2026 Summer Camp Registration Form

2026 Summer Camp Registration @HWGD
Join Us for Summer Camp 2026!
HWGD Summer Camp | June 1 – August 14

We’re excited to welcome students back for another fun and active summer at Golden Dragon Academy! Our summer camp runs Monday through Friday from 8:00 AM to 6:00 PM, with full-day and half-day options available.

During the mornings, students will work on academic classes such as Chinese, Math, English, Creative Writing, and Spelling, helping them stay engaged and continue learning over the summer.

In the afternoons, students take part in a variety of fun activities including science, programming, robotics, LEGO engineering, chess, cooking, arts & crafts, dance, martial arts, gymnastics, acrobatics, and sports games. Our goal is to keep students active, curious, and having fun while learning new skills.

Every Friday we also organize field trips, giving students a chance to explore and enjoy activities outside the classroom.

We hope to provide a summer where kids can learn, play, make friends, and try new things in a safe and supportive environment.

✨ Early Bird Special:
Register before April 1, 2026 to receive 5% off tuition, plus additional discounts for multi-week registration.

Spots fill up quickly, so be sure to reserve your spot soon!

Contact Us
Address: 4040 Sorrento Valley Blvd, Suite K/L, San Diego, CA 92121
Phone: 858-568-6542
Email: wushu.taiji@gmail.com
WeChat: huangqin837
Student Information
Student's Name*

First NameLast Name
Birth Date

MonthDayYear
MaleFemale
TKKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade
School name currently enrolled at:
School Name
Camp Schedule & Payment Details
Please note that all summer camp tuition must be paid in advance to reserve and secure your child’s spot, as spaces are limited. Early registration is highly encouraged.
Full Day Camp (8:00 AM – 6:00 PM)AM Camp Only (8:00 AM – 3:00 PM)PM Camp Only (1:00 PM – 6:00 PM)
Week 1: June 1 – June 5Week 2: June 8 – June 12Week 3: June 15 – June 19Week 4: June 22 – June 26Week 5: June 29 – July 3Week 6: July 6 – July 10Week 7: July 13 – July 17Week 8: July 20 – July 24Week 9: July 27 – July 31Week 10: August 3 – August 7Extension Week: August 10 - August 14Extension Week: August 17- August 21
Other:
Parent/Guardian Information
Name*

First NameLast Name
Home Number*
Format: (000) 000-0000.
Cell Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship*
Phone Number*
Format: (000) 000-0000.
Phone Number*
Format: (000) 000-0000.
RELEASE OF STUDENTS Golden Dragon USA has my permission to release my child to the persons listed below. I understand that a photo I.D. will be requested if the person is unknown to the School Staff.
1. Contact Name/Phone number/Address, City, State, Zip*
2. Contact Name/Phone number/Address, City, State, Zip
3. Contact Name/Phone number/Address, City, State, Zip
Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.*
I confirm that the particpant is covered by Health Insurance.
Health Insurance Provider:*
Health Insurance Policy Number:*
Child’s Doctor (Name/Phone number/Address, City, State, Zip):*

Doctors Name

Street Address

CityState / Province

Postal / Zip Code
Child's Dentist ( Name/Phone number/Address, City, State, Zip):*

Dentist Name

Street Address

CityState / Province

Postal / Zip Code
YesNo
In case of an emergency, I understand every effort will be made to contact me or the emergency contact persons listed above. In the event that we cannot be reached, I hereby give permission to the physician listed on the form to hospitalize, secure proper treatment and to order anesthesia or surgery for my child. I authorize my child to receive medical attention in the event of illness or injury. I understand that the Golden Dragon USA is not responsible for costs incurred for medical care.If you child has any medications, the Permission to Administer Medication form must be completed and given to the Hong Wu Golden Dragon Academy on the first day of each camp session. Medications must be accompanied by the original physician’s prescription with clearly written directions.*

I understand and agree to these terms.
Fees
Yes, I agree to the terms of the Fees
Refunds
Yes, I agree to the terms of the Refunds
Photographs
Yes, I agree to the terms of the Photographs
Liability Waiver
Please read the forms in the link:

Waiver and Release of Liability Form
By clicking on this form you confirm that you have read and agree to all terms in the release and waiver. The undersigned fully understands that my/my child's participation in the above events/classes exposes my child or me to the risk of personal injury, death, communicable diseases, illnesses, viruses, or property damage. I hereby acknowledge that participation in these events/classes is voluntary and agree to assume any such risks. I hereby release, discharge and agree not to sue the Golden Dragon USA or its officers, employees or agents, for any injury, death or damage to or loss of personal property arising out of, or in connection with, my participation in the event/class from whatever cause, including the active or passive negligence of Golden Dragon USA or its officers, employees or agents, or any other participants in the event/class. The parties to this agreement understand that this document is not intended to release any party from any act or omission of “gross negligence,” as that term is used in applicable case law and/or statutory provision. Further, in consideration for being permitted to participate in these events/classes, I hereby agree, for myself, my heirs, administrators, executors and assigns, that I shall indemnify and hold harmless the Golden Dragon USA from any and all claims, demands, actions or suits arising out of the connection with my/my child's participation in these events/classes. I have carefully read this Release, Hold Harmless, and Agreement Not to Sue and fully understand its contents. I am aware that it is a full release of all liability and sign it on my own free will. Please read the forms in the link:Waiver and Release of Liability Form*

I agree to the terms in the Waiver and Release of Liability Form.
Transportation Waiver
By clicking on this form you confirm that you have read and agree to all terms in the release and waiver. I give permission for my child to attend the above events/classes. I understand that personal injury can and may occur to my child, and I hereby authorize Golden Dragon USA, its officers, employees, volunteers and/or agents, to seek and consent to emergency medical attention for my child as needed; and I further agree to be liable for and to pay all costs incurred in connection with such medical attention. I hereby release Golden Dragon USA, its officers, employees, agents and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury (including death) that may be sustained by my child while participating in or traveling to and from this event. I give permission for my child to ride in any vehicle designated by Golden Dragon USA, its employees and adult volunteers, while participating in and traveling to and from this event. I agree to accept full responsibility, financially or otherwise, for any damage my child may do to the property of Golden Dragon USA,, properties visited on outing, other’s personal property, or vehicles used for transportation.*

I agree to the terms in the Transportation Waiver Form.
Date*

MonthDayYear
Date
Signature*
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.
Should be Empty:

2026 Summer Camp Registration @HWGD

Student Information

Camp Schedule & Payment Details

Parent/Guardian Information

Fees

Refunds

Photographs

Liability Waiver

Transportation Waiver