Camp Flix Registration Form

Camp Flix Registration

Use this form to sign up for 2025 Camp Flix Summer Camps at Emory University. One form per camper; those with multiple campers will need to fill out multiple forms.
Guardian Information*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Campers Name*

First NameLast Name
Gender*
Pronouns Attendee is referred to with:*
Birth Date*

MonthDayYear
School Grade Attending in Fall 2025*
School Name*
Previous Years Attending Camps Flix (This is my...)*
Favorite Type of Movie *
I am attending camp with (List Friend's Name)
T-Shirt Size*
How did you hear about Camp Flix*
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
TERMS OF SERVICE: I understand that Camp Flix is a substance free organization. All campers and staff members will refrain from any foul language, reckless behavior, cigarette smoking or other tobacco use, alcohol consumption, or the taking of any illegal drugs, while participating in any Camp Flix activity and while on the Camp Flix premises. Theft and vandalism of Camp Flix property or the property of others is prohibited. Any violation of these rules and policies will result in immediate dismissal from Camp Flix. No refunds of any kind will be issued.*

I AGREEI DO NOT AGREE
PERMISSION: I give Camp Flix permission to use my child’s likeness or image, if it is captured.*

I AGREEI DO NOT AGREE
ELIGIBILITY: At Camp Flix, we strive to be as inclusive and accommodating as possible in order to ensure that your child has the most positive experience at camp. To assess whether or not we can fully support your child’s success, please let us know if your child requires any special accommodations for mobility issues, cognitive abilities, etc., so we can determine our staff's capacity to support your child’s participation in all camp activities. Otherwise, please select Not Applicable.*

My child potentially requires special accommodations, and I will provide additional information in the textbox below.NOT APPLICABLE
Is there anything else we should know about your Camper?
TERMS OF AGREEMENT

You may pay by credit card (AmEx, MasterCard, Visa, or Discover). Full payment is due to reserve space. You may change sessions up until 14 days before your scheduled session and may cancel up to 4 weeks before session start date without penalty. If you cancel within three weeks of your first session date you will be refunded 75% of payment or receive credit for a future session. If cancellation is made two weeks prior to camp, 50% of payment will be refunded. No refund is given for cancellations made one week prior to first session date. Curriculum and camp schedules are subject to change.

By submitting this application, I authorize that the previously entered information is correct and wish to enroll my child in one of the Summer 2025 Camp Flix sessions in Atlanta, GA. I have read and understand the program offerings, tuition, options, conduct, and cancellation policies of Camp Flix and agree to all of the aforementioned terms.
Name

First NameLast Name

My Products*

Session 1: June 8th-13th (Overnight) - Emory University

$1,595.00 Quantity
Item subtotal:$0.00

Session 1: June 9th-13th Day Camp at Emory University (includes lunch)

$895.00 Quantity
Item subtotal:$0.00

Session 2: June 15th-20th Overnight Camp at Emory University

$1,595.00 Quantity
Item subtotal:$0.00

Session 2: June 16th-20th Day Camp at Emory University (Includes Lunch)

$895.00 Quantity
Item subtotal:$0.00

June 16th-20th: CAMP FLIX JR. (Ages 7-10) at Emory University

$595.00 Quantity
Item subtotal:$0.00

Session 3: July 13th-18th Overnight Camp at Emory University

$1,595.00 Quantity
Item subtotal:$0.00

Session 3: July 14th-18th Day Camp at Emory University (Includes Lunch)

$895.00 Quantity
Item subtotal:$0.00

June 8th-20th: Camp Flix X-Treme (returning high school campers only)

$2,750.00 Quantity

July 14th-July 18th: Camp Flix JR (Ages 7-10) at Emory University

$595.00 Quantity
Item subtotal:$0.00

Enter coupon

Total

$0.00

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Pay with Credit Card

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Camp Flix Registration

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