LEAPSTART SUMMER CAMPS Enrollment form

2026 LEAPSTART SUMMER CAMPS ENROLLMENT FORM

ACTIVE DISCOUNTS!

Take $240 BONUS OFF When you select all 8 camps

Take $140 BONUS OFF when you select 7 camps

Take $50 BONUS OFF when you select 5 or 6 camps

&

Sibling Discount of $20 per camp for each child!

&

Refer New Customers and you both get $20 Off per camp

*Weekly Lunch - Cuisine includes Italian, American, Indian and Chinese.

Student Information

Existing AFTER SCHOOL 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

Location Information

Bubb: 10650 Bubb Rd Cupertino, CA, 95014

De Anza: 10594 S De Anza Rd Cupertino, CA, 95014

Camps Information

Toy Factory S.T.E.A.M Camp: Imagine, Design, & Create Toys (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Outdoor Discovery Camp: Nature & Outdoor Science (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $630Hot Vegetarian Lunch for the week $35Extended Care for the week 3:00pm- 5:00pm $175Extended Care for the week 3:00pm- 6:00pm $250Early Dropoff for the week 8:30am - 9:00am $50

Outdoor Discovery Camp: Nature & Outdoor Science (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $630Toy Factory S.T.E.A.M Camp: Imagine, Design, & Create Toys (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch for the week $35Extended Care for the week 3:00pm- 5:00pm $175Extended Care for the week 3:00pm- 6:00pm $250Early Dropoff for the week 8:30am - 9:00am $50

Young Speaker's Improv Camp: Humor, Confidence & Expression in speech! (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $525Young Speaker's Improv Camp: Humor, Confidence & Expression in speech! ( (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $525Hot Vegetarian Lunch $28Extended Care for the week 3:00pm- 5:00pm $150Extended Care for the week 3:00pm- 6:00pm $220Early Dropoff for the week 8:30am - 9:00am $35

Animal Kingdom Theater Camp: Zootopia Edition (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Bright Mind Engineers S.T.E.A.M Camp: Mechanics, Machines & Movement (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Creative Hands Crafts Studio: Clay, Paint, Design & Crafts Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $175Extended Care for the week 3:00pm- 6:00pm $250Early Dropoff for the week 8:30am - 9:00am $50

Young Culinary Masters Camp: Cooking, Baking & Food Science (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $630Young Earth Scientists Workshop S.T.E.A.M Camp: Earth, Water & Weather Science (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Artistic Expression Arts Studio: Color, Texture, Painting & Drawing (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $630Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $175Extended Care for the week 3:00pm- 6:00pm $250Early Dropoff for the week 8:30am - 9:00am $50

Young Earth Scientists Workshop S.T.E.A.M Camp: Earth, Water & Weather Science (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Artistic Expression Arts Studio: Color, Texture, Painting & Drawing (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $630Young Culinary Masters Camp: Cooking, Baking & Food Science (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $630Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $175Extended Care for the week 3:00pm- 6:00pm $250Early Dropoff for the week 8:30am - 9:00am $50

Bright Minds Engineers S.T.E.A.M Camp: Mechanics, Machines & Movement (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Creative Hands Crafts Studio: Clay, Paint, Design & Crafts Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Light & Sound Workshop S.T.E.A.M Camp: Fun with Waves, Illusions, & Optics Science! Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Rhythm Fusion Dance Camp: Hip Hop, Bollywood & Groove (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $175Extended Care for the week 3:00pm- 6:00pm $250Early Dropoff for the week 8:30am - 9:00am $50

Light & Sound Workshop S.T.E.A.M Camp: Fun with Waves, Illusions, & Optics Science! Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Rhythm Fusion Dance Camp: Hip Hop, Bollywood & Groove (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Animal Kingdom Theater Camp: Zootopia Edition (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Hot Vegetarian Lunch $35Extended Care for the week 3:00pm- 5:00pm $175Extended Care for the week 3:00pm- 6:00pm $250Early Dropoff for the week 8:30am - 9:00am $50

Magic of Magnets S.T.E.A.M Camp (9:00 AM - 3:00 PM) Full Day $595 (Bubb Center)Beat Builders: Hip-Hop, Rhythm & MovementExtended Care (3:00 PM- 5:00 PM) $150Extended Care (3:00 PM- 6:00 PM) $225Early Dropoff for the week 8:30am - 9:00am $35De Anza Camps are full. Pl. Choose camps at Cupertino Bubb Center near Stevens Creek 85 Exit.

Payment Information

Referred By

Final $*

Transaction Date

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

Total Camp Count

Multiple Camps Discount

Holi Discount

Sibling Discount

$20 Off sibling discount per camp per enrollment

PROMO Discount

Congratulations! You qualify for PROMO discount ON YOUR TOTAL. The discount will be automatically applied to your total.

Congratulations! Early Bird Discounts are back for you! You qualify for special HOLI DISCOUNT of $40 PER CAMP. This can be combined with other discounts.

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 Early Bird discount. 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 $30 per camp for a total of $90! The discount is automatically applied to your total.

Congratulations! You qualify for 5 camps BONUS discount of $50! The discount is automatically applied to your total.

Congratulations! You qualify for 7 camps BONUS discount of $140! The discount is automatically applied to your total.

Congratulations! You qualify for 8 camps BONUS discount of $240! The discount is automatically applied to your total.

Congratulations! You qualify for our biggest discount of FREE EXTENDED CARE AND FREE LUNCH! The extended care and lunch need not be added to your order.

Pick an option to apply 5 or more camp discount

Calculated Total*

Sum Total of all camps without discount*

HAVE A PROMO CODE?

Payment Total*

USDLeapstart Summer Camps fee

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay