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2019 Registration Form
Please complete this form and then complete online payment.
Email address *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Date of Birth *
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Parent/Guardian Name *
Your answer
Phone (Home/Work) *
Your answer
Phone (Cell) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Camper's Doctor *
Your answer
Doctor's Phone Number *
Your answer
Please list any allergies, special considerations, or limitations your child has of which teachers should be made aware. *
Your answer
Camp Zilla Session 1 (June 3 -7)
Camp Zilla Session 2 (June 10 -14)
Child Care - Session 1 (June 4-8)
Child Care - Session 2 (June 10-14)
My child has permission to go on field trips on AISD buses or alternative transportation. *
I give permission for my child's picture to be taken for Zilla Camp purposes. *
I give permission for my child to use the internet for their camp. *
Parent/Guardian Signature (Type your name below) *
Your answer
Today's Date *
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** Go to School Cash for payment after submitting. Registration is NOT complete without payment. **
If you don't have an account, you will need to make an account in order to pay.
1. Registration for all camps is open to Mathews Elementary School Students and AISD students. Registration is considered complete when the Registration Form and Terms of Enrollment/Release Form are completely filled out and full payment is received. 2. Registration is available on a first-come, first-served basis. If a camp reaches capacity, you will be notified and offered the choice to register for another camp. Lead teacher will provide confirmation letter two weeks prior to start of camp. Zilla Camp has the right to cancel any camp due to low enrollment. 3. If a child is unable to attend after camp payment is made, a refund will be issued until March 30th(less $50 processing fee). After March 30th, no refunds will be given. No refunds will be made for absences or withdrawals during the camp sessions. 3. It is understood that the parent or guardian signing this application certifies that their child will follow all rules and regulations and will abide by all decisions made by the camp administration. In the event that rules are broken, proper action will be taken by the camp administration. If there is no change in behavior, the camper will be dismissed without a refund. In the event that the camper causes damage to another person or property, the parent or guardian will be held liable for all damages incurred. 4. Medication, allergies, or special needs of campers must be indicated in the space provided below. Campers will not be allowed to attend camp unless all forms are complete and on file with the Camp Director. 5. In the case of a medical emergency, all efforts will be made to contact the parent or emergency contacts and the child's doctor. 6. I have read and understand and agree to these terms by typing my name in the space below. * *
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A copy of your responses will be emailed to the address you provided.
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