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Villari's of Wellington Summer Camp 2026
Camper's Information
Camper's Name
*
First Name
Last Name
Age
*
Height
*
Weight
*
Gender
Please Select
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School Name
Grade entering fall 2026 school year
Camper's Photo (required)
*
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Parent/Guardian Information
The parents/guardians listed below will be authorized to pick-up your child after camp.
The parents/guardians listed below will be the primary emergency contact.
The parent/guardians listed below will be informed in case of an emergency, behavioral issue or other situation in which you may be needed to be contacted.
At least one parent/guardian listed below must be available for the full duration of camp in case a situation is to occur in which your child may need to be picked up.
Name
*
First Name
Last Name
Relation
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Name
First Name
Last Name
Relation
Phone Number
-
Area Code
Phone Number
Name
First Name
Last Name
Relation
Phone Number
-
Area Code
Phone Number
Medical Information
Does the child have any allergies? If yes,Do they Use a epinephrine auto injector? list all allergies and severity below Please write treatment plan for both a mild and severe allergic reaction:
Does the child have asthma if yes.Do they Use an inhaler or any other rescue medication? Can your child administer there asthma medication independently? Please write treatment plan for both a mild and severe asthma attack.
Does the child have any current medical conditions? If yes, please list them below:
Does the child take any medication? If yes, please list them below and explain its purpose and possible side effects that I should look out for:
Anything else we should know? (behavior, trigger, interests, Ext..)
Is your child fully potty trained? (children must be Fully potty trained No diapers or pull-ups) Your child needs to be able to use the restroom with little to no assistance. (If needed please list what assistance your child may need)
Does your child have any dietary restrictions? (Religious or personal preferences specific food you wish your child not to have) Snacks are provided during camp if you wish your child not to eat our snacks please provide alternative snacks in a Ziploc bag with your child’s name on it on the first day of camp. Sweets are sometimes used as rewards if you prefer your child not to have candy, cookies, popsicles, juice, etc., please list that here and make sure you bring an alternative for them.
Camp options
Please select the appropriate options and read the details before selecting. The price shown is for one week of camp. Select the total quantity of weeks you wish your child to participate in. Unless listed otherwise the Price includes camp from 9:00am till 3:30pm, 1 shirt, snacks, and all activities. Lunch, before-care, aftercare, extra shirts, and, extra pants are available for an additional fee. New this year Multi week discount. If you select four or more weeks it will be $225 per week and each additional week will only be $225. Also new this year is drop in or single day option. It is $60 per day. No deposit is due payment is due at time of drop off first come first serve must contact me day before for availability full week campers will be prioritized over drop in camper.
Options:
Categories:
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( X )
Single week registration
$250.00
$
250.00
$250 per week if you register for 3 or fewer weeks.If you later decide to add a week the price will still be $250 per week.$100 non refundable deposit per week is due at time of registration
Weeks of camp
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8
Item subtotal:
$0.00
$
0.00
Multi week (4 or more weeks)
$225.00
$
225.00
$225 per week when registering for 4 or more weeks and receive all additional weeks at $225 per week. $400 non refundable deposit due at time of register.and $100 non refundable deposit is due per additional weeks at time of registration.
Weeks of camp
1
2
3
4
5
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8
Item subtotal:
$0.00
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0.00
Drop in
$60.00
$
60.00
$60 per day for drop-in must check day before for availability first come first serve full week campers will be prioritize over drop in. No guarantee space will be available $60 due at time of drop off. Camper will not receive camp shirt or gi pants .But can purchase camp shirt if still available.
Day of camp
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5
Item subtotal:
$0.00
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0.00
Lunch
$45.00
$
45.00
$45 per week. Pizza on Monday and Friday. Bagged lunches on Tuesday- Thursday. Bagged lunches are sandwich,fruit or veggie,drink and treat.
Weeks of lunch
1
2
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4
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Item subtotal:
$0.00
$
0.00
Before care (Monday-Friday)
$50.00
$
50.00
Drop of an hour early starts at 8:00 am Regular drop of starts at 9:00am
Weeks of camp
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$0.00
$
0.00
Aftercare (Monday-Thursday)
$60.00
$
60.00
Aftercare pick-up is at 5:00 pm regular pick-up is at 3:30 pm. includes afternoon snack.
Weeks of camp
1
2
3
4
5
6
7
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Item subtotal:
$0.00
$
0.00
Aftercare (Monday-Friday )
$75.00
$
75.00
Aftercare pick-up is at 5:00 pm regular pick-up is at 3:30 pm. Reminder there is no regular classes on Friday after camp.
Weeks of camp
1
2
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Item subtotal:
$0.00
$
0.00
🌟camp shirt 🌟
Free
$
Free
Included with registration please select size
Size
No size selected
Youth XS
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Additional camp shirt
$25.00
$
25.00
One shirt is included for all campers. (Drop in camper will not receive shirt but can purchase one if still available)
Quantity
1
2
3
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5
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7
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Size
Youth XS
Youth L
Youth S
Youth M
Adult S
Adult M
Adult L
Item subtotal:
$0.00
$
0.00
Additional Gi Pants (beginners)
$25.00
$
25.00
All campers will be required to wear martial arts pants (Gi pants) each day. New students will receive with registration a pair of martial arts pants. If you would like for your child to have more than one pair please purchase now. All beginner students will have white martial arts pants. And all advance students will have black martial arts pants. Drop in students will not receive Gi pants but can purchase if available.
Quantity
1
2
3
4
5
Additional Gi pants (Advanced)
$35.00
$
35.00
All campers will be required to wear martial arts pants (Gi pants) each day. This selection is for advanced students black Gi pants for advanced students only, if you select Advanced for black Gi pants, but your student is not an advanced student you will not receive black pants.
Quantity
1
2
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5
Total
$0.00
$
0.00
Select all weeks your child will be participating in camp make sure quantity of weeks selected matches quantity of weeks selected above.
*
Payment Details
$100 nonrefundable deposit per weeks selected must be made at time of registration. Full payment for all weeks of camp selected is due the Friday before the first day of camp.
Method of Payment
*
Please Select
Cash
Check
Credit Card + 10% fee
Payment in person only.Any payment made using a credit card will be charged a credit card fee of 10%. Checks can be made out to Villari's of Wellington.
Authorization
I, the parent/guardian of this camper confirm that all information given in this form is true, complete, and accurate.
I understand that a $100 deposit per weeks of camp selected is due at time of registration and is non refundable.
I understand that Camp is nonrefundable once full payment is made, there is no refund or rescheduling available.
I understand that full camp payment for all weeks selected is due the Friday before the first day of camp.
I, the parent/guardian of this camper will follow the links after the confirmation, and complete the release of liability forms.(Non-students only)
Parent/Guardian Signature
*
Submit
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