Grahamtown Summer Camp (Ages 8

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Grahamtown Summer Camp (Ages 8 - 15)

Event Timing: June 8th - 13th, 2026 (9:30am - 1:30pm)
Event Address: Grahamtown Community Center 129 First St., Forest St. Forest City, NC 28043
Contact us at (828) 229-3380 or email grahamtownteam@gmail.com

Email *

Student Participant *

Student Address: Address, City, State, Zip code

Student Email *

Student Phone Number

Parent / Guardian Name *

Parent Address: If the same as student, Disregard

Parent/Guardian Phone *

Emergency Contact: (Please type name, phone and complete address for contact) **Please note that in the event of an emergency, we will call 911.

Is your child allergic to any type of food? *

Yes

Allergies / Dietary Restrictions *

Does your child require a special diet? *

Yes

Is your child presently being treated for any injury or sickness? *

Yes

Is there anything that prevents your child from participating in the garden, culinary or technology activities? *

Yes

Have you previously attended the Grahamtown Team's Summer Camp Program?

YES

Clear selection

Age *

Grade

2nd - 5th

6th - 8th

9th - 10th

Clear selection

School

Photo Release & Waiver
I hereby give permission for my child to be photographed during the Grahamtown Team's Mini-Camp. I understand the photos/video will be used to keep a journal of activities, to share during power point presentations and/or reports to our donors and for promotional purposes including flyers, brochures, newspaper, television and on the internet. I understand that although my child’s photograph may be used for advertising, his or her identity will not be disclosed, I do not expect compensation and that all photos are the property of Grahamtown Team Mini-Camp and its affiliates.

Transportation Release
I hereby give permission for the transportation of my child for official Grahamtown Team's Mini-Camp activities by modes of transportation agreed to by the camp organizers. The Grahamtown Team and its co-organizers are not responsible for lost or damaged personal property. All scheduled events are subject to change. I understand that no fees will be refunded or transferred unless a child is unable to participate due to an accident or illness per physician orders. Children's’ photos and quotes may be used for publicity purposes. In case of an emergency, and if a family physician cannot be reached, I hereby authorize my child to be treated by Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician).

Bouncy / House Release

I hereby give permission for my child to play on / in the inflatables. I agree to hold harmless the Grahamtown Team, Inc, its Board Members, staff and affiliates, in the event of injury, illness, or sickness upto and including death, should anything happen to my child or children.

Waiver/Confirmation:

You agree to hold harmless the Grahamtown Team, Inc, it's Board Members, Staff and affliates, in the event of injury or illness, sickness upto and including death for any and all activities and events your child may participate in during summer camp or any Grahamtown Team, Inc. activity.

Your digital acknowledgement

Please respond: I Agree and type your name.

Permission to Participate & Photo Release for Media *

I give this child permission to participate in the Grahamtown Team Summer Camp events and authorize the use of their photo and or likeness in the media.

Signature of Parent or Guardian (Permission & Media Release) *

Please tell us any information that we should know in regards to your child and their health. Thank you *

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