Holiday Camp Social 2025 Registration

Holiday Camp Social 2025 Registration

Where Fun Meets Friends
Date*

MonthDayYear
Date
Child's Name *

First NameLast Name
Child's Age (Ages 7-13 only)*
Child's Date of Birth*

MonthDayYear
Date
Parent/Guardian Name *

First NameLast Name
Email Address of Parent/Guardian *
Phone Number Parent/Guardian *

Area CodePhone Number
Is it okay to leave a message on this phone?*

YesNo
Is it okay to send a text message to this phone?*

YesNo
What is the best way to reach you?*

EmailTextCall
Emergency contact name & phone number *
Please list any food allergies or dietary restrictions here. If none, please type "N/A."*
**For children not already enrolled in a Copper Sky service or program** Where is your child at with regards to social and communication skills? Give your best estimate. We will use this information to customize camp activities for your child.*
Schedule: 9:00 AM to 2:30 PM

Location: All Camp Social activities will take place in our new facility located at:

Copper Sky Center for Children

8020 E. Gelding Drive, Suite 101, Scottsdale, AZ 85260

Contact: Jolie McGinn, Administrative Assistant

Phone: 480-805-5051

Email: jolie@copperskycenter.com
Holiday Camp Social runs 4 days total 12/29 through 1/02 (please select the day(s) you would like to enroll)*

Day 1: 12/29Day 2: 12/30Day 3: 12/31Day 4: 1/2
Camp Social Preliminary Interview & Assessment

If your child is not currently enrolled in a Copper Sky service or program, we require a phone interview and/or assessment prior to the camp start date. That way we can personalize your child's camp experience. Once you submit this form with your selected days, we will contact you via email to schedule the phone interview.
Please select 'yes' if you have read and understand our interview and assessment requirement to attend the camp.*

YesNo
Camp Social Payment Information
Which payment option will you be using?*

Empowerment Scholarship Account (ESA)- 2% processing fee for ESA funds paid through ClassWalletPrivate Pay via Debit or Credit Card (please pay below)Private Pay via Check
Fee: The Camp Social fee is $319 per week excluding Christmas and New Years Day. Daily rate is $79. Payments can be made via ESA, credit card, or check to Copper Sky Academy. Payment or verification of payment must be made to reserve your selected days. Space is limited to only 10 children to keep the camp high-quality and personalized.

Cancellation Policy: After you register your child for camp, we will begin preparations for an individualized camp experience for him/her that includes staffing and themed materials. For this reason, we do not issue refunds. However, cancellations made by December 15th can be rescheduled for another Camp Social event in the future.

By submitting this form, you are agreeing to the above cancellation policy.

Holiday Camp Social 2025

Week Rate (12/29, 12/30, 12/31, 1/2)$319.00

Daily Rate$79.00

Please enter # of days you have selected for registration in the box below. For example, if you selected days 1, 4, and 7 above, you would enter the number '3' in the quantity box below.

Quantity

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Holiday Camp Social 2025 Registration

Camp Social Preliminary Interview & Assessment

Camp Social Payment Information