Critter Camp Registration Form

Critter Camp Registration Form 2020

* Indicates required field

Campers Name *

First

Last

Grade (2020-2021) *

Age *

Camper Shirt Size *

Parents Name(s) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Primary Number *

Secondary Number *

Email *

Emergency Contact & Individuals Authorized to pick up my Child:

Name *

Phone Number *

Relationship *

Name *

Phone Number *

Relationship *

Does your camper take any medication? *

Does your camper have any food allergies? *

If Yes to medication or food allergies, please explain: *

Does your camper have any animal allergies? If So, Please explain *

Does your camper have any physical limitations or other needs? *

Which camp session will your child be attending *

WAITLIST - July 6th- 10th

Both Critter Camp Sessions are formatted exactly the same, and space is limited, for this reason we ask that campers attend only one session, if you would like your child to attend both please reach out to staff and we can wait list you for the additional session and let you know if it does not fill.
This way everyone gets a chance to attend.

Parents please note that campers are split up into four teams based on grade level and age. If you have multiple campers attending and would like them to be in the same team, or opposite teams, please let us know in advance. While we will try and accommodate every request, we are unable to guarantee it. ONLY Campers in the same age/grade level will be placed on teams together. This allows us to gear our curriculum better towards each group.

Additional Information *

Hill Country SPCA - Critter Camp Release of Liability

In consideration of being allowed to participate in the Critter Camp Program at the Hill Country SPCA, I understand the nature of the activities that my child will participate in. I also understand the nature of domestic shelter animals and that their behavior is sometimes unpredictable which can give rise to risks such as personal injury, disease, illness, or property damage. Knowing this, I and anyone who might claim on my behalf, including heirs, guardians, legal representatives, or assigns, release and discharge the Hill Country SPCA, its officers, directors, employees, volunteers and all others affiliated with the Hill Country SPCA from any and all claims and liability of any kind arising out of personal injury, disease, illness, or property damage resulting from my child’s participation in activities on and off campus during the Critter Camp Program.

I agree to inform my child to perform only those tasks assigned, observe all safety rules, and use care in their participation in the Critter Camp Program.

I agree that my child may be photographed, videotaped or recorded and that said photographs, videos or recordings may be used on the Hill Country SPCA website or in any editorial, educational or promotional material produced and/or published by the Hill Country SPCA. I understand that my child will not receive compensation for the use of these and that my child will not be given notice of when these materials are used.

I certify to the best of my knowledge, that my child’s current physical condition is satisfactory for participation in the Critter Camp Program, and that he/she is free of any health problem that would affect his/her ability to participate. I acknowledge that loss or damage to my child’s personal property used while participating in the Critter Camp Program is not reimbursable. I hereby authorize and give my consent for medical care to be given in an emergency situation to the above named child while participating in the Critter Camp Program. I have listed above all of my child’s known allergies, all of my child’s physical limitations and any special needs that my child might have. In addition, I have no knowledge of any medical condition that would prevent my child from participating in the activities at Critter Camp.

I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND I SIGN IT OF MY OWN FREE WILL. (Type Name) *

First

Last

Clicking "Submit" below will submit your registration form.
You will be taken you to a page where you may choose to pay for your registration now, or stop by the shelter in person!

Payment must be received within 7 days of submission to hold your campers spot.
Payments are refundable minus a $25 processing fee, up to 14 days before camp start.
No refunds are able to be provided within 14 days of camp start.

I Understand and agree to the information outlined above

Submit