled.

11. Is this camp ESA‑approved?
Yes — Creators Design Lab is an ESA‑approved vendor.

12. How do I contact the camp?
Email: hello@creatorsdesignlab.com | carmen@creatorsdesignlab.com 425-589-4922

⭐ Creators Design Lab — Student Rules & Behavior Expectations
These expectations help us create a safe, joyful, Christ‑centered learning environment where every child can thrive.

1. Respect for Others
Students will:

Speak kindly
Listen when others are talking
Keep hands and feet to themselves
Include others and treat everyone fairly
Students will not:

Bully, tease, or exclude
Use disrespectful or inappropriate language

2. Respect for Materials & Environment
Students will:

Use tools and materials safely
Follow directions during experiments
Clean up their workspace
Care for PVCP property and Creators Design Lab supplies

Students will not:

Break, misuse, or waste materials
Run or play unsafely indoors

3. Safety First
Students will:

Use science tools only with permission
Wear safety gear when required
Report unsafe situations to an adult
Keep food and drinks away from experiment areas

4. Participation & Attitude
Students will:

Try their best
Stay with their group
Ask for help when needed
Encourage others and celebrate creativity

5. Electronics & Personal Items
Electronics stay in backpacks unless staff approves
Toys, trading cards, and valuables should stay home
PVCP and Creators Design Lab are not responsible for lost items

6. Consequences for Unsafe or Disruptive Behavior
To maintain a safe and positive environment, the following steps may be taken:

Verbal reminder
Temporary removal from activity
Parent notification
Early pick‑up or dismissal for repeated or serious behavior

Questions? email registration@creatorsdesignlab.com

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Summer Camp Registration

Student Information

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