Summer Camp Registration Form

Camper Name*

First NameLast Name

Grade and School

Age*

Preferred location*

La Jolla, San Diego - 614 Prospect St.San Diego - Balboa Park - 2225 6th AveSan Diego - Bankers Hill/Uptown -211 Maple St

Level of Experience with Foreign Language*

Language of Choice*

SpanishMandarinESL/ESS

Please describe the areas of support that needed for language learning in the target language of choice*

Spanish, Mandarin or ESL & How we can best support your camper.

Parent/Guardian Information

Name*

First NameLast Name

Mobile Number*

E-mail*

example@example.com

Emergency Contact's Name*

First NameLast Name

Emergency Information

Relationship*

Phone Number*

Authorized Person to Pick-Up

Name*

First NameLast Name

Name*

First NameLast Name

Phone Number

Special Instructions? (IEP's, Special Needs, allergies ETC.)*

How did you hear about us?*

Photo/Video Release?*

YesNo

Informed Consent and Acknowledgement

I hereby release Bilingual Kids from any and all liability arising out of my child’s participation in this program. I assume all risks associated with this activity. In case of illness, I authorize a representative of Bilingual Kids to obtain immediate care deemed necessary by licensed medical personnel. I have read and fully understand these terms and I sign it voluntarily.

I AGREE

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Date*

Date

Signature*

My Products*

Full Day Camp - Session | Wacky Science

June 8th - June 12th | Wacky Science | 9:00AM - 4:00PM

$575.00

Full Day Camp | Zoofari Adventure

June 15 - June 18th | Zoofari Adventure | 9:00AM - 4:00PM *Prorated Cost due to Holiday

$460.00

Full Day Camp | Reuse, Repurpose, & Recreate

June 22nd - June 26 | Reuse, Repurpose & Recreate | 9:00AM - 4:00PM

$575.00

Full Day Camp |1, 2, 3, BLAST OFF!!

June 29th - July 3th | 1, 2, 3 BLAST OFF!! | 9:00AM - 4:00PM

$575.00

Full Day Camp | Nature and its Magical Wonders

July 6th - 10th | Nature and its Magical Wonders | 9:00AM - 4:00PM

$575.00

Full Day Camp | Art Attack

July 13th - July 17th | Art Attack | 9:00AM - 4:00PM

$575.00

Full Day Camp | Mega Monster Madness

July 20th - July 24th | Mega Monster Madness | 9:00AM - 4:00PM

$575.00

Half Day Camp - Morning Session | Wacky Science

June 8th - June 12th | Wacky Science | 9:00AM - 1:00PM

$350.00

Half Day Camp - Morning Session | Zoofari Adventure

June 15th - June 18th | Zoofari Adventure | 9:00AM - 1:00PM

$280.00

Half Day Camp - Morning Session | Reuse, Repurpose, & Recreate

June 22 - June 26 | Reuse, Repurpose, & Recreate | 9:00AM - 1:00PM

$350.00

Half Day Camp - Morning Session | 1, 2, 3, BLAST OFF!!

June 29 - July 3 | 1, 2, 3, BLAST OFF!! | 9:00AM - 1:00PM

$350.00

Half Day Camp - Morning Session | Nature and its Magical Wonders

July 6 - July 10| Nature and its Magical Wonders | 9:00AM - 1:00PM

$350.00

Half Day Camp - Morning Session | Art Attack

July 13- July 17 | Art Attack | 9:00AM - 1:00PM

$350.00

Half Day Camp - Morning Session | Mega Monster Madness

July 20th - July 24th | Monster Madness | 9:00AM - 1:00PM

$350.00

Half Day Camp - Afternoon Session | Wacky Science

June 8th - June 12th | Wacky Science | Wacky Science | 12:00PM - 4:00PM

$350.00

Half Day Camp - Afternoon Session | Zoofari Adventure

June 15th - June 18th | Zoofari Adventure | 12:00PM - 4:00PM

$280.00

Half Day Camp - Afternoon Session | Reuse, Repurpose & Recreate

June 22nd - June 26th | Reuse, Repurpose, Reacreate | 12:00PM - 4:00PM

$350.00

Half Day Camp - Afternoon Session | 1, 2, 3, BLAST OFF!!

June 29th - July 3rd | 1, 2, 3, BLAST OFF!! | 12:00PM - 4:00PM

$350.00

Half Day Camp - Afternoon Session | Nature and its Magical Wonders

July 6th - July 10th | Nature and its Magical Wonders | 12:00PM - 4:00PM

$350.00

Half Day Camp - Afternoon Session | Art Attack

July 13th - July 17th | Art Attack | 12:00PM - 4:00PM

$350.00

Half Day Camp - Afternoon Session | Mega Monster Madness

July 20th - July 24th | Monster Madness | 12PM - 4:00PM

$350.00

Single Day or Drop in Option | June 8 - Wacky Science

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 9 - Wacky Science

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 10 - Wacky Science

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 11 - Wacky Science

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 12 - Wacky Science

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 15 - Zoofari Adventure

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 16 - Zoofari Adventure

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 17 - Zoofari Adventure

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 18 - Zoofari Adventure

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 22 - Reuse, Repurpose, & Recreate

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 23 - Reuse, Repurpose, & Recreate

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 24 - Reuse, Repurpose, & Recreate

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 25 - Reuse, Repurpose, & Recreate

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 26 - Reuse, Repurpose, & Recreate

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 29 - 1, 2, 3, BLAST OFF!!

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | June 30 - 1, 2, 3, BLAST OFF!!

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 1 - 1, 2, 3, BLAST OFF!!

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 2 - 1, 2, 3, BLAST OFF!!

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 3 - 1, 2, 3, BLAST OFF!!

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 6 - Nature and its Magical Wonders

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 7 - Nature and its Magical Wonders

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 8 - Nature and its Magical Wonders

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 9 - Nature and its Magical Wonders

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 10 - Nature and its Magical Wonders

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 13 - Art Attack

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 14 - Art Attack

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 15 - Art Attack

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 16 - Art Attack

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 17 - Art Attack

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 20 - Mega Monster Madness

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 21 - Mega Monster Madness

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 22 - Mega Monster Madness

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 23 - Mega Monster Madness

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Day or Drop in Option | July 24 - Mega Monster Madness

Single Day or Drop In option is strictly FULL DAY schedule from 9:00AM to 4:00PM.

$150.00

Single Half Day or Drop in option - Morning Session | June 8 - Wacky Science