The Genius School Summer Camp Registration Form
Join us for fun & creative activities for boys and girls from 1st through 7th grade. Children will participate in Academic Enrichment such as Math, Reading, and STEM Activities. As well as Extra-curricular activities such as Cheer, Martial Arts, Tumbling, and other fun games. Please fill out this form to register your child for the summer camp. If enrolling multiple children, complete a registration form for each one. Summer Camp rates are $100 per week for TGS students and $150 per week for all other children. If you have questions or need assistance, please call our office at (317) 643-5430 ext. 1140.
Child's Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Grade
Please Select
1st
2nd
3rd
4th
5th
6th
7th
Is your child a current student at The Genius School
Please Select
Yes
No
Parent/Guardian Full Name
First Name
Last Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Medical Conditions or Allergies
Submit
Should be Empty: