Little Sprouts Summer Camp Registration: Falling for Physics
Thank you for your interest in Little Sprouts Summer Camp! All camps are held Monday through Friday from 9am-2:00pm.  Your camper will need to bring lunch and a drink; a healthy snack will be provided.  An email with details and information will be sent before the camp in addition to a daily summary. Contact with any questions!

Falling for Physics (Ages 7-12): Simple machines lead to big ideas. We’ll spend the week learning about and building simple machines, using screws, pulleys, and just about everything in between!
Dates: May 30- June 3, from 9am-2:00pm
Tuition: $200

***All camps are required to have a $50 non-refundable deposit at the time of registration. Once the registration form is completed, you will receive and invoice for the deposit amount. Registration is not complete until the deposit is paid. The remainder of fees will be due by April 15th.

Camp location is 5035 Patriot Dr., Stone Mountain, GA 30087

MASK POLICY: We currently require masks for all our classes. There will be two mask breaks (snack & lunch), which will occur in our covered outdoor eating space.
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Registration Information
Child's Name (Please list all if more than one): *
Child's DOB (Please list all if more than one): *
Parent's Name: *
Parent's Phone: *
Parent's Address: *
Email *
Emergency Contact Name  (other than Parents): *
Emergency Contact Phone:
By checking this box, you acknowledge that you are submitting a $50 non-refundable deposit to hold your spot, and the remainder will be due by April 15, 2022. You will receive a confirmation email and balance due (with payment options).
Does your child have any allergies or dietary restrictions? If so, please list them below. *
Child's Primary Care Physician and office name: *
Child's Primary Care Physician phone number: *
By typing your full name and the date below, you acknowledge the following: 1) you are registering for Little Sprouts Summer Camp(s). 2) your child's spot is not reserved until deposit payment is submitted. 3) you will receive an email with the total amount due with payment options. *
By signing my name below, I agree to the following: 1)  I wish to have my child registered and participate in Little Sprouts Summer Camp(s) for 2022 and to have him/her participate in all activities; 2) I release the camp, its directors, counselors, volunteers, and owner of the property, from any liability in connection with my child’s participation in any events and activities of the camp, which includes, without limitation, any liability related to an accident, an injury or illness suffered by my child; 3) I authorize the camp and persons associated therewith to consent to medical treatment for my child, to select the medical personnel, hospitals and/or clinics to treat my child in case of any accident, injury or illness that may occur; 4) In the event of an emergency, I authorize the camp to contact my child’s doctor, to administer first aid, to take my child to a clinic or hospital (emergency room) or to take any other action deemed necessary by the camp or its employees. *
I understand that Acorn to Oak Learning may take photos and/or videos of program participants during program activities and events for use in promotional materials in print, multimedia, or web form. Photos/videos will only be used for purposes related to Acorn to Oak Learning. *
Notes/additional questions:
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