Online Summer Camp!

Register for Summer Camp Online

PLEASE NOTE THIS IS FOR ONLINE CAMP, NOT IN PERSON CAMP!!!

Summer Camp Online is Monday-Friday from 9:30am-12pm. You can register here for one week sessions. Each session includes supplies for the week.

* Indicates required field

Parent Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Child 1 Name *

First

Last

Shirt Size *

Youth Small (4T) Youth Medium (6T) Youth Large (10T) Youth XL (12T)

Grade Entering in the Fall *

Child 2 Name *

First

Last

Shirt Size *

Youth Small (4T) Youth Medium (6T) Youth Large (10T) Youth XL (12T)

Grade Entering in the Fall *

After you have submit your form we will email you a link to pay by credit card.

Is there anything else you would like us to know? *

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. *

I agree

Submit

Funderblast from home.

Register for Summer Camp Online