STEM Camp

STEM Camp

Week 1 (July 21-25)
Time to experiment, create, and discover! Kids will dive into wild science experiments, engineering challenges, and tech-powered fun. From fizzing potions to mind-bending puzzles, this hands-on week will make learning feel like magic!
Participants Information
What's the Participant's Name?*

First NameLast Name
How old is she/he?*
When is her/his birthday?*

MonthDayYear
Date
What's the gender of your kid?*

FemaleMale
Parent's/Guardian's Information
What's the Parent's/Guardian's Name?*

First NameLast Name
What's their best contact number?*
Please enter a valid phone number.
What's your best email address?*
example@example.com
Emergency Contact Information
Who do we contact in case of emergency?*

First NameLast Name
What's their best contact number?*
Please enter a valid phone number.
Secondary Emergency Contact Person*

First NameLast Name
What's their best contact number?*
Please enter a valid phone number.
Pick Up Authorization?
Please list ALL people who are authorized to pick up students. Note: Children will not be released other than to those on this list. Photo identification may be required from anyone other than a parent or guardian.*
Health Records
Please let us know about any chronic illnesses, allergies, or medical conditions that could affect your child’s participation. Our goal is to create a safe and supportive environment for every camper!*
Has your child ever been hospitalized or experienced any significant medical concerns? Sharing this information helps us be prepared and provide the best care possible.*
If your child takes any medications, please list them here along with any instructions. This ensures our staff is aware and can assist if needed.*
Is there anything else we should know to support your child’s well-being and comfort during camp? We’re here to help make their experience safe, fun, and worry-free! *
Health Statement: Please select the option that best describes your child. This ensures we can provide the best care and support for your child’s experience!*

My child is in good health, able to fully participate in group activities, and does not have any special health or medical requirements.My child is able to participate in group activities but has specific health or medical needs that our staff should be aware of, as listed above.
Policy Agreement
I give permission for my child to participate in all Kids Camp activities at Impulse Elite, including group-led enrichment, movies, outdoor play, and more. I also consent to my child being included in photos or promotional materials that may be shared on Instagram, Facebook, and other social media platforms. I understand that all account balances must be paid in full for my child to participate. We’re excited to create a fun and memorable experience for them!*

I have read, understand, and agree to all the policies outlined.
Liability Waiver
I agree to participate (or allow my child(ren) and family members to participate) in Impulse Elite Cheer, and hereby release Impulse Elite Cheerleading LLC, its directors, officers, agents, coaches, and employees from liability for any injury that might occur to myself (or to my child(ren) and family members) while participating in the Impulse Elite Cheer program, including travel to and from training sessions, or other scheduled organization activities. I agree to indemnify and hold harmless the above mentioned organizations and/or individuals, their agents and/or employees, against any and all liability for personal injury, including injuries resulting in death to me, my child(ren) and/or other family members, or damage to my property, the property to my child(ren) and/or other family members, or both, while I (or my child(ren) or family members) participating in the Impulse Elite Cheer program and other classes.*

I have read, understand, and agree to all the policies outlined.
Treatment Authorization
I certify that I am the parent or legal guardian for my child(ren). I hereby give my permission for any supervisor, coach or other team administrator associated with the Impulse Elite Cheer to seek and give appropriate medical attention for our child(ren) in the event of an accident, injury, illness. I will be responsible for any and all costs associated with any necessary medical attention and/or treatment. I hereby waive, release and forever discharge Impulse Elite Cheerleading LLC from all rights and claims for damages, injury, loss to person or property which may be sustained or occur during participation in Impulse Elite Cheer activities, whether or not damages or loss is due to negligence. I hereby acknowledge that my children is (are) physically fit and capable of participation in all activities.*

I have read, understand, and agree to all the policies outlined.
Parent's/Guardian's Signature*

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Checkout Information

STEM Camp (July 21-25)

$269.00 Number of participantColor
Item subtotal:$0.00

Daily Drop-inA single day of camp fun with themed activities, games, and crafts,

$55.00 Number of participantDay of the week

[Upgrade] Early Drop off/Late Pick up8:00 AM (drop off) | 4:00 PM (pick up)

$45.00 Number of participant

Enter coupon

Total

$0.00

How would you like to pay?

Credit Card

ACH Bank Transfer

Please ensure the number of participants entered matches the number you are registering and paying for before submitting the form. Incomplete or inaccurate information may result in an invalid registration. Thank you!
By checking this box, I confirm that I have reviewed and accurately indicated the correct number of participants I am registering.*

All the information above is correct.

STEM Camp

Participants Information

Parent's/Guardian's Information

Emergency Contact Information

Pick Up Authorization?

Health Records

Policy Agreement

Liability Waiver

Treatment Authorization

Checkout Information

How would you like to pay?

Please ensure the number of participants entered matches the number you are registering and paying for before submitting the form. Incomplete or inaccurate information may result in an invalid registration. Thank you!

This page is intended for multiple registrations. No need to fill this out if it's just one kiddo joining us!