2025 Spring Camp Registration Form

Registration: Spring Camp 2025

Please fill out the information below, then select your preferred Spring camp option to hold your child's space.
Child's Name*

First NameLast Name
Birth Date

MonthDayYear
RoboticsArts and CookingShort Film MaingField Trips and OutdoorsCeramicsNeedle and ThreadsWoodworking
Expected Start Date

MonthDayYear
Date
Student School
MaleFemaleNonbinary
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Contact Information
Primary Parent/Guardian

First NameLast Name
Primary Parent/Guardian Cell Number
Format: (000) 000-0000.
Primary Parent/Guardian Email
Does your child have any allergies or health concerns? If so, please share below.
Additional comments or information we should know about your child.
Personal referral (word of mouth)Outdoor signageYelpNextdoorGoogle or other web searchWebsiteOther
Referral Code (if applicable)

My Products

K-6 Camps (Ages 5-12)

Spring Camp (9:00-5:30 pm) M-F

Full Week 5 days a week

$350.00

Spring Camp ( 9:00- 3:00) M - F

Full Week, 5 days a week

$295.00

Spring Camp Day Pass

Select a full or half day pass

$80.00

	Quantity	Price
Half day pass		$80.00
Full day pass		$95.00

Spring Camp Lunch Pass

Includes 2 snacks ( am, pm) and lunch ( Only vegetarian food options are served) per day . Provide food allergies information in comment selections.

$10.00

	Quantity	Price
One day pass		$10.00
Weekly 5d Pass		$50.00

Spring Camp Before and After care

Select before or after care Before care 8:00am - 9:00 am and after care 5:30pm-6:30 pm. Fee is per day.

$25.00

	Quantity	Price
Before care /day		$25.00
After care/ day		$25.00

Enter coupon

Total

$0.00

Comment : Let us know important information about your child like allergies, or any thing we should be aware .
Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Little Scholar Programs during the selected camp. In exchange for the acceptance of said child’s candidacy by Little Scholar Programs, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Little Scholar Programs 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 Little Scholar Programs including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
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.
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Registration: Spring Camp 2025