2026 Summer Camp

Registering for
Student Name*

First NameLast Name
Student's Date of Birth*

MonthDayYear
Date of Birth
Grade (Year 2025-2026)*
School*
School District*
Allergies*
To make it easier for us to understand and accommodate your child(ren)'s needs, please add any additional Educational Information about your child below (i.e. ADHD, Dyslexia, etc.) We would like to ensure the safety and value of your child(ren)'s enjoyment at our Camps as much as possible. (Note: You may put "N/A", if applicable)*
2 - Student Name*

First NameLast Name
2 - Grade*
2 - School*
2 - School District*
Mother Name*

First NameLast Name
Mother Email*
example@example.com
Mother Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Father Name*

First NameLast Name
Father Email*
example@example.com
Father Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mother (as mentioned above)Father (as mentioned above)Other
Relation to the child*
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mandatory Pickup/ Drop-Off Policies and Procedures*
PAYMENT

Minimum 4 Weeks Required
Full Day: 9:00 am - 3:00 pmHalf Day: 9:00 am - 12:00 pmHalf Day: 12:00 pm - 3:00 pmEarly Care: 7:00 am - 9:00 amAftercare: 3:00 pm - 6:00 pm

Select your preferred weeks (Minimum 4 weeks) *

May

May 26 - May 29

May 25 Closed (Prorated Week)

$200.00 Timings

June

June 01 - June 05

$249.00 Timings

June 08 - June 12

$249.00 Timings

June 15 - June 18

June 19 Closed - Juneteenth (Prorated week)

$200.00 Timings

June 22 - June 26

$249.00 Timings

June 29 - July 3

$249.00 Timings

July

July 6 - July 10

$249.00 Timings

July 13 - July 17

$249.00 Timings

July 20 - July 24

$249.00 Timings

July 27 - July 31

$249.00 Timings

August

Aug 3 - Aug 7

$249.00 Timings

Extended Care

Early care per week

7:00 am - 9:00 am

$60.00 Number of weeks as selected above

After care per week

3:00 pm - 6:00 pm

$60.00 Number of weeks as selected above

Enter coupon

Total

$0.00

Week 1: May 27 - May 30(May 26 Closed)Week 2: June 2- June 5(June 6th Closed)Week 3: June 10- June 14Week 4: June 16 - June 20(June 17 closed)Week 5: June 23 - June 27Week 6: June 30 - July 5(July 4 Closed)Week 7: July 7 - July 11Week 8: July 14- July 18Week 9: July 21 - July 25Week 10: July 28 - August 1Week 11: Aug 4 - Aug 8
MondayTuesdayWednesdayThursdayFriday
Enrollment & Payment Agreement
Please Read Carefully & Sign Below:*
By signing below, i agree to the above Enrollment Agreement.*

Clear
Date of Consent*

MonthDayYear
Date
How did you hear about our summer camp?*
Should be Empty:

PAYMENT