Bionic SUMMER Camp 2026

1. Child First and Last Name

First NameLast Name

D.O.B.

Age

Current School

2. Child First and Last Name

First NameLast Name

D.O.B.

Age

Current School

3. Child First and Last Name

Child First NameChild Last Name

D.O.B.

Age

Current School

Cell Phone

Format: (000) 000-0000.

Name

Primary Parent First NamePrimary Parent Last Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

State

Name

Secondary Parent First NameSecondary Parent Last Name

Work

Address

Cell Phone

Format: (000) 000-0000.

Driver License#

Expiration Date

Date

State

Email

example@example.com

Signature

REGISTRATION POLICY:

At registration, there will be a FEE per child non-refundable. Parents and any adult that enters our facility are expected to conduct themselves in an orderly fashion; any violation to this can result in immediate removal from the program. Refunds will not be given due to removal or for the reason of not attending the program.

INITIAL

PERSONAL BELONGINGS

Bionic Camp, and their employees, are not accountable for children's personal belongings, including electronics.

DISMISSAL/SIGN OUT PROCEDURES

Students may be signed out of the program to leave for the day only by those persons indicated on the registration form as having authorization to do so and produce a photo ID for verification. Children may not sign themselves out and walk/ride their bikes home. The person signing a child out must sign legibly and note the time on the sign out log. Parents/guardians must sign out their child and directly supervise their exit from the facility. If parents arrive between the hours of 4:00-5:00 they will have the opportunity to drive through the designated area outside to pick up their child. Every effort will be made by the staff to make the pick-up process timely. Please stay in the sign out desk area; parents or guardians are not allowed to go beyond this point.

INITIAL

DISMISSAL/SIGN OUT PROCEDURES

Students may be signed out of the program to leave for the day only by those persons indicated on the registration form as having authorization to do so and produce a photo ID for verification. Children may not sign themselves out and walk/ride their bikes home. The person signing a child out must sign legibly and note the time on the sign out log. Parents/guardians must sign out their child and directly supervise their exit from the facility. If parents arrive between the hours of 4:00-5:00 they will have the opportunity to drive through the designated area outside to pick up their child. Every effort will be made by the staff to make the pick-up process timely. Please stay in the sign out desk area; parents or guardians are not allowed to go beyond this point.

INITIALS

LATE PICK-UP POLICY

Our summer camp closes at 5:00 p.m. There will be a $1 per minute late charge. All Fees are due at the time of pick-up. If the parent is not at the campsite by 5:00, you will receive a call from a Bionic employer. If there is no response from the parent after 20 minutes of closing, a staff member from BIONIC Camp will be forced to contact the proper authorities.

INITIALS

COLLECTION:

In the event that there is a breach of the contract, the responsible party whose name is signed below, agrees to reimburse us the fees of any collection agency, which may be based on a percentage at a maximum of 33% of the debt, and all costs, and expenses, including reasonable attorneys' fees, we incur in such collection efforts.

INITIALS

I agree to abide by all the rules of the program as detailed in this registration form.

I have read the above terms and agree to the condition. FOR YOUR CHILD'S SAFETY, HE OR SHE WILL ONLY BE RELEASED TO A PARENT OR OTHER PERSONS LISTED ON THIS PICK UP FORM. NO EXCEPTIONS WILLBE MADE! Anyone removing a child from the program will be asked to show I.D. such as a Florida driver's license.

Permanent changes or additions to the list must be made in person and only by the registering parents. You may add as many names as you wish to this form.

Authorize Pick Up List Name

RELATIONSHIP

PHONE

Format: (000) 000-0000.

NAME

RELATIONSHIP

PHONE

Format: (000) 000-0000.

NAME

RELATIONSHIP

PHONE

Format: (000) 000-0000.

NAME

RELATIONSHIP

PHONE

Format: (000) 000-0000.

