CampGRIZ - Clay Creations

CampGRIZ - Clay Creations

This event will be on Monday, June 08, 2026 at 12:00 AM and will end on Friday, June 12, 2026 and 12:00 AM

Note: You must fill out this liability waiver form to attend this camp. Click here to download. This form can be completed and returned to Mackenzie Taylor at mtaylor@franklincollege.edu.

For the ElectroKART Lab event you must fill out this waiver prior to submitting your registration.

For the AquaQuest event you must fill out this waiver prior to submitting your registration.

Section 1

Instructions

Camper's First Name

Camper's Last Name

Gender (Check box for each)

Male

Female

Non-Binary

Other

Birthdate

Age

Preferred Pronouns

Camper's Full Address

Country

Street

City

Region

Postal Code

What school does the camper currently attend?

Is this camper's parent/guardian a staff/faculty member at Franklin College?

Yes

Section 2

#1 Parent/Guardian Information

First Name

Last Name

Cell Phone

Work Phone

Email Address

Address (If Different From Camper)

Country

Street

City

Region

Postal Code

#2 Parent/Guardian Information

First Name

Last Name

Cell Phone

Work Phone

Email Address

Address (If Different From Camper)

Country

Street

City

Region

Postal Code

Emergency Contact Information

First Name

Last Name

Cell Phone

Email Address

Relationship To Camper

Check the Box if you would like to add another Emergency Contact

Yes

Emergency Contact Information #2

First Name

Last Name

Cell Phone

Email Address

Relationship To Camper

Child Resides with (Check box for each)

#1 Parent/Guardian

#2 Parent/Guardian

Both

Other

Name and Phone Number of another person(s) other than parent/guardian authorized to pick up your camper

First Name

Last Name

Phone Number

Add Another

Yes

List any other information you'd like to include about your Camper:

Section 3

My child qualifies for the free/reduced lunch program and/or is a member of 21st Century Scholars. *Please list child's current school for verification

Yes

We’re Sorry! CampGRIZ is a grant-funded summer camp and unfortunately we have sold out of our paid registration spots. The remaining camp spots are reserved for children who qualify for free/reduced lunch through school. We apologize for the inconvenience.

Camper's School & Contact Information

Franklin College is committed to making CampGRIZ accessible to students who live in Marion County by providing free bus transportation each to camp.

My camper will use the free bus transportation.

Yes

Section 4

Allergies

No Known Allergies

My camper is allergic to...

Food

Medicine

Environment

Other

Other Describe Below

Section 5

I have reviewed the program and activities and feel my camper can participate...

Without Restrictions

With the following restrictions or adaptations

I grant Franklin College permission to use photographs of my child in publications produced by the college, web site owned by the college, or public relations activities conducted by the college for the purpose of promoting Franklin College and/or our programs and camps.

I DO NOT grant permission to use photographs of my child.

Please Describe the following restrictions and/or adaptations.

Payment

Please submit payment

Amount Due
Loading...

Amount Due

* You cannot submit this form without paying the $275 registration fee. If you have questions or need assistance please contact Youth Program Coordinator, Mackenzie Taylor, at mtaylor@franklincollege.edu.

You must submit the liability waiver for your camper