STEM & Leadership Summer Camp Registration Form

CFLA STEM & Leadership Summer Camp Form

Register for CFLA'S 2024 STEM & Leadership Camp. Camp hours are 8:00am-2:00pm, Monday-Thursday, from June 3rd through June 27th. There is no camp on Friday. Lunch is provided for all campers. The camp is open to students entering Grades 6-9. Participants do not need to be enrolled in Central Florida Leadership Academy.
Camper Information

Please fill out the following information on behalf of your camper/child.
Camp Participant's (Child's) Name

First NameLast Name
Your Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
Date
Does the participant have any known allergies?
Does the student have any medical condition or medical history that the Counselors should be aware of prior to outdoor/physical activity? If so, please identify and describe.

Parental/Guardian Information
Name

First NameLast Name
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relation to Camper
Emergency Contact

Please list one other person that can serve as an emergency contact.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number

Camp Schedule Selection

Please indicate how many weeks of the camp your student is registering for.
CFLA's STEM & Leadership Camp is a 4-week program for students entering grades 6-9. During the camp, students will engage in a variety of STEM-related activities, including coding practice, building challenges and collaborative science projects.

Families may sign on for the entire camp or for their child to participate in select weeks as their schedule allows. The camp includes lunch for all participants.

Families may either pay in full ahead of time or on a week-to-week basis. Participation in any part of each week's camp is contingent on payment being recieved by CFLA prior to the start of that week; a camper will not be permitted to participate if their family has not paid for the week.

Payment can be made either through PayPal, or in person with check or cash. Payment must be recieved prior to student participation.

Families may also opt-in for the additional After Care Program which runs from 2PM-5PM.

Online Payment/Paypal Link

Rates
- STEM & Leadership Camp Weekly Rate - $120.00
- After Care (2PM-5PM) Weekly Rate - $30.00
- Prepaid for Full Camp - $460.00
- Prepaid for Full Camp & After Care - $575.00

STEM & Leadership Camp Registration (Select Weeks 1- 4)

	Select the Weeks the Student is Registering For
Prepaid Full Camp ($460.00)
Prepaid Full Camp & After Care ($575.00)
June 3-6 ($120.00)
June 10-13 ($120.00)
June 20-23 ($120.00)
June 24-27 ($120.00)
After Care for Selected Weeks ($30.00/wk)

CFLA STEM & Leadership Summer Camp Form