2025 Summer Camp Registration

Student's First & Last Name

Student's Age

Parent's First name

Parent's Last name

Email

Phone

Emergency Contact Name

Emergency Contact Phone

WeChat ID

Student's gender

Female

Male

Does the participants have any medical conditions or allergies

Yes

No

If Yes, please specify below:

Does the participant require any medication?

Yes

No

If Yes, please specify below:

Which camp will the participant attend? (For age 4-12, 9am - 4pm)

8/25 - 8/29 ( 5 days ) - Zippy Squirrels Ultimate Fun Week!$590

9/2 - 9/5 ELC Half Day Camp (1pm - 4pm)$250

9/2 - 9/5 ELC Half Day Camp with Early Drop-off and Lunch (12pm - 4pm)$330

If referred by a friend, please leave their name below so your friend can receive a referral credit from us.

By registering, I consent to photos/videos of my child being taken for promotion and documentation. For concerns, please contact us.

By registering, I consent to the Minor Waiver/Release.

I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulation, and accept them as a participant.

Yes, add me to your mailing list.

Parent / Guardian Signature

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