Camp Waiver, Health, and Information

Please read this form carefully and be aware in registering your child(ren) for participation in The Wonder Lab's Summer Camp program you will be waiving and releasing all claims for injuries your child(ren) might sustain arising from that program.

If you have more than one child attending our camp please list them all on this form.

If you have already filled out this form for your camper(s) for any week in our 2025 Summer Camp you do not need to fill it out again.

Camper's full name

Camper's DOB

Additional camper's full name

Additional camper's DOB

Additional camper's full name

Additional camper's DOB

Emergency Contacts

Please list at least one emergency contact other than yourself. Persons listed must be reachable during camp hours (weekdays from 9 AM to 1 PM). If necessary, we will reach out to these contacts in the order they are listed.

#1 emergency contact first and last name

#1 emergency contact phone number

#2 emergency contact first & last name

#2 emergency contact phone number

Other Authorized Pick-up Adults

The adults listed below are authorized to pick up my child(ren) with either their camp-assigned pickup number or a valid ID. You may add authorized pick-up adults at any time by emailing camps@wonderlabdurham.com.

#1 Authorized pick-up adult

#2 Authorized pick-up adult

Medical Information & Special Considerations

Please note that it is your responsibility to supply any necessary medical equipment and medicines that relate to a specific medical condition.

Check any that apply to your child. With awareness of your child's needs, staff may be able to modify activities and techniques for inclusiveness prior to the start of camp.

Food allergies

Non-food allergies

Behavioral or other medical considerations or restrictions

None of the above

Please list any triggers, signs, symptoms, and techniques you recommend in managing these conditions. If you have multiple children at camp, please indicate which child this information pertains to.

Physician's Information

We will only reach out to your child's physician in case of an emergency AFTER we have attempted to reach out to you and the listed emergency contacts.

If your child needs to take medication or you expect camp staff to dispense medication to your child during camp hours, you must also complete the separate Medication Dispensing Information form.

Physician's name and/or practice

Physician's phone number

Important Information

The Wonder Lab is committed to conducting its programs and activities in the safest manner possible and holds the safety of participants in the highest possible regard. Participants and parents registering their children in programs and activities must recognize, however, that there is an inherent risk of injury when choosing to participate. The Wonder Lab strives to reduce such risks and insists that all participants follow safety rules and instructions which have been designed to protect the participant's safety.

Liability Release

I recognize and acknowledge that there are certain risks of physical injury to participants in The Wonder Lab's Summer Camp program(s) and I agree to assume the full risk of any injuries, damages or loss regardless of severity which I or my child may sustain as a result of participating in any and all activities connected with or associated with such program(s). I agree to waive and relinquish all claims I or my child may have against The Wonder Lab and its officers, agents, volunteers and employees as a result of participation in the program. I do hereby fully release and discharge The Wonder Lab and its officers, agents, volunteers and employees from any and all claims from injury, damage or loss with the activities of the program(s). I further agree to indemnify and hold harmless and defend The Wonder Lab and its officers, agents, and employees from any and all claims resulting from injuries, damages, and losses sustained by me or my child arising out of, connected with, or in any way associated with the activities of the program(s).

Permission to Secure Treatment

All camp leads are certified in First Aid, CPR, AED, and EpiPen assistance. They will take whatever emergency medical measures are deemed necessary for the protection and safety of the camper within their training.

In the event of any emergency, I authorize The Wonder Lab to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for me or my minor child/ward's immediate care and agree that I will be responsible for payment of any and all medical services rendered.

Photography & Video Release

The Wonder Lab’s staff may take pictures and/or videos during camp to use for marketing material, staff training, or social media sites controlled by The Wonder Lab. Participant’s names will not be published when photo or video clips are used and no monetary compensation will be given. You have the right to decline for photos of your camper to be used. By granting permission to The Wonder Lab, its agents, and its employees the irrevocable and unrestricted right to produce photographs and video taken of your child, you are also granting permission for The Wonder Lab to use said photographs & videos for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium by The Wonder Lab.

Please choose one

I grant The Wonder Lab, and all its agents, permission to use my child(ren)'s photographs and/or videos.

I do not grant permission for my child(ren)'s photographs and/or videos to be used by The Wonder Lab.

By typing my first and last name below I am indicating that I have read and fully understand the above Release of Liability, Permission to Secure Treatment, and Photography & Video Release.

First name

Last name

Phone