2024 Summer Camp Enrollment
Our 2024 Summer Camp Program is a small group immersive experience into various electives. This includes art, daily nature exploration outings, STEM, weekly field trips, entrepreneurship/financial literacy projects, critical thinking games, cooking, and more! The registration fees link is included on this form. Please read the FAQ HERE
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Email *
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Enter Student Name [First Last] *
Enter Student Name [First Last] (Student 2)
Street Address (City, State, Zip) *
Age (Student 1) *
Age (Student 2)
Birthday (Student 1) *
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Birthday (Student 2)
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Parent(s)/ Guardian(s) Name *
Phone Number *
Emergency Contact ( Name ) *
Emergency Contact Number *
School Name (student 1) *
School Name (student 2)
Grade level (Student 1) *
Grade level (Student 2)
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Please list specific areas of difficulty from the list above. *
Does student have any individualized Education Programs (IEP) or learning disabilities? Please list below or state "N/A" *
Primary Physician *
Physician Phone # *
Hospital Preference *
Please list any medical problems, including any requiring medication (i.e. Asthma, allergies). *
Is your child presently being treated for an injury or sickness, or taking any form of medication for any reason? *
If yes, please explain
Is your child allergic to any type of food or medication? *
If yes, please explain
Does your child require a special diet? *
If yes, please explain
Please check the weeks of camp you plan to attend. (Camp payments are due by the Thursday before the upcoming week) This link will be emailed once we process your application  *
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I will need extended before/aftercare (8 am-4 pm) *
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I understand that SOAR Academy will not be responsible for the medical expenses incurred, and such expenses will be my responsibility as parent/guardian. *
Required
I understand that I will be notified in the case of a medical emergency involving my child.  In the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event my child is injured or becomes ill. *
Required
I hereby give permission for my child to be photographed at SOAR Academy. I understand the photos will be used to keep a journal of activities to share for promotional purposes. *
Required
I hereby give permission for the transportation of my child for official Soar Academy camp activities by modes of transportation agreed to by the camp organizers. All vans, cars, and buses are owned and insured by Soar Academy LLC. Our teachers are background checked and certified in student safety and CPR.  *
Required
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In order to maximize each camper's experience, we do not allow cellphones during summer camp. Please respond below with "I understand and agree"  *
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