Clone of Discovery Tech 2025 Summer Camp Registration

Discovery Tech Summer 2026 Registration Form
Parent or Legal Guardian Information
Parent/Legal Guardian
Parent Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Daytime Phone Number
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Second Parent or Guardian (Optional)

First NameLast Name
Phone Number
Format: (000) 000-0000.
Camper's Information
Last Name
First Name
Gender
Birth Date

MonthDayYear
Grade entering in the fall
Name of School
Camp Selection(s)

When determine age requirements, calculate based on the age of the camper on August 31, 2026. Morning Camps run from 9 am to 12:00 PM. Afternoon camps are 1:00 to 4:00 PM. Full Day Camps are from 9 am to 4:00 pm.
Week 1, June 22-26
Half Day Mornings (6/22-6/26)
Half Day Afternoons (6/22-6/26)
Full Day (6/22-6/26)
Week 2, July 6-10
Half Day Mornings (7/6-7/10)
Half Day Afternoons (7/6-7/10)
Full Day (7/6-7/10)
Week 3, July 13-17
Half Day Mornings (7/13-7/17)
Half Day Afternoons (7/13-7/17)
Full Day (7/13-7/17)
Week 4, July 20-24
Half Day Mornings (7/20-7/24)
Half Day Afternoons (7/20-7/24)
Full Day (7/20-7/24)
Week 5, July 27-31
Half Day Mornings (7/27-7/31)
Half Day Afternoons (7/27-7/31)
Full Day (7/27-7/31)
Week 6, August 3-7
Half Day Mornings (8/3-8/7)
Half Day Afternoons (8/3-8/7)
Full Day (8/3-8/7)
Week 7, August 10 - 14
Half Day Mornings (8/10-8/14)
Would you like to register an additional child?
Camper's Information - Sibling
Sibling Last Name
Sibling First Name
Sibling Gender
Sibling Birth Date

MonthDayYear
Sibling Grade entering in the fall
Name of Sibling School
Sibling Camp Selection(s)

When determine age requirements, calculate based on the age of the camper on August 31, 2026.
Week 1, June 22-26
Half Day Mornings (6/22-6/26)
Half Day Afternoons (6/22-6/26)
Full Day (6/22-6/26)
Week2, July 6-10
Half Day Mornings (7/6-7/10)
Half Day Afternoons (7/7-7/11)
Full Day (7/6-7/10)
Week 3, July 13-17
Half Day Mornings (7/13-7/17)
Half Day Afternoons (7/13-7/17)
Full Day (7/13-7/17)
Week 4, July 20-24
Half Day Mornings (7/20-7/24)
Half Day Afternoons (7/20-7/24)
Full Day (7/20-7/24)
Week 5, July 27-31
Half Day Mornings (7/27-7/31)
Half Day Afternoons (7/27-7/31)
Full Day (7/27-7/31)
Week 6, August 3 - 7
Half Day Mornings (8/3-8/7)
Half Day Afternoons (8/3-8/7)
Full Day (8/3 -8/7)
Week 7, August 10 - 14
Half Day Mornings (8/10-8/14)
Half Day Afternoon (8/10-8/14)
Full Day (8/10-8/14)
Emergency Contact Info
Emergency Contact Name(if parent or guardian is not avaliable)
Emergency Number
Format: (000) 000-0000.
Emergency Number #2
Format: (000) 000-0000.
Pick Up Authorization

Please list anyone you would like to authorize to pick your child up (in addition to parents/guardians listed above)
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Is there any special information we should know about your child
List any medications to be taken at camp.
List any allergies (ex: bees, peanuts, dairy) or dietary restrictions we should be aware of.
Camper Photo Release
I agree that photos of my child can be taken on used on for camp social media purposes
Camp Terms

Please initial each item below to agree to our camp policies.
Refunds: Withdrawals for any reason more than 14 days before the start of camp, parents will receive a refund minus $50 per week, per child.
Initial
There are no refunds within 14 days of the start of camp for any reason.
Initial
In the unlikely event that a camp is cancelled, parents will receive notice within five days of the start date. All fees paid will be refunded in full.
Initial
Camp Payment

Check the Format of the Camps You are Enrolling In and Then Choose the Number of Weeks below. Half day camps are $205 for the first week and $195 for each additional week. Full day camps are $330 for the first week and $310 for each additional week.

Number of Full Day Camps Selected

Please choose the number of full day camps you have signed up for. If you have registered siblings, please add the registrations together (Ex A parent registering for 1 week with 2 children should participating should choose 2, and 2 weeks with two children should choose 4)

$330.00 Quantity
Item subtotal:

Number of Half Day Camps Selected

Please choose the number of half day camps you have signed up for. If you have registered siblings, please add the registrations together (Ex A parent registering for 1 week with 2 children should participating should choose 2, and 2 weeks with two children should choose 4)

$205.00 Quantity
Item subtotal:

After Care until 5:00

$40.00 Quantity
Item subtotal:

Enter coupon

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Discovery Tech Summer 2026 Registration Form

Parent or Legal Guardian Information

Camper's Information

Camp Selection(s)

Week 1, June 22-26

Week 2, July 6-10

Week 3, July 13-17

Week 4, July 20-24

Week 5, July 27-31

Week 6, August 3-7

Week 7, August 10 - 14

Camper's Information - Sibling

Sibling Camp Selection(s)

Week 1, June 22-26

Week2, July 6-10

Week 3, July 13-17

Week 4, July 20-24

Week 5, July 27-31

Week 6, August 3 - 7

Week 7, August 10 - 14

Emergency Contact Info

Pick Up Authorization

Camper Photo Release

Camp Terms

Camp Payment

Check the Format of the Camps You are Enrolling In and Then Choose the Number of Weeks below. Half day camps are $205 for the first week and $195 for each additional week. Full day camps are $330 for the first week and $310 for each additional week. *

Check the Format of the Camps You are Enrolling In and Then Choose the Number of Weeks below. Half day camps are $205 for the first week and $195 for each additional week. Full day camps are $330 for the first week and $310 for each additional week.