HSH Summer Camp 2023

To confirm your child's participation, complete this registration form and we will reach out to you upon submission to select weekly program choices, arrange payment and share parent information!

We look forward to having your child attend Summer Daze Day Camp this Summer at HSH! Please do a separate registration for each child.
Child Name*

First NameLast Name
Age*
Name of School
T-Shirt Size*
Does your child attend HSH, if so what grade are they currently in?*
PARENT/GUARDIAN INFORMATION:
1st Parent/Guardian Name*

First NameLast Name
Phone Number
Email*
example@example.com
2nd Parent/Guardian Name (optional)

First NameLast Name
Phone Number
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I would like to sign up for week(s):*

	Full Week	3x Week	Daily	Field Trip Day Only
1: June 20-June 23*
2: June 26-June 30
3: July 3-July 7*
4: July 10-July 14
5: July 17-July 21
6: July 24-July 28
7: July 31-August 4

Once your form is submitted, we will contact you to confirm selected weeks, ask you to select weekly specialty program (each program has a minimum of 6/maximum of 15). If your first choice is full on a certain week, we will ask for a second choice.

There is a $20 registration fee and a $15 t-shirt which must be worn on field trips days. If your child will not be attending the field trips, the registration fee will be $20.

We offer extended care. If you are interested in care between 8:30-9:00 am or 4:00-4:30 pm for an additional fee of $45/week or $10/day please let us know when we confirm registration. You can always do extended care on a daily or weekly basis when camp begins.

Please allow 24 hours after completing this form to hear from us.

We will invoice you and payment is due within 5 days to confirm your child's registration.

If you have any question, please contact us:

camp@losangelesswim.com or 818.900.3319 call/text
In case of an emergency please contact if neither parent/guardian can be reached*

First NameLast Name
Emergency Phone Number*
Please list any adults authorized to pick up your child in your absence
Is your child water safe and able to swim on their own without assistance?*
If not, please inquire about lessons info@losangelesswim.com
Does your child have any allergies (food, medication, etc)?*
Does your child have any physical limitations, conditions of hearing, vision, etc?*
Any other information you'd like us to know about your child?
Discount Code (if applicable)
REGISTRATION POLICY
(MUST BE SIGNED TO CONFIRM REGISTRATION)

Refunds/Cancellations: 50% refund will be given if withdrawing from camp prior to June 1st. NO refunds will be given after June 1st

Missed Days: If your child is going to miss a scheduled day of camp, it is your responsibility to notify the Camp Director. If space permits, a makeup day can be arranged but is not guarenteed.

I hereby affirm I fully understand and accept the terms of registration and the refund/cancellation policy. I give my consent for my child to participate in Summer Daze Day Camp at Hollywood Schoolhouse.
Signature

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To confirm your child's participation, complete this registration form and we will reach out to you upon submission to select weekly program choices, arrange payment and share parent information!

PARENT/GUARDIAN INFORMATION: