Universal Academy 2026 Camp Registration

Universal Academy Camp Registration

Register for the upcoming Universal Academy 2026 Summer Camp.
Participant Information
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
T-Shirt Size
Grade Level
Campus
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent / Guardian Information
Parent / Guardian Full Name

First NameLast Name
Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Activity Details
Activity Name
Session / Date(s)
Skill Level
Emergency Contact & Medical Information
Emergency Contact Name
Relationship to Participant
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Known Allergies or Medical Conditions
Consent & Liability Waiver
I acknowledge that participation in this activity involves certain risks and I voluntarily allow participation.
I consent to emergency medical treatment if required during the activity.
I confirm that all information provided on this form is accurate.
Parent/Guardian Signature
Printed Name (Parent/Guardian)
Date

MonthDayYear
Date
Should be Empty:

Universal Academy Camp Registration