Summer Camp Registration Form
**After submission of this form, we will contact you to arrange payment to complete the registration process**

Monday - Friday
8am - 5pm

(Inquire about early drop off and late pick up)


Prices

9 Weeks: $350 per week
8 Weeks: $350 per week
7 Weeks: $360 per week
6 Weeks: $370 per week
5 Weeks: $380 per week
4 Weeks: $390 per week
3 Weeks: $400 per week
2 Weeks: $410 per week
1 Week: $420

Sibling Discount - $50 off per week

ELITE SKILLS Registration Form
Choose Weeks
Choose which weeks you will attend camp
Required
Do you need to drop off your child before 8am? What time?
Your answer
Do you need to pick up your child after 5pm? What time?
Your answer
Parent Information & Contact
First Name
Your answer
Last Name
Your answer
Mailing Address
Full Address: Street, City, State, Zipcode
Your answer
Cell Phone Number
Example entry: 123-456-7890
Your answer
Home Phone Number
Your answer
Email
Your answer
Youth Information
If registering more than 1 child, please list them from youngest to oldest in each category.
Comma between each multiple child entry. (Ex: John Doe, Jane Doe)
Only siblings may be registered on the same form, no other relation.
Please enter Child's First and Last name.
Date of Birth, only enter numbers (Ex: 1/1/2001)
Gender, only enter first letter (Ex: M or F)
Full Name(s)
First and Last Name
Your answer
Age(s)
Your answer
Date of Birth(s)
Numbers only, Example: 1/1/2001
Your answer
Gender(s)
Example: M or F
Your answer
Video / Photography
ELITE SKILLS has permission to take photos/videos of participants for promotional use.
Required
Medical Release
My child has been taken to the doctor and has been cleared to participate in physical activity
Required
Emergency Contact
Name
Your answer
Relationship
Your answer
Cell Phone
Your answer
Other Contact Number(s)
Your answer
How did you hear about Elite Skills?
If you are a return client write "Return"
Your answer
Submit
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