Estelita's Library Summer Camp 2026

How are you connecting with the camp?

We hold 15 seats per week for families connected to Odessa Brown Children's Clinic (OBCC) and 15 seats for the broader community. This question helps us track those separately. Either answer is welcome — we are excited you are here.

Yes — my family receives care through Odessa Brown Children's ClinicNo — we are a community family (not connected to OBCC)

Camper information

Camper full legal name *Preferred name / nicknameDate of birth *PronounsGrade entering Fall 2026SchoolHome addressCityStateZIPPrimary language spoken at homeRace / ethnicity (optional, for grant reporting)

Which weeks are you enrolling in?

Pick any combination — one week, several, or all five. Each week is its own program.

Week 1 — Mathematics with Akin Alston (June 22–26)Week 2 — Movement: Capoeira (June 29 – July 3)Week 3 — Critical Literacy & Debate (July 6–10)Week 4 — Chess (July 13–17)Week 5 — Health & Wellbeing (July 20–24)

Optional extended care until 5:00 PM

Parent / Guardian 1

Full name *Relationship to camperCell phone *Email *Primary language

Parent / Guardian 2 (if applicable)

Full nameRelationship to camperCell phoneEmailPrimary language

Emergency contacts

Full name *Relationship to camperCell phone *Other phone

Authorized pickup

Parents listed above are automatically authorized. Add additional people here.

Health information

Primary doctor / clinicDoctor phoneHealth insurance companyPolicy numberChronic conditions, diagnoses, or anything we should knowDietary restrictions

Allergies

Medications

Photo & media release

My child may appear in:

Tuition

The first 15 spots each week are completely free, prioritized for families who need this most. Beyond those 15, we run a pay-what-you-can model — any amount from $0 to $3,000 total. No family is turned away.

I am requesting one of the free seatsFree seats fill on a first-come, first-served basis with priority for families connected to OBCC. We will confirm your seat within 3 business days.I would like to contribute (pay-what-you-can)

Anything we should know about your tuition choice (optional)

Consents and acknowledgments

These checkboxes ARE legally meaningful. Please read each carefully.

I authorize emergency medical treatment if I cannot be reachedI give blanket permission for all scheduled field tripsI have read the Family Handbook and agree to support its policiesI have read the Liability Acknowledgment and accept its terms

Sign and submit

Parent/Guardian name (typed signature) *

Submitting this form is a registration request, not a guaranteed seat. We review every submission and confirm within 3 business days. If a seat is held for you, you will have 48 hours to confirm.

Register your child