Galveston: Texas Story Summer Camp

Please read the COVID Guidelines for 2022 Texas Story Camp at The Bryan Museum (PDF) and complete the form below to register your child for the Galveston, July 11th-15th Summer Camp.

REGISTRATION CLOSED

Basic Information

Parent or Guardian's First Name(required)

Parent or Guardian's Last Name(required)

Parent or Guardian's Email(required)

Parent or Guardian's Phone(required)

Camper First Name(required)

Camper Last Name(required)

Camper Age(required)

Primary Caregiver Name(required)

Primary Caregiver Phone (required)

Primary Caregiver Email(required)

Preferred Medical Facility (required)

Please provide the name, relation to the child, and phone numbers of additional caregivers who may be picking up or dropping off your child. If someone, other than those listed need to pick up your child, email susannah@thebryanmuseum.org before the time of pick up. (PLEASE INCLUDE NAME, RELATION TO CHILD, PHONE, & EMAIL)

Please list your child's allergies. (If none, write N/A)(required)

Please list/describe your child's allergic reaction (If none, write N/A)(required)

Are there any other medical concerns that we should be aware of? (If none, write N/A)(required)

Is your child on any medications? (If none, write N/A)(required)

Is there any other information that you would like for us to know? (If none, write N/A)(required)

CAMP BEHAVIOR EXPECTATION: Parent/Guardian please initial below to acknowledge. I give permission for my child to participate in Texas Story Summer Camp. I understand that my child’s behavior must be appropriate for the activities in this setting. If my child’s behavior is disruptive or inappropriate, I understand that he/she may be asked to leave the setting. I will not hold The Bryan Museum responsible for any accident or harm which may befall my child during this camp.(required)

WAIVER OF LIABILITY & HOLD HARMLESS AGREEMENT: Parent/Guardian please initial below to acknowledge. I hereby waive any liability against The Bryan Museum, its officers, directors, trustees, agents, servants, or employees. They shall not be held liable for any bodily injury incurred while my child is participating in any activity sponsored by The Bryan Museum.(required)

PHOTO/VIDEO RELEASE FORM FOR MINORS (if under 18): Parent/Guardian please initial below to acknowledge. The Bryan Museum has my permission to use my or my child’s photograph/video publicly to promote their programs. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.(required)

PHOTO/VIDEO RELEASE FORM FOR MINORS (if under 18): Please type full name of child(required)

I have read the COVID Guidelines for 2022 Texas Story Camp at The Bryan Museum PDF above: I hereby release and agree to hold The Bryan Museum harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, claims, demands, damages, costs, expenses and compensation of damage or loss to myself and/or property that may be caused by an act, or failure to act of the museum, or that may otherwise arise in any way in connection with any services received by The Bryan Museum. I understand that this release discharges The Bryan Museum from any liability or claim that I, my heirs, or any personal representatives may have against the museum with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from The Bryan Museum. This Liability wavier and release extends to the museum together with all owners, partners, and employees. Parent/Guardian please type your full name as your signature to acknowledge. (required)

Please Type Today's Date(required)