Math Adventure Camp Registration Form

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Math Adventure Camp Registration Form
Camp Details & Acknowledgement
- Dates: July 27–31
- Time: 8:00 AM – 3:00 PM
- Location: Montessori School of Louisville MakerSpace
- Cost: $400 (processed through Tuition Express for MSL students, to be paid by check or cash for students who do not attend MSL)
- Instructors: Ms. Carrie and Ms. Katherine
- Enrollment Open To: Students entering 4th through 8th grade
- Enrollment Limit: 12–18 students to ensure a small, engaging experience
- Drop-Off/Pick-Up: Campers will be dropped off and picked up at the MakerSpace
- Lunch & Snack: Parents/guardians must provide a packed lunch; MSL will provide a daily snack
- Deposit: A $100 deposit is required to secure registration
- Refund Policy: The $100 deposit will only be refunded if minimum enrollment is not met and the camp is canceled. For returning students, this refund will be issued as a tuition credit for the 2026–2027 school year. Once full payment of $400 is made, no refunds will be issued.
- Balance: The remaining $300 balance will be due by July 15th
- Registration Requirement: A separate registration form must be completed for each child
I understand and agree to camp details above:
Please enter 1 to reserve a space.
Camper's Information
Name

First NameLast Name
Birth Date

MonthDayYear
Age (at time of camp)
Grade (entering this fall)
List any allergies & dietary restrictions (type N/A if none)
List medications, dosage, and timing. Medication Authorization Form required for administration (type N/A if none).
Parent/Guardian Information
Name

First NameLast Name
Email
example@example.com
Cell Phone

Area CodePhone Number
Work Phone

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Relationship with the Camper
Emergency Contacts and Authorized Pick Up Persons
Emergency Contacts and Authorized Pick Up Persons
Emergency Contacts and Authorized Pick Up Persons
Permission to use photos/videos for camp or school promotion
Math Experience & Interests

(Optional but helpful)
- What does your child enjoy about math?
- Any specific areas of interest (puzzles, games, problem-solving, etc.)
- Anything you'd like us to know to support your child?
Date

MonthDayYear
Date
Signature
Should be Empty:

Math Adventure Camp Registration Form

Parent/Guardian Information