Habla Kids 1st-5th grade Camp Registration

Habla Kids Summer Camp 2026

Registration for rising 1st through rising 5th graders currently in Spanish Immersion Program or with Spanish knowledge (can read, write and speak Spanish). This is a Full Day Program (8:30AM - 3:30PM)
- Camper's Full Name*
  
  First NameLast Name
- Nickname
- Date of Birth*
  
  MonthDayYear
  Date
- FemaleMale
- Home Address*
  
  Street Address
  
  Street Address Line 2
  CityState / ProvincePostal / Zip Code
- School your child is currently attending*
- Grade for 2026-2027 School Year*
- Parent/Guardian Full Name*
  
  First NameLast Name
- Relationship to Camper*
- Phone Number*
  Please enter a valid phone number, preferably a cell phone number, for easy communication.Format: (000) 000-0000.
- Email Address*
  example@example.com
- Second Parent/Guardian Full Name (Optional)
  
  First NameLast Name
- Relationship to Camper (Second Parent/Guardian)
- Phone Number (Second Parent/Guardian)
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address (Second Parent/Guardian)
  example@example.com
- List of Authorized Pick-Up Adults
  Please list the names of all adults (18+) who have permission to pick up chil(dren) other than parent(s)/guardian(s) listed above. List name and relationship to child(den). Photo ID may be required at pick-up
- Up to dateNot up to date
- Camper's Health Insurance Provider*
- Camper's Insurance Policy Number*
- Camper's Insurance Holder Name*
- Camper's Allergies*
- Activities camper cannot participate in for medical reasons*
- Does your child have any physical, mental, or medical conditions that require special attention or medication while at camp?*
- Emergency Contact Full Name*
  
  First NameLast Name
- Relationship to Camper (Emergency Contact)*
- Emergency Contact Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Select Camp Week(s)*
- Full Day (Rising 1st - Rising 5th Grade)Half Day (Rising Kindergarten and Non-Spanish Speakers Grades 1-4)
- Payment due at time of registration. Please make your payment following the PayPal links provided.
  
  Note - Registration is not completed without payment submission. The links allow you to choose payment for one week or both. If signing up for both weeks, we only need one registration form.
  
  - Full Day Camp One Week $350 Pay Here
  
  - Aftercare 3:30PM-5:00PM $40 Aftercare Payment
  
  Aftercare is offered based on enrollment. If minimum enrollment is not met, aftercare may be canceled. Families will be notified at least two weeks before the session begins for a full refund.
- Cancellations and requests for refunds should be made in writing via email from the person who signed the registration. Refunds will be issued for cancellations prior to May 1st. A non-refundable processing fee of $50 will be taken from the refund.
  
  - Missed Days: Missed camp days are non-refundable and cannot be transferred to other sessions
  
  All fees become non-refundable after May 1st for any reason.
- To read our liability and release terms please follow this LINK
- By signing this registration form, you consent to your child being photographed and/or video recorded during camp activities for use in promotional materials, social media, and the camp's website
  
  By hitting submit and putting your signature, you agree that you are the parent or legal guardian of the above named child, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical treatment for the above named child by authorized personnel. The camp carries secondary insurance. I understand that the above named child will only be released to the names listed above, an update may be done at registration. I certify that my child has my permission to attend camp and participate in all activities.
- Should be Empty:

Habla Kids Summer Camp 2026