HSAD WINTER CAMP Registration

Registration

Student's Name

First NameLast Name

Age

Date of Birth

MonthDayYear

Name of School Attending

Elementary, Middle or High School

Will sibling be attending as well?

Student's Name

First NameLast Name

Age

Date of Birth

MonthDayYear

Name of School Attending

Elementary, Middle or High School

Parent's Name

First NameLast Name

Contact Number

Area CodePhone Number

E-mail

Address

Street Address

Street Address Line 2

CityState

Zip Code

Emergency Contact Name

First NameLast Name

Emergency Contact Number

Area CodePhone Number

If interested in signing up for more than one camp week, call Amber for specials! 713-464-2787

CAMP WEEK SELECTION

Select Camp Week

My Products

New Student Registration$40.00

For new students only

4 Half Days (2 hour) - Mon - Thur$160.00

12/21/2026 - 12/24/2026 - Select AM or PM and number of students attending

SessionsStudent

4 Full Days - 10 AM - 3 PM - Mon - Thur$320.00

12/21/2026 - 12/24/2026 - Select number of students attending

Students

4 Long Days - 10 AM - 5 PM - Mon - Thur $480.00

12/21/2026 - 12/24/2026 - Select number of students attending

Students

5 Half Days (2 Hour) - Mon - Fri $200.00

12/28/2027 - 1/1/2027 - Select AM or PM and number of students attending

SessionsStudents

5 Full Days - 10 AM - 3 PM - Mon - Fri$400.00

12/28/2027 - 1/1/2027 - Select number of students attending

Students

5 Long Days - 10 AM - 5 PM - Mon - Fri$600.00

12/28/2027 - 1/1/2027 - Select number of students attending

Students

2 Half Days (2 hour) - Mon - Tue$80.00

1/4/2027 - 1/5/2027 - Select AM orPM and the number of students attending

2 Full Days - 10 AM - 3 PM - Mon - Tue $160.00

1/4/2027 - 1/5/2027 - Select number of students attending

Students

2 Long Days - 10 AM - 5 PM - Mon - Tue $240.00

1/4/2027 - 1/5/2027 - Select number of students attending

Students

Early Drop-off 9 AM$20.00

Please select the number of days needed for early drop off. If 3 day camp choose 3, if 5 day camp choose 5

Quantity

Enter coupon

Total $0.00

Payment Methods

Credit Card

Apple Pay

ACH Bank Transfer

How did you hear about us? Please check all that apply

List any allergies or medical conditions the school needs to be aware of

Additional Notes

Signature

Today's Date

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Winter 2026 Camp Registration

My Products

Payment Methods