Shooting Stars Foundation Winter Camp Sign-up Form
Thank you for expressing interest in SSF's winter camps! Please note that the time zone and currency used is EST and USD respectively. Week 1: December 20-23 (Monday-Thursday)Â Week 2: December 27-30 (Monday-Thursday) Note 1: The registration fee is non refundable. You can move to another week/another session- should a conflict arise! Note 2: Unless levels are specified, the classes in subsequent weeks are repeat of prior classes- If Level 1/2 etc are mentioned then they are progressive classes
Student's Full Name
*
First Name
Last Name
Preferred Parent's Full Name
First Name
Last Name
Student's Email
example@example.com
Preferred Parent's Email
*
example@example.com
Student's Phone Number
Please enter a valid phone number.
Preferred Parent's Phone Number (WhatsApp Contact)
*
Please enter a valid phone number.
City, State
*
Your Timezone
Please Select
EST
CST
PST
How did you hear about us? (Please includes names of friends, websites, etc)
*
Examples include: friends/family, WhatsApp, email list, social media etc. Please be specific. If Friends - pls name the friend
Name of Student's School
*
Grade
*
Please Select
2
3
4
5
6
7
8
9
10
*** Quick note about picking programs ***
Please make sure to choose a single class during a specific time. If a class overlaps in time with another you have already chosen, you may not choose it (i.e. If you sign up for a class that starts at 4 PM, you CANNOT pick another class that also starts at 4 PM).
*** Important note about payment ***
Deselecting a week or changing the grade will NOT deselect the programs you selected under those categories. To ensure you don't accidentally pay for a camp you didn't intend to purchase, please deselect the programs first BEFORE deselecting the week or changing the grade.
Preferred Session for Grade 2 (You may select multiple)
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Week 1 (Dec 20-23)
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 2 (Dec 20-23)
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Tiny Scientists Level 1 (12PM EST)
Tiny Scientists Level 2 (12PM EST)
Chess (12PM EST)
Arts & Crafts (2PM EST)
Speech & Debate Level 1 (4PM EST)
Bollywood Dance (4PM EST)
Bookworm Club (5PM EST)
Creative Writing (6PM EST)
Available Week 2 Camps for Grade 2 (Dec 27-30)
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Speech & Debate Level 1 (12PM EST)
Chess (12PM EST)
Bookworm Club (1PM EST)
Tiny Scientists Level 1 (2PM EST)
Tiny Scientists Level 2 (2PM EST)
Arts & Crafts (4PM EST)
Bollywood Dance (5PM EST)
Creative Writing (6PM EST)
Preferred Session for Grade 3 (You may select multiple)
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Week 1 (Dec 20-23)
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 3 (Dec 20-23)
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Tiny Scientists Level 1 (12PM EST)
Tiny Scientists Level 2 (12PM EST)
Chess (12PM EST)
Arts & Crafts (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Speech & Debate Level 1 (4PM EST)
Speech & Debate Level 2 (4PM EST)
Bollywood Dance (4PM EST)
Bookworm Club (5PM EST)
Creative Writing (6PM EST)
Available Week 2 Camps for Grade 3 (Dec 27-30)
*
Speech & Debate Level 1 (12PM EST)
Speech & Debate Level 2 (12PM EST)
Chess (12PM EST)
Bookworm Club (1PM EST)
Tiny Scientists Level 1 (2PM EST)
Tiny Scientists Level 2 (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Arts & Crafts (4PM EST)
Bollywood Dance (5PM EST)
Creative Writing (6PM EST)
Preferred Session for Grade 4 (You may select multiple)
*
Week 1 (Dec 20-23)
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 4 (Dec 20-23)
*
Tiny Scientists Level 1 (12PM EST)
Tiny Scientists Level 2 (12PM EST)
Chess (12PM EST)
Web Design HTML CSS Level 1 (1PM EST)
Web Design HTML CSS Level 2 (1PM EST)
Web Design HTML CSS Level 3 (1PM EST)
Arts & Crafts (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Speech & Debate Level 1 (4PM EST)
Speech & Debate Level 2 (4PM EST)
Bollywood Dance (4PM EST)
Bookworm Club (5PM EST)
Creative Writing (6PM EST)
Available Week 2 Camps for Grade 4 (Dec 27-30)
*
Speech & Debate Level 1 (12PM EST)
Speech & Debate Level 2 (12PM EST)
Chess (12PM EST)
Bookworm Club (1PM EST)
Tiny Scientists Level 1 (2PM EST)
Tiny Scientists Level 2 (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Arts & Crafts (4PM EST)
Web Design HTML CSS Level 1 (4PM EST)
Web Design HTML CSS Level 2 (4PM EST)
Web Design HTML CSS Level 3 (4PM EST)
Bollywood Dance (5PM EST)
Original Oratory (5PM EST)
Creative Writing (6PM EST)
Preferred Session for Grade 5 (You may select multiple)
*
Week 1 (Dec 20-23)
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 5 (Dec 20-23)
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Tiny Scientists Level 1 (12PM EST)
Tiny Scientists Level 2 (12PM EST)
Chess (12PM EST)
Web Design HTML CSS Level 1 (1PM EST)
Web Design HTML CSS Level 2 (1PM EST)
Web Design HTML CSS Level 3 (1PM EST)
Public Forum (1PM EST)
Arts & Crafts (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Speech & Debate Level 1 (4PM EST)
Speech & Debate Level 2 (4PM EST)
Bollywood Dance (4PM EST)
Debate Big Questions (5PM EST)
Bookworm Club (5PM EST)
Creative Writing (6PM EST)
Python Programming (6PM EST) (2 week program)
Available Week 2 Camps for Grade 5 (Dec 27-30)
*
Speech & Debate Level 1 (12PM EST)
Speech & Debate Level 2 (12PM EST)
Chess (12PM EST)
Bookworm Club (1PM EST)
Tiny Scientists Level 1 (2PM EST)
Tiny Scientists Level 2 (2PM EST)
Debate Big Questions (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Public Forum (3PM EST)
Arts & Crafts (4PM EST)
Web Design HTML CSS Level 1 (4PM EST)
Web Design HTML CSS Level 2 (4PM EST)
Web Design HTML CSS Level 3 (4PM EST)
Bollywood Dance (5PM EST)
Original Oratory (5PM EST)
Creative Writing (6PM EST)
Python Programming (2 week program please select week 1)
Preferred Session for Grade 6 (You may select multiple)
*
Week 1 (Dec 20-23)
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 6 (Dec 20-23)
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Tiny Scientists Level 1 (12PM EST)
Tiny Scientists Level 2 (12PM EST)
Chess (12PM EST)
Web Design HTML CSS Level 1 (1PM EST)
Web Design HTML CSS Level 2 (1PM EST)
Web Design HTML CSS Level 3 (1PM EST)
Public Forum (1PM EST)
Arts & Crafts (2PM EST)
HOSA (2PM EST)
DECA (3PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Speech & Debate Level 1 (4PM EST)
Speech & Debate Level 2 (4PM EST)
Bollywood Dance (4PM EST)
Debate Big Questions (5PM EST)
Bookworm Club (5PM EST)
Creative Writing (6PM EST)
Python Programming (6PM EST) (2 week program)
Mock Trial (6PM EST)
Available Week 2 Camps for Grade 6 (Dec 27-30)
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Speech & Debate Level 1 (12PM EST)
Speech & Debate Level 2 (12PM EST)
Chess (12PM EST)
DECA (1PM EST)
Bookworm Club (1PM EST)
Tiny Scientists Level 1 (2PM EST)
Tiny Scientists Level 2 (2PM EST)
Debate Big Questions (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Public Forum (3PM EST)
Arts & Crafts (4PM EST)
Web Design HTML CSS Level 1 (4PM EST)
Web Design HTML CSS Level 2 (4PM EST)
Web Design HTML CSS Level 3 (4PM EST)
Bollywood Dance (5PM EST)
Original Oratory (5PM EST)
Creative Writing (6PM EST)
Python Programming (2 week program please select week 1)
Preferred Session for Grade 7 (You may select multiple)
*
Week 1 (Dec 20-23)
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 7 (Dec 20-23)
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Chess (12PM EST)
Web Design HTML CSS Level 1 (1PM EST)
Web Design HTML CSS Level 2 (1PM EST)
Web Design HTML CSS Level 3 (1PM EST)
Public Forum (1PM EST)
HOSA (2PM EST)
DECA (3PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Speech & Debate Level 2 (4PM EST)
Bollywood Dance (4PM EST)
Debate Big Questions (5PM EST)
Python Programming (6PM EST) (2 week program)
Mock Trial (6PM EST)
Available Week 2 Camps for Grade 7 (Dec 27-30)
