Quest for the Heroic Heart

Monday - Friday, Aug 4th - 8th, 9am - 3:00pm

Sunday, Aug 10th, Epic Adventure Day + Graduation Ceremony, 9:00 - 3:00pm

Cost: sliding scale $450 - $500. Some scholarships available upon request.

Payment Options

(1) Check to Superhero Footquarters, 15086 Dolphin St, Detroit, MI 48223. Checks can be made out to Superhero Training Academy.

(2) Pay online with Zeffy. Zeffy supports non-profits with a 0% transaction fee. Note: Zeffy supports itself with user contributions during transactions. Be sure to notice their contribution box b/c it is automatically set. You can choose nothing or anything.

Child Information

If you need to register more than one child, please fill out a registration form for each child.

Child's Name

First NameLast Name

Birth Date

MonthDayYear

What are FIVE of your child's AMAZING abilities?

What are TWO areas of growth that you'd like to see your child grow stronger?

What are THREE of your child's interests?

Who are some of your child's favorite characters or stories?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Name

First NameLast Name

Home Number

Format: (000) 000-0000.

Cell Number

Format: (000) 000-0000.

E-mail

example@example.com

Yes, I'd like to learn more about ways to be involvedI'd like to learn more about the graduation ceremony

I am available to help drive if neededI am not available to help drive

I can drop off / pick up my childI am interested in carpooling with others

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Does the child have any allergies, chronic illness, learning differences, or medical conditions? If yes, please describe. If needed, Superhero Training Academy will follow up with you.

Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by the Superhero Training Academy during the selected camp. In exchange for the acceptance of said child’s candidacy by the Superhero Training Academy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Superhero Training Academy and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against the Superhero Training Academy including all teaching artists and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.

Photo/Video Release I authorize the Superhero Training Academy to make picture and sound recordings, and use the same in any form for its purposes and consent that the photographs and videos may be copied, published, etc. for purposes of Superhero Training Academy promotion, information, etc., as needed, with the assurance that the participant's legal name will not be used with accompanying images or video.

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.

Signature for informed consent, acknowledgement, photo/video release

Summer Superhero Quest Registration