PARENT/GUARDIAN PRINT

PARENT/GUARDIAN SIGN

DATE

Date

NOTE: PLEASE PICK A PASSWORD YOU WILL REMEMBER TO BE USED FOR THE PURPOSE

OF PHONE IDENTIFICATION (DO NOT GIVE OUT YOUR PASSWORD, IT IS NOT

CONSIDERED A FORM OF I.D. OR FOR THE PURPOSE OF PICK UP. IT IS STRICTLY FOR ALL

STAFF TO IDENTIFY A CHILD'S PARENT ON THE PHONE

DATE

Date

PW

In consideration of my minor child / children being allowed to participate in the BIONIC CAMP INC program related to events activities, clinics, field trips, practices, competitions and classes the undersigned acknowledges appreciates and agrees that: I understand by taking part in this or any sports program, there is a possibility of injury or sickness to my daughter/son. Therefore, with this knowledge I give permission for my child to participate fully in all the programs at B.I.O.N.I.C Summer Camp INC, and due hereby grant authorization of treatment to my child should he/she become injured or ill. I for myself, my spouse, my child, agree to hold harmless B.I.O.N.I.C Summer Camp INC, respective directors, employees, agents, contractors, subsidiaries, affiliates, and parent companies for any injury occurred as a result of my child's participation in the BIONIC Summer Camp INC. programs, even if it is shown that they are negligent. For myself, spouse and my child I knowingly and freely assume all risk both known and unknown, even if arising from negligence or the releases or others, and assume full responsibility for my child's participation. I willingly agree to comply with the programs stated and customary terms and conditions for participation. If I observe any unusual significant concerns in my child's readiness for participation and I or in the program itself I will remove my child from participation and bring such to the attention of the director immediately.

Media Release Form

I give B.I.O.N.I.C Summer Camp INC. the right to film, photograph, or videotape my child for any productions associated or in any way connected with television, Social Media or film event in particular reproduction for use in any form of advertisement for B.I.O.N.I.C Summer Camp Inc. promotional purpose.

Check Yes if you want your child to participate , and No if you want your child to opt out of taking pictures at the BIONIC SUMMER CAMP.

Check yes or no

Child's Name

Parent Signature

TRANSPORTATION

I ALSO GIVE PERMISSION FOR MY CHILD TO BE TRANSPORTED IN B.I.O.N.I.C INC OWNED, RENTED, AND OR CONTRACTED VEHICLE.

I have read this release of liability and assumption of risk agreement, and fully understand its terms and understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without an inducement.

PARENT/GUARDIAN PRINT

PARENT/GUARDIAN SIGN

DATE

Date

REFUND POLICY:

Registration fees and tuition fees, will not be refunded and or credited. All fees are based upon the total camp cost of the program. The weekly fee is a breakdown of cost to facilitate parent payment. It is understood that the full tuition will be charged weekly and no credits and or refunds will be given if my child is not in attendance, regardless of severe weather conditions (hurricanes), vacations and or illness. There are no exceptions to this policy. No credits or refunds will be given for registration fees & tuition for days absent.

ATTENDANCE/ SIGN IN PROCEDURES

Attendance is taken daily and recorded in the attendance sheets by BIONIC Camp staff. These procedures are in place to ensure the campers' safety. All campers must be signed in by 9am daily. No Camper will be accepted after 9:00 a.m. unless management is notified.

Dress Code

Campers are required to wear their camp shirts EVERYDAY. Campers will not be permitted to stay without a camp shirt. Closed toe shoes must be worn daily.

INITIALS

SIGNATURE OF PARENT/GUARDIAN,

NAME

RELATIONSHIP

PHONE

Format: (000) 000-0000.

Date

Work

Signature

Camp Starts June 15th- July 24th

After you register every parent will receive an invitation to Open House.

Bionic Summer Camp is closed during Federal Holidays.

June 19, 2026 - Juneteenth

July 3, 2026 - Observance of Independence Day

Early Bird Registration

* Registration Fee: $50
* Camp Fee: $165
* Registration Period: March 1, 2026 – April 16th, 2026
* Every camper will receive one t-shirt upon registration.

Note: There are no sibling discounts for the Early Bird Special.

Standard Registration
* Starts: April 16, 2026 until all spots are filled
* Registration Fee: $50
* Camp Fee (First Week): $175 The first payment is due upon registering. All payments are required by Friday preceding the next camp day. Failure to submit payment may result in loss of placement for the upoming session.
* Every camper will receive a t-shirt upon registration, which will be distributed during open house.

Note for Parents:
The registration fee is $50 per child.

The camp fee is:

$170 for the second child (sibling discount)

$165 for the third child.

All payments are required by Friday preceding the next camp day. Failure to submit payment may result in loss of placement for the upcoming session.

If you prefer making your payments via Zelle or Cash app the information is below. Please notify us that you will make a payment using Zelle or Cash app. Your notes will include child's full name. Also you can make a payment over phone by calling the number below.

Zelle Information: (954) 931-6265

Cash app: $BIONICSummerCamp

Weeks camper will attend

How did you hear about Bionic Summer Camp?

Child 1: One t-shirt free with registration

Child 2: One t-shirt free with registration.

Child 3: One t-shirt free with registration.

Child 4: One t-shirt free with registration

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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SUMMER 2026