Summer Camp Detailed Registration Form
  • Tween Summer Labs Registration

    Tween Summer Labs Registration

    Brave Practice with Jonna Phillips
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Informed Consent and Acknowledgement

    Program Overview

    Brave Tween Labs is a skills-based group designed to support tweens in building confidence, connection, and practical tools through creativity, conversation, mindfulness, and nature-based experiences. This program is not therapy and does not replace mental health treatment or clinical care.

    Confidentiality

    Participants will be encouraged to respect one another’s privacy and create a safe, supportive environment. While confidentiality will be emphasized within the group, it cannot be guaranteed, and parents or guardians agree to support these expectations at home.

    Assumption of Risk and Liability Waiver

    I understand that participation may include physical activities such as movement and outdoor experiences including hiking. I voluntarily assume all risks associated with participation. I release and hold harmless Brave Labs, its facilitators, and affiliates from any liability, injury, or damages that may occur.

     

    Consent for Participation

    I give permission for my child to participate in Brave Tween Labs. I understand the nature of the program and agree to allow my child to engage in all planned activities.

     

  • Medical Release and Authorization

    Medical Information and Emergency Care

    I agree to provide accurate and complete information regarding my child’s medical needs, including allergies, medications, or other relevant health concerns. In the event of an illness or injury during the program, reasonable efforts will be made to contact me or the emergency contact listed below. If I cannot be reached, I authorize Brave Labs staff to seek appropriate medical care as deemed necessary. I understand that I am financially responsible for any medical care provided.

     

  • 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
     - -
  • My Products

    prevnext( X )
        Brave Summer Labs - 7th Grade Girl (fall of 2026)

        This program is offered as a flat fee for the full session, regardless of attendance. Consistent participation supports group cohesiveness and helps create a space where participants feel safe, open, and connected. Because of the limited group size and the importance of maintaining that environment, payment is nonrefundable.


        5:00-6:30pm Sunday, May 31st @ KPT Collaborative

        5:00-6:30pm Sunday, June 21st @KPT Collaborative

        5:00-6:30pm Sunday, July 19th @Willow River State Park

        5:00-6:30pm Sunday, August 16th @KPT Collaborative

        $160.00$160.00
          
        Brave Summer Labs - 8th Grade Girl (fall of 2026)

        This program is offered as a flat fee for the full session, regardless of attendance. Consistent participation supports group cohesiveness and helps create a space where participants feel safe, open, and connected. Because of the limited group size and the importance of maintaining that environment, payment is nonrefundable.


        7:00-8:30pm Sunday, May 31st @ KPT Collaborative

        7:00-8:30pm Sunday, June 21st @KPT Collaborative

        7:00-8:30pm Sunday, July 19th @Willow River State Park

        7:00-8:30pm Sunday, August 16th @KPT Collaborative

        $160.00$160.00
          
        Total
        $0.00$0.00

        Payment Methods

        creditcard
        After submitting the form, you will be redirected to Apple Pay to complete the payment.
      • Should be Empty: