Clone of Summer Camp Detailed Registration Form

There are two summer Quests at the Walled Lake Outdoor Education Center, 3577 Sleeth Ct, Commerce Township, MI 48382.

This registration + payment = confirmation.

We will reach out a few weeks before your Quest with additional details. Feel free to reach out at any time with questions. Contact laughingmoon@superherotraining.org.

June Quest

Day Camp: Monday - Friday, June 15th - 19th, 9am - 3pm

Epic Adventure Day: Saturday, June 20th, 9am - 3pm

Graduation Ceremony June 20th 3pm - 4pm

August Quest

Day Camp: Monday - Friday, August 17th - 21st, 9am - 3pm

Epic Adventure Day: Sunday, August 23rd, 9am - 3pm

Graduation Ceremony Sunday, August 23rd 3pm - 4pm

June Quest @ Walled Lake Outdoor Education CenterAugust Quest @ Walled Lake Outdoor Education Center

Cost for 6 day Quest: sliding scale $525 - $600.

Scholarship Options

1. Walled Lake students, apply through Community Ed HERE. You'll need this CAMP FLYER to apply.

2. Work trade options available through Superhero Training Academy. Contact laughingmoon@superherotraining.org.

Payment Options

(1) Check to Superhero Footquarters, 15086 Dolphin St, Detroit, MI 48223. Checks can be made out to Superhero Training Academy.

(2) Pay online with Zeffy. Zeffy supports non-profits with a 0% transaction fee. Note: Zeffy supports itself with user contributions during transactions. Be sure to notice their contribution box because it is automatically set. You can choose nothing or anything.

Child Information

If you need to register more than one child, please fill out a registration form for each child.

Child's Name

First NameLast Name

Birth Date

MonthDayYear

What are FIVE of your child's AMAZING abilities?

What are THREE things your child is inspired by? Interests, stories, people, characters, etc.

What are TWO areas of growth that you'd like to see your child grow stronger?

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Information

Name

First NameLast Name

Home Number

Format: (000) 000-0000.

Cell Number

Format: (000) 000-0000.

E-mail

example@example.com

Yes, I'd like to learn more about ways to be involvedNo thanks!

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Does the child have any allergies, chronic illness, learning differences, or medical conditions? If yes, please describe. If needed, Superhero Training Academy will follow up with you.

Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by the Superhero Training Academy during the selected camp. In exchange for the acceptance of said child’s candidacy by the Superhero Training Academy, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Superhero Training Academy and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against the Superhero Training Academy including all teaching artists and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.

Photo/Video Release I authorize the Superhero Training Academy to make picture and sound recordings, and use the same in any form for its purposes and consent that the photographs and videos may be copied, published, etc. for purposes of Superhero Training Academy promotion, information, etc., as needed, with the assurance that the participant's legal name will not be used with accompanying images or video.

Authorize consent for photo / video releaseDo not authorize consent for photo / video release

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 for informed consent, acknowledgement, photo/video release

Summer Superhero Quest Registration