Camps | Camp Registration | Children's Museum of Phoenix

Register for Camps

Complete Registration Form Once Enrollment Fee(s) are Paid

Before the first day of camp, please complete and submit this packet so we can get to know your child. PLEASE NOTE: This registration packet will be valid for future Children’s Museum of Phoenix Camps, resetting every summer. If parent/guardian information changes throughout the year, please contact Camp Leadership to update any documentation (camps@childmusephx.org).

Thank you for helping us prepare for you and your littles!

Step 1 of 4 - Personal Information

Comments
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Let's Get Personal: Camper and Guardian Information
If you have more than one child attending camp, please fill out one form for each child.
Camper Full Name*
Date of Birth*
My Child Will Attend (check all that apply):*
- Fall Break Camp (Sept. 28-Oct. 2)
- Fall Break Camp (Oct. 5-9)
- Fall Break Camp (Oct. 12-16)
Camper Gender:*
Preferred Pronoun (i.e. he, they, she, etc.):
Camper Age:*
Camper Grade:*
Primary Language:*
If NOT English, does camper speak English?
- Yes
- No
Has the camper attended a day camp or overnight camp before?*
- Yes
- No
Has the camper attended camp at the Children's Museum before?*
- Yes
- No
Primary Caregiver Contact:*
Relationship to Child:
Cell #:*
Work Phone #:
Home Phone #:
Email Address:*
Mailing Address:*
Street Address Address Line 2 City State ZIP Code
Secondary Caregiver Contact:
Relationship to Child:
Cell #:
Work Phone #:
Name(s) of Additional Approved Guardian(s) for Child Pick-Up:

Permissions & Liabilty Waiver
Camper Name:*
Date of Birth:*
Acknowledgement of Arizona Revised Statutes*
I understand
The Children's Museum of Phoenix (CMoP) is not a licensed childcare facility under Arizona Revised Statutes 36-882-06; stating that children may enter and depart from CMoP camp programs of their own volition. The Children's Museum of Phoenix requires that an approved parent/guardian (as outlined on this application) signs a check-in sheet when dropping off their child at camp. CMoP also requires that an approved parent/guardian (as outlined on this application) provides identification and signs a check-out sheet before their child leaves the premises.
Parent/Guardian Authorization for Healthcare:*
- I give the Children's Museum of Phoenix (CMoP) permission to provide Basic First Aid treatment as appropriate and in accord with the ability of the staff. Basic First Aid includes: application of band-aids for minor cuts or scrapes; providing ice packs for minor bumps and bruises. CMoP will not provide aspirin, ibuprofen, or other medication to any child. I understand that in case of emergency, my child will be taken to a local hospital, and while my child is transported to the hospital, CMoP will begin immediate attempts to contact the parents/guardians. I give permission to the physician selected by CMoP to order x-rays, routine tests and treatment related to the health of my child for both routine health care and in emergency situations. If I cannot be reached in an emergency, I give my permission to the physician to hospitalize, secure proper treatment for, and order injection, anesthesia, or surgery for this child. I understand the information on the "Health History" form will be shared on a "need to know" basis with CMoP staff. In the event of an emergency, CMoP has permission to obtain a copy of my child's health record from providers who treat my child and these providers may talk with the program's staff about my child's health status.
Photo Release*
- I give the Children's Museum of Phoenix (CMoP) and its affiliates permission to photograph and/or video my child, and to use my child's name, likeness, image, and/or video in promotional materials, including fundraising, marketing and educational materials. I understand that my child's name, likeness, image, and/or video may be used in the current year and/or in future years. This consent may be revoked in writing at any time, except to the extent that CMoP has already relied upon it in making use of my child's video, likeness, image, and/or video.
- I do NOT give the Children's Museum of Phoenix (CMoP) and its affiliates permission to photograph and/or videotape my child, and use my child's name, likeness, image, and/or video in promotional materials.
Acknowledgement of Safe and Inclusive Practices*
I understand
The Children’s Museum of Phoenix (CMoP) is committed to upholding a safe, kind and respectful camp community for all. Camp staff work to ensure that all campers can participate to their fullest potential and share a meaningful experience with other campers and camp counselors. I will review the Camp Rules with my camper prior to their first day of camp. I acknowledge and understand that the Children’s Museum of Phoenix reserves the right to dismiss campers from the program. I acknowledge and understand that physical violence, bullying, or any other behavior risking the safety and well-being of any camper or staff member will result in immediate dismissal from the camp program. Camper fees are non-refundable if a camper is sent home for disciplinary reasons.
Liability Release
This release covers all events and occurrences associated with camp activities held at The Children's Museum of Phoenix. I understand that if I have any concerns about my child's health or ability to participate in camp, it is my responsibility to discuss my concerns with my physician and with the Camp leadership before deciding to have my child participate. I agree to assume the risk that unexpected events may occur that result in harm, injury or illness to myself and/or camp participants, including damage to personal property during participation in or observation of the activities at camp. I understand that I cannot hold accountable the staff/volunteers/employees at the Children's Museum of Phoenix for any harm or damage associated with my child’s participation or observation in camp activities if the harm or damage is not due to the negligence or fault of staff/volunteers/employees. I understand that my child's participation in these sessions is voluntary. As a parent/guardian, I agree to participate in CMoP Camp to the best of my ability. I agree to arrange my child's transportation and arrive promptly at the site, ready to begin camp at the designated start time. I agree to arrange my child's transportation from the site promptly at the designated ending time and I understand that I must leave the premises immediately following the ending time of my program. I have shared the camp rules with my child and feel that they understand what is to be expected of them while at camp. I also understand that should they be unwilling or unable to participate within these guidelines, or should they become ill, I may be called to pick up my child. Parents must pick up their child within 1 hour if called. If a parent fails to collect their child within this amount of time, the child will be reported as abandoned to the local police. I further acknowledge that should my camper be asked to leave due to their behavior there is no refund of tuition. BY SIGNING THIS LIABILITY RELEASE, YOU ARE EXPRESSLY RELEASING AND WAIVING ANY RIGHTS AGAINST THE CHILDREN'S MUSEUM OF PHOENIX, ITS BOARD OF DIRECTORS, EMPLOYEES OR AGENTS FROM ANY LIABILITIES, CLAIMS, INJURIES OR DAMAGES OF ANY KIND OR NATURE, WHETHER FORESEEABLE OR UNFORESEEABLE, WHICH IN ANY WAY RELATE TO OR INVOLVE YOU OR YOUR FAMILY MEMBER'S PARTICIPATION AT CAMP.
Parent/Guardian Name:*
Signature:*
Typing your name into this signature box, will be recognized as your signature by hand and will serve as your understanding and acceptance of this liability release.
Today's Date*

Register for Camps

Complete Registration Form Once Enrollment Fee(s) are Paid

Step 1 of 4 - Personal Information

Let's Get Personal: Camper and Guardian Information

Camp Support & Accommodations

Please rate the following on a scale of 1 to 5 with 5 being fully agree.

Camper Health Information

Permissions & Liabilty Waiver

Liability Release

Museum Hours

Let’s Get the Party Started!