2023 Summer Stars Summer Camp

2023 Summer Camp Registration
Registration for Unique Stars' Summer Stars Summer Camp 2023 is NOW OPEN! Please read and complete this registration form to its entirety. PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD.
Parent/Guardian Information
Parent/Guardian's Name*

First NameLast Name
Email*
example@example.com
Cell Number*

Area CodePhone Number
Emergency Contact (Name, Number, & Relationship to Athlete)*
Camper's Information
Camper's Name*

First NameLast Name
Gender*
Age*
Date of Birth*

MonthDayYear
Date
Please name any siblings that will also be attending camp.
Please list any food allergies your camper has (i.e. no strawberries, no pork)
Please list any medical conditions/allergies your camper has (i.e. asthma, diabetes, pollen)
Note: any medication that has to be take during camp must be documented with a medication form completed.
Camper's T-Shirt Size*
Who is authorized to pick your camper(s) up from camp? (note: anyone not on the authorized pick list will NOT be able to pick your camper up without communication from the primary guardian first)*
Camp Information
Registration Fee: $35/camper

Weekly Tuition: $150/week (15% off Sibling Discount)

Tuition includes weekly field trip prices and daily morning/afternoon snacks. Campers must provide lunch daily (items that do not have to be heated).

Camp Hours: 8am-4pm (Post camp available from 4-5pm for an additional $15 a week or $5 a day

Late Pick Up Fee: $1/minute beyond scheduled pickup time.
Which week(s) will your camper be attending camp?
Will your camper need Post Camp? (4-5PM)
Release of Liability

I do hereby grant permission for my daughter/son, whose name is and hereinafter shall be referred to as “participant”, to participate in Unique Stars Performing Arts, LLC programs. In order that participants may receive the necessary medical treatment in the event of injury of illness, I hereby hold the owner and its representative(s) harmless in the exercise of this authority. I understand that Unique Stars and all affiliates with Unique Stars training programs are released from any responsibility of any injuries or accidents caused as a result of participating in Cheerleading, Gymnastics, Aerobics, Tumbling, Dance, or any other Unique Stars' Activities or Events. I further understand that Unique Stars Performing Arts, LLC and all affiliates of the Unique Stars programs and the facility are not responsible for any lost, stolen or damaged property or other mishaps, which may occur on or off the premises during the time of the program. I hereby release and forever discharge Cobb, Fulton, & Douglas Counties, Unique Stars Performing Arts, LLC and their respective officials, officer, employees, sponsors, organizers, supervisors, volunteers, participants and agents, from any and all claims, actions or causes of action of whatever kind of nature, including claims for property damage, bodily injury or death, arising out of, or sustained as a result of my/our/his/her participation in the Program(s) and all activities incidental to the program.
I have read and agree to the Unique Stars' Release of Liability above.*

Yes
Today's Date*

MonthDayYear
Date
Signature*

Clear
Media Release
I hereby give Unique Stars Performing Arts permission to take photos/videos for the use of social media and advertisement.*

YesNo

2023 Summer Camp Registration

Parent/Guardian Information

Camper's Information

Camp Information

Release of Liability

Media Release

Credit Card