2026 Summer Camp A and B Registration Form

2026 Summer Camp Registration

Summer Camp Program A & B
Student's Name

First NameLast Name
Entering Grade 2026-2027
Gender
School
District
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Parent/Guardian #1

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Parent/Guardian #2

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Summer Camp Program Information
Summer Camp Sign-Up Only

June 15 - July 31 (6 weeks)

NOTE: CLOSED Summer Break - June 29 - July 3

Monday - Thursday

Program A: Life Skills Summer Camp Grades 1-6

Program A: Schedule Descriptions

A small group program designed to develop fundamental academic and life skills in an interactive and supportive environment. Examples include typing, listening skills, memory building, time management, and achieving success in math foundations. KEONI recommends a minimum of three weeks to establish the basic foundations of life skills.
- Morning Camps Available:
- AM: 9:00 AM - 12:00 PM (Monday - Thursday)
- Flash Sale! $99 weekly!
Program B: Academic Summer Camp Grades 1-6

Program B: Schedule Descriptions

Our established academic camp, which we have offered over the years, continues to thrive! This camp aims to enhance reading, writing, and math skills in preparation for the upcoming school year. Students learn at their own pace in a small group setting, so how quickly they advance in the materials depends on how many weeks they attend.
- Afternoon Camps Available:
- PM: 12:30 PM - 3:30 PM (Monday - Thursday)
- Tuition Rate: $225 weekly
Summer Camp Materials Fee (Required) - $60

This is a one-time fee that covers the following:

Binder and materials
Academic materials
Rewards and incentives
This fee is different from our standard 1on2 tutoring and is required.

Cancellation Policy

Summer camp begins June 15, 2026

If you need to cancel:
- By April 15 - 100% refund (minus the $60 materials fee and any applicable 3% credit card fee)
- By May 15 - 80% tutoring credit (minus the $60 materials fee) that you can apply toward future programs at KEONI.
- By May 31 - 50% tutoring credit (minus the $60 materials fee) that you can apply toward future programs at KEONI.
- June 1 - June 16 - No credits or refunds
If KEONI needs to cancel:
- If KEONI is required to cancel due to state, county, or CDC health orders, you will receive a 100% refund, less the materials fee.
- If KEONI cancels in the middle of summer camp due to state, county, or CDC health orders, you will receive prorated credit (less materials fee) that you can apply toward future programs at KEONI.
Schedule Enrollment
Program A: Life Skills Summer Camp

Afternoon Camps Available:
PM: 9:00 AM - 12:30 PM (Monday - Thursday)
Flash Sale! $99 Weekly

KEONI suggests at least three weeks to help develop and maintain a habit skill.
Program A Camp (AM ONLY)
Program B: Academic Summer Camp

Afternoon Camps Available:
PM: 12:30 PM - 3:30 PM (Monday - Thursday)
Tuition Rate: $225 weekly

Students learn at their own pace in a small group setting, so how quickly they advance in the materials depends on how many weeks they attend.
Program B Camp (PM ONLY)
Extended Academic Power Hour (Optional)

Maximize your child’s progress with our semi-private tutoring sessions. Transition from camp into focused, 1:2 intensive instruction.

Focus: Personalized support in Math, Reading, or Writing.
Ratio: Elite 1:2 instructor-to-student ratio.

Rate: $25 per hour (Available 3:30 PM – 5:30 PM; Tu-Thu only).

This only applies if your child is currently enrolled in Summer Camp.
Limited spots available—reserved on a first-come, first-served basis.

If you are interested, we'll be in touch to discuss details and schedule with you prior to payment.
Are you interested in our Extended Academic Power Hour?
If YES, please check all that applies:
Payment
A non-refundable materials fee of $60 is due today to reserve the slot. Please complete this payment by Zelle or pay using the Square Invoice link.
- Zelle: jessica@keonilearning.com
- Square Invoice: https://square.link/u/Loqk3xLe
The remaining balance is due within one week of receiving confirmation email along with balance. The email will come from Jessica (jessica@keonilearning.com). We will be in touch via email to provide you with the final balance.
- If you plan to pay by Zelle, make sure to send the correct amount to jessica@keonilearning.com
- If you plan to pay by square invoice, an additional 3% fee will be added the to balance, and we will send you an online invoice to complete payment.
Payment Method for Tuition
Signature
Date

MonthDayYear
Date
Should be Empty:

2026 Summer Camp Registration

Summer Camp Program Information

Schedule Enrollment

Payment