• 2020 Online Summer Camps Registration Form

    De Anza- Cupertino Location (Submit one form for each child)
  •  - -
  •  -
  •  -
  •  -
  •  -
  • Note: Camp timings are from 9am-3pm. Extended care is available.

    • For camp please select only one of the themes 
    • You have an option of selecting individual days (M,T,W, Th or F) or partial days or all 5 days(full camp)
  • prevnext( X )
































                                                                    coupon loading

                                                                    Total $0.00
                                                                  • Emergency Contacts

                                                                  •  -
                                                                  •  -
                                                                  • List individuals authorized to pick up your child (other than child’s parents). Unlisted persons will not be permitted to pick up your child. Identification may be requested from listed individuals.

                                                                  •  -
                                                                  •  -
                                                                  • Liability Release

                                                                    Please read the following contract carefully. In order for your child to participate in the program you must sign this agreement. I, the undersigned, in consideration of participation in the virtual  classes program offered by Polygon Academy, Incs (the "Program") agree to indemnify and release the Program, its vendors, its officers, staff and employees, from any and all liabilities from any injuries which may be suffered by the above named child, arising out of, or in any way connected with participation in the classes or activities offered by the program. I acknowledge that I have read the above agreement and release, and fully understand that I have assumed all the unavoidable risks that may occur in the activities offered by the program. 

                                                                  • Clear
                                                                  • Reload
                                                                  • Should be Empty: