LEAPSTART SUMMER CAMPS 2021 Enrollment form

LEAPSTART SUMMER CAMPS ENROLLMENT FORM

ACTIVE DEALS

$10 OFF PER CAMP PER CHILD SIBLING DISCOUNT
FREE LUNCH FOR 3 WEEKS OR FREE EXTENDED CARE FOR 1 WEEK WHEN YOU SIGNUP FOR 5 OR MORE CAMPS
$1795 * 2 PAYMENTS FOR ALL CAMPS FOR 9 WEEKS. LUNCH & EXTENDED CARE INCLUDED; EARLY CHECK-IN & LATE CHECKOUT INCLUDED - 8:30AM - 6:15PM.

Child's Information

Existing Student? *

Existing Student Name *

Registering siblings?

Sibling discount is available for parents registering multiple children

Sibling Names *

Enter sibling names separated by comma

First Name *

Last Name *

DOB *

Date

Gender *

School Name *

Grade *

Home Street Address *

City *

Zip Code *

State *

Referred By

Any Allergies or other medical conditions that our staff needs to be aware of?

Parents Information

Mother"s Name *

Mom's E-mail *

Mom's Phone *

Mother's Employer *

Father"s Name *

Father's E-mail *

Father's Phone *

Father's Employer *

Emergency Contact & phone

MONTHLY OFFER

June 13th - August 12th (signup for 2 Full Months, save $900/ ~$100 per camp. All camps included. Lunch & extended care with early check-in & late pickup included. Pay in two installments of $1795 per month)

All Camps option for two months. $1795 due today (Bubb Rd Center) All Camps option for two months. $1795 due today (De Anza Center)

Camps Information

June 13th - June 17th

Theater Camp (9:00 AM - 3:00 PM) Full Day $390 (Bubb Rd Center) Nature Explorer Camp I (9:00 AM - 3:00 PM) Full Day $390 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM- 6:30 PM M-F) $120

June 20th - June 24th

Nature Explorer Camp (9:00 AM - 3:00 PM) Full Day $390 (Bubb Rd Center) Theater Camp (9:00 AM - 3:00 PM) Full Day $390 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM- 6:00 PM) $120

June 27th - July 1st

Hip Hop Camp (9:00 AM - 3:00 PM) Full Day $390 (Bubb Rd Center) Young Chef Camp w/ Lunch (9:00 AM - 3:00 PM) Full Day $425 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM- 6:00 PM) $120

July 5th - July 8th

DIY & Crafts Camp (9:00 AM - 3:00 PM) Full Day $325 (Bubb Rd Center) DIY & Crafts Camp (9:00 AM - 3:00 PM) Full Day $325 (De Anza Center) Hot Vegetarian Lunch $28 Extended Care (3:00 PM- 6:00 PM) $96

July 11th - July 15th

Young Chef Camp w/ Lunch (9:00 AM - 3:00 PM) Full Day $425 (Bubb Rd Center) Hip Hop Camp (9:00 AM - 3:00 PM) Full Day $390 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM- 6:00 PM) $120

July 18th - July 22nd

Basketball Camp (9:00 AM - 3:00 PM) Full Day $390 (Bubb Rd Center) STEAM Camp (9:00 AM - 3:00 PM) Full Day $390 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM - 6:00 PM) $120

July 25th - July 29th

STEAM Camp (9:00 AM - 3:00 PM) Full Day $390 (Bubb Rd Center) Basketball Camp (9:00 AM - 3:00 PM) Full Day $390 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM- 6:00 PM) $120

Aug 1st - Aug 5th

Nature Explorer II Camp (9:00 AM - 3:00 PM) Full Day $390 (Bubb Rd Center) Visual Arts Camp (9:00 AM - 3:00 PM) Full Day $390 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM- 6:00 PM) $120

Aug 8th - Aug 12th

Visual Arts Camp (9:00 AM - 3:00 PM) Full Day $390 (Bubb Rd Center) Nature Explorer II Camp (9:00 AM - 3:00 PM) Full Day $390 (De Anza Center) Hot Vegetarian Lunch $35 Extended Care (3:00 PM- 6:00 PM) $120

Payment Information

Final $ *

Date

EB Discount 1 *

EB Discount 2 *

EB Discount 3 *

EB Discount 4 *

EB Discount 5 *

EB Discount 6 *

EB Discount 7 *

EB Discount 8 *

EB Discount 9 *

EC Discount 1 *

EC Discount 2 *

EC Discount 3 *

EC Discount 4 *

EC Discount 5 *

EC Discount 6 *

EC Discount 7 *

EC Discount 8 *

EC Discount 9 *

Early Bird Discount Applied

$20 Off per camp when you register by April 15th, 2021

Total Camp Count

5 or More Camps Discount

$175 Off on lunch or extended care when you signup for 5 or more camps by May 16th, 2021

Sibling Discount

$20 Off sibling discount per camp per enrollment

PROMO Discount

$20 Off FB PROMOTION

Congratulations! You qualify for early bird discount of $10 OFF each camp. The discount will be automatically applied to your total.

Congratulations! You qualify for Sibling discount of $10 OFF each camp. The discount will be automatically applied to your total.

Congratulations! You qualify for 5 or more camp discount of free lunch for 3 weeks or 1 week free extended care. Pl. choose one option from below.

Pick an option to apply 5 or more camp discount

Calculated Total *

HAVE A PROMO CODE?

Payment Total *

USD Leapstart Summer Camps fee

Pay by Debit or Credit Card