LEAPSTART SUMMER CAMPS 2021 Enrollment form

LEAPSTART SUMMER CAMPS 2024 ENROLLMENT FORM

Camp Pricing

ACTIVE DISCOUNTS WHEN YOU ENROLL IN MULTIPLE CAMPS!!!!

Two (2) Camps Discount: SAVE $40 Off; $20 OFF per Camp; $575 per camp*

Three (3) Camps Discount: SAVE $150 Off; $50 OFF per camp; $545 per camp*

Four (4) Camps Discount: SAVE $280; $70 OFF per Camp; $525 per camp*

Additional Sibling Discount of $20 per camp for 2nd child onwards.

Double sided Referral discount is paid out in cash at $20 per camp both sides.

Student Information

Existing Student at Leapstart?*

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

If you are referred by an existing customer of Leapstart, pl. mention their name here.

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

Parent Information

Mother"s Name*

Mother's E-mail*

Mother's Phone*

Mother's Employer*

Father"s Name*

Father's E-mail*

Father's Phone*

Father's Employer*

Emergency Contact & phone

Camp Locations

Bubb Center: 10650 Bubb Rd Cupertino CA 95014

De Anza Center: 10594 S De Anza Blvd Cupertino CA 95014

Camps Information

June 17th - June 21st

Toy Factory S.T.E.A.M Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $595 ****Five-Spots-Left*******Outdoor Explorer (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $595 ****Three-Spots-Left*******Hot Vegetarian Lunch for the week $35Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $225

June 24th - June 28th

Outdoor Explorer (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Space Odyssey S.T.E.A.M Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $595 ****One-Spot-Left*******Hot Vegetarian Lunch for the week $35Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $225

July 1st - July 3rd (3 Days Camp only)

Improv Masters Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $360Arts & Crafts Workshop Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $360Hot Vegetarian Lunch $21Extended Care for the week 3:00pm- 5:00pm $90Extended Care for the week 3:00pm- 6:00pm $135

July 8th - July 12th

Culinary Ninja! Cooking Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $630 [Lunch Included]Stage Spark! Theater Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $225

July 15th - July 19th

Stage Spark! Theater Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Culinary Ninja! Cooking Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $630 [Lunch Included] *****************CAMP IS FULL. DO NOT SELECT*********************Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $225

July 22nd - July 26th

Space Odyssey S.T.E.A.M Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Bolly-Hop Beats Dance Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $225

July 29th - Aug 2nd

Little Da Vincis Art Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Toy Factory S.T.E.A.M Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Young Content Creator's Camp (Age 7-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $225

Aug 5th - Aug 9th

Bolly-Hop Beats Dance Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Little Da Vincis Art Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Magic of Magnets S.T.E.A.M Camp (Age 7-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $225

Aug 14th - Aug 15th

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 $35Extended Care (3:00 PM- 6:00 PM) $120

Payment Information

Referred By

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

Multiple Camps Discount

Sibling Discount

$20 Off sibling discount per camp per enrollment

PROMO Discount

Congratulations! You qualify for PROMO discount of $50 EXTRA OFF ON YOUR TOTAL. The discount will be automatically applied to your total.

Congratulations! You qualify for Sibling discount of $20 OFF each camp. The discount is automatically applied to your total.

Congratulations! You qualify for 2 camps discount of $20 per camp for a total of $40! The discount is automatically applied to your total.

Congratulations! You qualify for 3 camps discount of $50 per camp for a total of $150! The discount is automatically applied to your total.

Congratulations! You qualify for 4 camps discount of $70 per camp for a total of $280! The discount is automatically applied to your total.

Congratulations! You qualify for 5 camps discount of $100 per camp for a total of $500! The discount is automatically applied to your total.

Congratulations! You qualify for 7-8 camps discount of $145 per camp for a total of $1015! The discount is automatically applied to your total.

Pick an option to apply 5 or more camp discount

Calculated Total*

HAVE A PROMO CODE?

Payment Total*

USDLeapstart Summer Camps fee

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay