Meet The Staff
Meet Louie The Lightning Bolt
Reference (not parent)
Reference Phone Number
We have a mandatory staff training on Sunday June 11th from 10am-3pm. Can you attend?
Which site would you like to be at?
Scott Valley Swimming & Tennis Club - Mill Valley
Homestead Valley Community Center - Mill Valley
Cascade Canyon School - Fairfax
Where you most need me!!
How many weeks would you like to CIT?
Which weeks would you like to be a CIT? (We will get back to you about which weeks we have greatest need!) ~Thanks!
June 19-23rd * THIS WEEK IS FULL AT SCOTT VALLEY & HOMESTEAD VALLEY!
June 26-30th *THIS WEEK IS FULL AT SCOTT VALLEY & HOMESTEAD VALLEY!
July 5-7th *THIS WEEK IS FULL AT SCOTT VALLEY
July 10-14th *THIS WEEK IS FULL AT SCOTT VALLEY & HOMESTEAD
July 17-21st *THIS WEEK IS FULL AT SCOTT VALLEY!
July 24-28th *THIS WEEK IS FULL AT SCOTT VALLEY & HOMESTEAD
July 31-August 4th
August 14th-18th - CAMP OPEN AT HOMESTEAD AND SCOTT VALLEY ONLY
Please have your parent or guardian fill out this next portion of the form.
Additional Emergency Contact
Any health information our staff need to be aware of?
We have a CIT Training and processing fee of $75. Please send a check made out to Camp Funderblast to
315 Montford Ave.
Mill Valley CA
WAIVER AND RELEASE OF LIABILITY FOR MINORS. In consideration for permission to participate in any activity at Camp Funderblast (“Camp”) today and on all future dates, I, for myself, and on behalf of the minor child(ren) identified above (“Participant”), our heirs, personal representatives and/or assigns, do hereby release, waive, discharge, and covenant not to sue Funderblast LLC, Homestead Valley Community Association, Scott Valley Swimming & Tennis Club, the County of Marin, or Cascade Canyon School a tenant of Saint Rita’s Catholic Church (collectively referred to herein as, “Indemnified Parties”), their directors, officers, owners, employees, counselors or volunteers, from liability for any and all claims for personal injury, illness, death, property damage, or any other claim, including but not limited to claims arising out of the negligence of Indemnified Parties, their employees or their agents. This waiver and release of liability applies to all Camp activities, regardless of whether participation requires the Participant to leave Camp premises and regardless of whether a separate fee was charged for the activity. In case of a medical or surgical emergency, I hereby give permission to any medical personnel selected by the Camp staff to administer treatment. I will assume full responsibility for any such action, including payment of all costs. It is understood that Indemnified Parties will provide no medical insurance for such treatment, and that the cost thereof will be at my expense. I hereby agree that any pictures or videos of Participant(s) may be used for Camp training, advertising, or promotion without any compensation to me or Participant. I acknowledge that some Camp activities may pose risks to Participant, including the risk of serious injury or death. By checking the box below I agree to all terms and conditions set forth above and give my consent for the listed participant(s) to participate in all camp activities on and off site.
School Year Events
Wanna be a Counselor?
You are amazing.
© Camp Funderblast (415) 843-1730