Summer Camp Sign Up Form

Important Registration Information:
- Take advantage of our Summer Camp Early Bird Special by registering before May 28th.
- The non-refundable registration fee is only $75
- Our weekly camp rate is $280, and we proudly accept ELRC to help support eligible families.
- Enrollment includes a welcome bag, water bottle, and camp T-shirt for each child.
Summer Camp Registration

The Korner of Love & Happiness
Student Information
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Will you need extended care hours beyond 8:30 AM–3:30 PM?
Parent/Guardian Information
Name

First NameLast Name
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information Other than the name listed above
Emergency Contact's Name

First NameLast Name
Relationship
Emergency Contact Phone Number
Format: (000) 000-0000.
Informed Consent & Acknowledgement
I hereby give permission for my child to participate in all activities, events, trips, and programs organized by Kaiden’s Korner Summer Camp. I understand that all activities are designed to provide a safe, fun, engaging, and age-appropriate experience for campers. While Kaiden’s Korner is committed to creating a positive and enriching environment that supports learning, creativity, social development, and recreation, individual outcomes may vary. I acknowledge that participation in camp activities may involve physical activity and understand that Kaiden’s Korner will take reasonable precautions to ensure the safety and well-being of all children throughout the program.
Informed Consent and Acknowledgement
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.
Signature
Checkout

Registration includes registration fee AND camp date selection. Students are not enrolled until full payment is received. Discount for siblings will be applied at checkout.

Camp Registration Fee

Camp Registration

$75.00 Number of Students

Enter coupon

Total

Payment Methods

Credit Card

Cash App Pay

Should be Empty:

Summer Camp Registration

Checkout

Camp Registration Fee*

Payment Methods

Camp Registration Fee