ELA Summer Camp Registration

Early Learning Academy Summer Camp Registration

Please fill out this form for each student you are registering for Summer 2025 ELA Camps
Overview:

All Five Star Life Early Learning Academy Summer Camps last for one full week (5 days) and are designed to utilize strong community expert partnerships and our Five Star Life programming to offer fun, engaging, valuable experiences that will enhance your child's growth, development, and overall summer learning exeprience. All students enrolled full-time at the ELA receive these valuable experiences at no additional cost as part of their enrollment. However, families not utilizing full-time ELA enrollment can still take advantage of these amazing experiences for their children through open enrollment!!

Times:

8:00am - 12:00pm Each Day

Pricing:

$100 / Student / Camp

Ages:

1 - 5 Year Olds

(1 yr. Up to Kindergarten Enrollment)

Location:

Five Star Life Early Learning Academy

10955 Edison Rd, Osceola, IN 46561

ELA Summer Camps:

Oceans Explorations Camp
- Dates: June 16 - June 20
- Camp Description: Come ready to engage and learn all about sharks, sea creatures, the vast oceans, and more!! Through exclusive guest visitors, play-based learning activities, engaging lessons, and more, we will dive into all the fun things that we can learn about our oceans, the creatures that live there, and about how and why we should take care of them!
Sports Mania Camp
- Dates: July 14 - July 18
- Camp Description: This active camp is a must-have experience for all students who love to move!! Join us for this week of fun with bike day, exclusive instruction from visiting professional dance instructors, a basketball mini-camp led by Five Star Life Basketball program coaches, a special visit from the Bethel University Cheerleader Squad, a lesson about nutrition and heathy exercise and care lesson from a Professional Wrestler. We may even have some more exclusive visits and sport celebrity visitors that you will just have to register to find out about!!
Culinary Creations Camp
- Dates: July 28 - August 1
- Camp Description: Sign up to help your student tap into their creative side as they learn from local business owners, help culinary professionals, and learn through engaging play-based lessons. A culinary professional friend of the ELA comes to teach students how to make egg-rolls, students create their own dishes, and we will even welcome Rise & Roll Bakery into the ELA to conduct lessons with the students.
Wild West Camp
- Dates: August 4 - August 8
- Camp Description: We are WILD about Back-to-School Time! Join us as we embrace our Wild West Theme combined with Five Star Life programming and curriculum to lauch students into the Fall on a strong note. This exclusive opportunitiy features a partnership with SUMMIT, and students will get hands-on experience with the West as our team of highly-trained SUMMIT Farm Experience Coaches highlight special visitors with some incredible animals. Sign up to find out more!!
Student Information
Student Name*

First NameLast Name
Preferred Name (if applicable)
Gender*
Birthdate*

MonthDayYear
Date
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Legal Guardian Information
Parent/Guardian*

First NameLast Name
Phone Number*
Parent/Guardian E-mail (this is used to send updates with schedules, events and curriculum)*
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Information
Emergency Contact*

First NameLast Name
Emergency Contact Number*
Primary Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Authorized Pickup Adult Contacts

To be Filled out by a Parent/Legal Guardian
Please select one or both of the following.*

The Parent/Legal Guardian Listed Above is authorized to pick up the child being registered.The Emergency Contact Listed Above is authorized to pick up the child being registered.
Please select one of the Following.*

I DO have additional contacts to list as those authorized to pick up the child being registered.I DO NOT have additional contacts to list as those authorized to pick up the child being registered.
If you DO have additional contacts to list as those authorized to pick up the child being registered, please list their names, phone numbers, and addresses here.
Health History
NOTE: All PARTICIPANTS must have an up-to-date signed Health History Form as well as Assumption of Risk, Liability Release, Indemnity Agreement, Picture and Video Waiver and Release to participate in any camp.

PLEASE READ AND ANSWER THE QUESTIONS BELOW: This form is intended to remind leaders and participants of the seriousness of attempting adventure activities with an old preexisting injury, a heart condition, or other condition which might be aggravated by the event. Please connect with an ELA teacher if you need to share any additional and pertinent information.
1. Taking any current medications?*

YesNo
Explain.
2. Any allergies (bees, insects, medications, etc.)?*

YesNo
Explain.
3. Any physical limitations?*

YesNo
Explain.
4. Any special dietary needs?*

YesNo
Explain.
5. Immunization status up-to-date?*

YesNo
Please include any additional information that you feel is relevant.
Please Upload Copy of Up-to-date Immunization Records.*

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6. Any other special health or behavioral considerations?*

YesNo
Please include any additional information that you feel is relevant.
Name of Family Doctor/Physician*
Doctor Phone Number*

Area CodePhone Number
Name of Family Dentist*
Family Dentist Phone Number*

Area CodePhone Number
Emergency Medical Release
Liability Release
Parent/Guardian Signature*
Payment

Register your student for one or more camps here!

My Products*

Oceans Explorations Camp$100.00

June 16 - June 20

Sports Mania Camp$100.00

July 14 - July 18

Culinary Creations Camp$100.00

July 28 - August 1

Wild West Camp$100.00

August 4 - August 8

Donation Opportunity$25.00

Donate to the Five Star Life Scholarship Fund to Help Other Students in Need. Scholarship donations are in $25 increments, spanning from $25-$250 depending on the quantity selected. For donations over $250, please directly contact the Five Star Life central office at the phone number listed below to learn how you our your business can become a sponsor.

Quantity
Item subtotal:$0.00

Enter coupon

Total $0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

ACH Bank Transfer

Please note: Payments are non-refundable. Dates/programs are subject to change based on enrollment and availability. If changes occur, you will be notified in advance and registration fee can be applied to alternative program/date.

Questions? Call us at 574.266.4038 or email us at events@fivestarlife.org
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Early Learning Academy Summer Camp Registration

Student Information

Parent/Legal Guardian Information

Emergency Contact Information

Authorized Pickup Adult Contacts

Health History

Emergency Medical Release

Liability Release

Payment

Payment Methods