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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