Summer Camp Detailed Registration Form
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    PLEASE NOTE THE FOLLOWING AS OF 3.4.24

    We are at full capacity for rising K-5th grade summer campers, and we are accepting applications for youth in those grades for our WAITLIST. We pull youth from the WAITLIST each year as other withdraw for various reasons. We do so based on the order of submission and the grade level that has new capacity. 


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    East Atlanta Kids Club

    Camp Full S.T.E.A.M 

    Daily Schedule

    For Rising K-5th Grade

    At Camp Full S.T.E.A.M your child will be involved in activities that are super fun and will increase their learning each day. Children will have a light breakfast provided, sack lunch and a snack. There is plenty of free play, a break for lunch, and sports activities available alongside our S.T.E.A.M based theme. We are looking forward to having your child at EAKC Camp Full S.T.E.A.M.


    Monday-Thursday Camp Schedule (See bottom for Friday info)

    8:00am-9:00am  Arrival/Breakfast


    9:00am-10:20am Camp assembly/Camper Connections; Here campers will assemble for a short pow wow with camp counselors and then break off to connect with each other while playing games and other self guided activities

    10:20am-10:30am Transition to first activity/ Restroom Break


    10:30am-12:00pm S.T.E.A.M/Sports Activity Block Team A/Team B; Kids learn and work on projects that build up to a showcase at the end of camp

    12:00pm-12:05pm Transition to next activity/ Restroom Break


    12:05pm-1:05pm Lunch/Freeplay/Transition (The last 10 mins of this block, kids transition to next activity/ restroom break)

    1:05pm-2:05pm Activity Team A/B


    2:05pm-2:10pm Transition to next activity/ Restroom Break


    2:10pm-3:10pm Activity A/B


    3:10pm-4:00pm Snack/Freeplay/Carpool & Bus Dismissal


    *On Fridays at “Camp Full STEAM” the schedule will be slightly different as we will have small field trips and/or waterslide/play days planned out each week.*

  • East Atlanta Kids Club Full S.T.E.A.M Summer Camp Registration Form

  • Please Read Carefully

    Please complete the summer camp application below. You may save your information as you go and return as many times as needed. If you are registering multiple children, please complete an application for each child. Slots fill up fast and applicants are accepted in the order received. Deadline May 1, 2024

  • Camper Information

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Information

    *(Please note that the parent/ guardian completing the application cannot also be listed as the emergency contact.)

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Summer Camp Addendum: Teen Essay Questions

  • Teen Camp Essay Questions

    Instructions: Please respond to each question below in 250 words or less. Instructions: Please respond to each question below in 250 words or less. Students who plagiarize or who do not write their own responses will not be accepted.
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  • Screening Certification Parent Form

  • Parent Permission Form

  • I permit my child to participate in the East Atlanta Kids Club Summer Camp Program (hereafter “the Program”). I have read and understand the rules, regulations, and structure of the Program. I have met with an EAKC staff member to discuss my child’s participation. I understand that some of the people who serve as tutors and mentors in the Program are a mix of paid professionals and adult volunteers from the community who have been carefully screened by the organization. The meetings between my child and their tutors/mentors will take place both at the site of the Program (Brownwood Park Recreation Center) and off-site.

    On some occasions, staff and/or volunteers will transport my child to and from the Program site and my child’s residence, as well as to and from field trip venues. I understand that all contacts between volunteers and my child are scheduled, monitored by EAKC staff, and evaluated. Any additional contacts between the adult mentors and my child/children must be scheduled in advance and be approved by me.

    I understand that East Atlanta Kids Club is a free Program offered at no charge to children and their parents based on income eligibility guidelines provided by the Program. The Program does not require cash or in-kind donations or payments for youth whose families meet income eligibility guidelines provided by the Program.

    I assume all risks and hazards incidental to the conduct of the Program activities. In the event of any injury or loss to my child, I hereby release, absolve, indemnify and hold harmless the East Atlanta Kids Club, the organizers of the activities, sponsors, supervisors, and volunteers, any and all of them.

  • Acknowledgment of Program Licensure Status

  • Medical History

    Please mark N/A for any fields that are not applicable
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Health Information Form

  • Medications

  • Please indicate if your child is currently taking any medication (or will be) during camp. Please list below:

  • Medical Waiver and Release Form

  • This health history is correct and complete as far as I know. The completed health information form may be printed/ photocopied for trips out of camp. I, the parent/guardian of the child named below, hereby give my permission for his/her participation in the East Atlanta Kids Club After-School Mentoring and/or Summer Camp program (the “Program”).

    On behalf of my child, I assume all risks and hazards incidental to the conduct of the Program. In consideration of my child being permitted to participate in the Program, I hereby waive, release, discharge, indemnify, and hold harmless the East Atlanta Kids Club, its officers, directors, members, employees, and agents, as well as all organizers, sponsors, partners, supervisors, volunteers, and participants involved in the presentation of the Program, and each of their officers, directors, members, employees, and agents, from all liability for any damage, loss, or injury to person or property which may be sustained as a result of my child’s participation in the Program, even if such damage, loss, or injury is the result of negligence, in whole or in part, of any of these entities.

    Further, I hereby give my permission to have my child treated on the scene and/or to take my child to a doctor or hospital in case of any injury at the Program.

    I hereby acknowledge that I have carefully read and understand this Waiver and Release agreement and that I am freely and voluntarily signing it.

  • Photo and Media Release Form

  • Approved Guardian List

    I give permission for the following person(s) to pick up my child from East Atlanta Kids Club. I affirm that the person(s) listed are 18 years or older and can provide a valid photo ID.
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