Summer Camp Enrollment Summer Camp Enrollment Form Child's Name Birthdate Address Home Phone Cell Phone Email * Emergency Contact Name Emergency Contact Phone Camps without a minimum of (8) children enrolled will be cancelled. Reminder: Full-day campers need to bring their lunch. Which weeks will you be attending? Week 1Week 2Week 3Week 4Week 5 Week 6Week 7Week 8Week 9Week 10 Week 11Week 12Week 13 What time period will you attend? Full-DayHalf-Day Payment Amount Payment must be received (2) weeks prior to camp start date. Parent's Signature I understand as a parent or guardian of the above child, that I do hereby agree for myself, spouse and all members of my immediate family, the I'm Big Now Learning Center, Inc. and its staff shall not be resposible for any personal or bodily injury to the above child during activities including but not limited to day camps or school sessions which occur in connection with I'm Big Now Learning Center, Inc.