LEAPSTART SUMMER CAMPS Enrollment form

2025 LEAPSTART SUMMER CAMPS ENROLLMENT FORM

ACTIVE DISCOUNTS!

Early Bird before March 31st: $20 OFF per camp

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

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

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

EARLY BIRD BEFORE JAN 31ST

EARLY BIRD BEFORE FEB 28TH

EARLY BIRD BEFORE MAR 31ST

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

Cupertino Camp Locations

Bubb Center: 10650 Bubb Rd Cupertino CA 95014

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

Camps Information

June 9th - June 13th

Light & Sound Explorers S.T.E.A.M Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Back to Nature: A Week of Outdoor Fun and Learning (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 $150Extended Care for the week 3:00pm- 6:00pm $225Early Dropoff for the week 8:30am - 9:00am $35

June 16th - June 20th

Flight & Space Adventures S.T.E.A.M Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Light & Sound Explorers S.T.E.A.M Camp (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 $150Extended Care for the week 3:00pm- 6:00pm $225Early Dropoff for the week 8:30am - 9:00am $35

June 23rd - June 27th

Young Earth Scientists S.T.E.A.M Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Flight & Space Adventures S.T.E.A.M 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 $150Extended Care for the week 3:00pm- 6:00pm $225Early Dropoff for the week 8:30am - 9:00am $35

June 30th - July 3rd (4 Days Camp only)

Young Speakers Camp: Improv, Humor & Confidence! (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $480Young Speakers Camp: Improv, Humor & Confidence! (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $480Hot Vegetarian Lunch $28Extended Care for the week 3:00pm- 5:00pm $120Extended Care for the week 3:00pm- 6:00pm $180Early Dropoff for the week 8:30am - 9:00am $28

July 7th - July 11th

Budding Chefs: Cooking & Baking Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $630Stage Spark Theater Camp: Spellbound 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 $150Extended Care for the week 3:00pm- 6:00pm $225Early Dropoff for the week 8:30am - 9:00am $35

July 14th - July 18th

Stage Spark Theater Camp: Spellbound Edition (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Budding Chefs: Cooking & Baking Camp (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 $150Extended Care for the week 3:00pm- 6:00pm $225Early Dropoff for the week 8:30am - 9:00am $35

July 21st - July 25th

Young Engineers S.T.E.A.M Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Young Picassos: Kids' Art Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Young Earth Scientists S.T.E.A.M Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Crafting Magic: Paint, Clay, and 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 $150Extended Care for the week 3:00pm- 6:00pm $225Early Dropoff for the week 8:30am - 9:00am $35

July 28th - Aug 1st

Fun with Motion S.T.E.A.M Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Crafting Magic: Paint, Clay, and Crafts Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Young Engineers S.T.E.A.M Camp (Age 4.5-10) (9:00 AM - 3:00 PM) Full Day (De Anza) $595Rhythm & Groove: Bolly Hip-Hop Mashup 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 $150Extended Care for the week 3:00pm- 6:00pm $225Early Dropoff for the week 8:30am - 9:00am $35

Aug 4th - Aug 8th

Magic of Magnets S.T.E.A.M Camp (9:00 AM - 3:00 PM) Full Day $595 (Bubb Center)Rhythm & Groove: Bolly Hip-Hop Mashup Camp (Age 4.5-11) (9:00 AM - 3:00 PM) Full Day (Bubb) $595Fun with Motion S.T.E.A.M Camp (9:00 AM - 3:00 PM) Full Day $595 (De Anza Center)Young Picassos: Kids' Art Camp (9:00 AM - 3:00 PM) Full Day $595 (De Anza Center)Hot Vegetarian Lunch $35Extended Care (3:00 PM- 5:00 PM) $150Extended Care (3:00 PM- 6:00 PM) $225Early Dropoff for the week 8:30am - 9:00am $35

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 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 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 $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