Super impressed. Very organized communication- loved knowing the outline of daily plans. Every day was totally different and fun- you could tell a lot of thought went into the camp experiences. My daughter was super excited to go every day. I loved knowing that she was amazingly well taken care of and having a blast.
— The Patton Family
Camp 512 Registration and Payment Policies *
There is a $100, non-refundable deposit for Summer Camp and a $25 deposit for Adventure Days that will be applied towards your overall balance. If deposit payment is not completed within 48 hours of being sent, the campers spot will be forfeited. You will receive an invoice for full camp payment 2 weeks before your camp date (or as soon as you register). Payment is due 7 days before camp date. If payment is not received in full, the campers reservation will be cancelled. Thank you! We are looking forward to a fun and exciting day exploring Austin and surrounding areas together! -Camp 512 Directors I have read and understand the Registration and Payment procedures.*
Camper Name *
Camper Name
MM/DD/YYYY
Gender *
Any siblings enrolled in Camp 512? *
Camp Session *
One Day Adventure Days: 9:00am-5:00pm Monday-Friday Summer Camp: 9:00am-3:00pm
First shirts are on the house (summer camp registrants only)! 2nd t-shirts, Adventure Days, etc are $15 and OPTIONAL. *See color choices below form*
Address *
Address
Parent/Guardian 1 *
Parent/Guardian 1
Phone *
Phone
Parent/Guardian 2
Parent/Guardian 2
Phone 1
Phone 1
Emergency Contact *
Emergency Contact
Second or third contact after Parent/Guardian 1
Emergency Contact Phone *
Emergency Contact Phone
Primary Care Physician *
Primary Care Physician
Primary Care Physician Phone *
Primary Care Physician Phone
How did you hear about us? *
I hereby give my approval for my child’s participation in any and all activities prepared by Camp512 and Camp512 Adventure Days during the selected camp. In exchange for the acceptance of said child’s candidacy by Camp512 and Camp512 Adventure Days , I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Camp512 and Camp512 Adventure Days 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 activities for the duration of the selected camp. In case of injury to said child, I hereby waive all claims against Camp512 and Camp512 Adventure Days including all directors, camp counselors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. I AGREE to Informed Consent and Acknowledgement. Please type FULL NAME below.
I agree to grant to Camp512 and its authorized representatives permission to record on photography film and/or video, pictures of my child's participation. I further agree that any or all of the material photographed may be used, in any form, as part of any future publications, brochure, or other printed and posted materials used to promote Camp512, and further that such use shall be without payment of fees, royalties, special credit or other compensation. I AGREE to the Photo Release statement. Please type FULL NAME below.
As Parent and/or Guardian of the named camper, 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 Camp512, Camp512 Adventure Days and its affiliates including Directors and Counselors 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. I AGREE to the Medical Release and Authorization. Please type FULL NAME below.
BY CLICKING SUBMIT BELOW, I ACKNOWLEDGING I AM AGREEING TO 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.
 

T-Shirt Color Choices