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Speech & Debate Level 2 (12PM EST)
Chess (12PM EST)
DECA (1PM EST)
Debate Big Questions (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Public Forum (3PM EST)
Web Design HTML CSS Level 1 (4PM EST)
Web Design HTML CSS Level 2 (4PM EST)
Web Design HTML CSS Level 3 (4PM EST)
Bollywood Dance (5PM EST)
Original Oratory (5PM EST)
Python Programming (2 week program please select week 1)
Preferred Session for Grade 8 (You may select multiple)
*
Week 1 (Dec 20-23)
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 8 (Dec 20-23)
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Chess (12PM EST)
Web Design HTML CSS Level 1 (1PM EST)
Web Design HTML CSS Level 2 (1PM EST)
Web Design HTML CSS Level 3 (1PM EST)
Public Forum (1PM EST)
HOSA (2PM EST)
DECA (3PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Speech & Debate Level 2 (4PM EST)
Bollywood Dance (4PM EST)
Debate Big Questions (5PM EST)
Python Programming (6PM EST) (2 week program)
Mock Trial (6PM EST)
Available Week 2 Camps for Grade 8 (Dec 27-30)
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Speech & Debate Level 2 (12PM EST)
Chess (12PM EST)
DECA (1PM EST)
Debate Big Questions (2PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Public Forum (3PM EST)
Arts & Crafts (4PM EST)
Web Design HTML CSS Level 1 (4PM EST)
Web Design HTML CSS Level 2 (4PM EST)
Web Design HTML CSS Level 3 (4PM EST)
Bollywood Dance (5PM EST)
Original Oratory (5PM EST)
Python Programming (2 week program please select week 1)
Preferred Session for Grade 9 (You may select multiple)
*
Week 1 (Dec 20-23
Week 2 (Dec 27-30)
Available Week 1 Camps for Grade 9 (Dec 20-23)
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Web Design HTML CSS Level 1 (1PM EST)
Web Design HTML CSS Level 2 (1PM EST)
Web Design HTML CSS Level 3 (1PM EST)
Public Forum (1PM EST)
HOSA (2PM EST)
DECA (3PM EST)
Extemporaneous/Impromptu Speech (3PM EST)
Debate Big Questions (5PM EST)
Python Programming (6PM EST) (2 week program)
Mock Trial (6PM EST)
Available Week 2 Camps for Grade 9 (Dec 27-30)
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DECA (1PM EST)
Debate Big Questions (2PM EST)
Public Forum (3PM EST)
Arts & Crafts (4PM EST)
Web Design HTML CSS Level 1 (4PM EST)
Web Design HTML CSS Level 2 (4PM EST)
Web Design HTML CSS Level 3 (4PM EST)
Python Programming (2 week program please select week 1)
Available Week 8 Camps for Grade 10 (Aug 02 - Aug 06)
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Total Price (Grade 2)
Total Price (Grade 3)
Total Price (Grade 4)
Total Price (Grade 5)
Total Price (Grade 6)
Total Price (Grade 7)
Total Price (Grade 8)
Total Price (Grade 9)
Total Price for Selected Programs
A note about payment.
Payment is via PayPal. If you don't have an account, you can check in as a guest and use your credit card for payment.
Total Price
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USD
Liability Waiver
By saying yes below, I hereby waive, release, and discharge any and all claims for damages for personal injury, property damages, or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance Shooting Stars Foundation Inc, its officers, student and parent volunteers from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. I hereby give my consent to Shooting Stars Foundation to take photographs, video recordings, and/or sound recordings of me during my participation. I grant Shooting Stars Foundation my permission to use the negatives, prints, motion picture, video tapings, or any other reproduction of the same for promotional purposes on flyers, on the World Wide Web, or in any other manner deemed necessary. I expressly state that I have read, understand and am familiar with all provisions herein. I understand that this release is a contract and I sign it of my own free will. I agree to all terms and provisions herein.
Do you agree with the liability waiver?
*
Yes, I agree.
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