Summer Camp 2026 Registration Form

International Summer Camp 2026 — June 15th–July 17th, 2026 | 8:00 AM – 4:00 PM

Please select your preferred camp option and provide your details to complete the registration.
Camper's Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Select Camp Option
Do you need extended care?
$125 additional per week; Earliest arrival: 7:00 AM EST; Latest pickup: 6:00 PM EST; Total extended care for 5 weeks: $625 (10hr limit)
Extended care is billed in addition to regular camp tuition.
Combined Total (Camp + Extended Care)
How would you like to handle the remaining balance?
- I authorize the camp provider to securely keep my payment method on file through Stripe and charge the remaining balance according to the payment option selected. I understand that the first scheduled payment will be drafted on June 12, 2026. I understand that I will receive payment reminders and receipts.
- Name on Card Authorization
- Billing Email
  example@example.com
- Billing Phone
  Please enter a valid phone number.Format: (000) 000-0000.
- Remaining balance must be reviewed and confirmed before future billing begins.
- Remaining Balance After Deposit (hidden numeric for Stripe Checkout)
- Draft schedule (e.g., weekly or one-time)
- Please describe your requested payment arrangement.
- Emergency / medical info, allergies, medications, or developmental needs we should know about
- Does your child have an IEP, 504 Plan, or support plan?
- What helps your child feel safe, calm, and successful?
- Any fears, triggers, or special instructions
- Is your child comfortable in group activities?
- Can your child swim?
- Camp Program Information
- Select Camp Week(s) or Session(s)
- Preferred Drop-Off Time
  
  Hour Minutes
  
  AM/PM Option
- Preferred Pick-Up Time
  
  Hour Minutes
  
  AM/PM Option
- Will your child need before-care or after-care?
- Has your child attended summer camp before?
- What activities is your child most excited about?
- What is the t-shirt size of the camper?
- Permissions & Waivers
- Permissions (please check all that apply)
- Photo and video release permission for social media, website, flyers, and promotional materials
- Parent/Guardian Agreement
- Payment & Registration
  
  $75 non-refundable registration fee $200 non-refundable deposit
- Categories:All
  
  All
  
  Registration & Deposit
  
  prevnext( X )
  
  Extended Hours (paid in full)
  Early arrival and/or late pick up fee added to weekly Half Day or Full Day tuition. Paid in full today. Save $100
  
  $625.00
  
  
  
  Extended Hours (charged weekly)
  Early arrival and/or late pick up fee added to weekly Half Day or Full Day tuition.
  
  $125.00
  
  
  
  Full 5 Week Camp (paid in full for 8-hour day)
  Full 5 Week Camp (8am–4pm EST) paid in full today. Save $200
  
  $1,775.00
  
  
  
  Full Week — Weekly Subscription
  Weekly subscription for Full Day sessions charged per week.
  
  $395.00
  
  
  
  Registration & Deposit
  
  Registration Fee (non-refundable)
  Non-refundable registration fee.
  
  $75.00
  
  
  
  Deposit (non-refundable, applied toward first week of tuition)
  Non-refundable deposit applied toward the first week of tuition; remaining tuition must be paid in full 72 hours before camp start.
  
  $200.00
  
  
  
  Total
  
  $0.00
- Payment Method
- Would you like to receive payment reminders?
- Final Signature
- Parent/Guardian Full Name
  
  First NameLast Name
- Electronic Signature
- Date
  
  MonthDayYear
  Date
- Should be Empty:

International Summer Camp 2026 — June 15th–July 17th, 2026 | 8:00 AM – 4:00 PM

Camp Program Information

Permissions & Waivers

Payment & Registration

*

Final Signature