2020 Summer Camp Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Submit ONE form for EACH child UNLESS ALL YOUR CHILDREN HAVE THE SAME SCHEDULE AND CAMP CHOICES.

Email *

Location *

Ashburn (44190 Waxpool Rd, Suite 162, Ashburn VA 20147)

Required

How did you find us? *

Google

Bing

Friend

Flyer at an event

Other:

Required

Student Name (s) (List multiple campers ONLY IF they have the same schedule of weeks and choices. Otherwise, fill out one form for each child.) *

DOB (s) *

Parents Names and Phone Numbers *

Parents Email Addresses *

Choose Weeks

Pricing: Half Day (Only 5d/wk option exists for half days): $199/wk; Full Day 5d/wk: $275; Full Day 3d/wk: $225; Extended Day 5d/wk: $299; Extended Day 3d/wk: $249; Combine with Robotics camp for $50/wk extra for 5d or $25 extra for 3d;

AM Half (9A-12P)

PM Half (1P-4P)

Full Day (9A-4P)

Extended Day (8A-6P)

None

6/11 (NO Half Day Camp on 6/11)

6/12 (NO Half Day Camp on 6/12)

6/15-6/19

6/22-6/26

6/29-7/2 (Holiday: 7/3; Priced reduced by $25)

7/6-7/10

7/13-7/17

7/20-7/24

7/27-7/31

8/3-8/7

8/10-8/14

8/17-8/21

Clear selection

Choose Camps Combo (Once registered, no changes can be made to this).

Note: Each of our camps (Music, Art and Robotics) is half day long. Note that for Ages 4-7, only MUSIC is offered for AM and ART for PM; For Ages 8+, only ART is offered for AM and MUSIC for PM. There is no such restriction for Robotics camps.

Music & Art (Half Day Each)

Music & Lego/Robotics (Half Day Each)

Art & Lego/Robotics (Half Day Each)

Just Music (in AM for Ages 4-7 or PM for Ages 8+)

Just Art (in PM for Ages 4-7 or AM for Ages 8+)

Just Robotics (AM Half Day)

Just Robotics (PM Half Day)

None

6/11 (No Half Day Camp)

6/12 (No Half Day Camp)

6/15-6/19

6/22-6/26

6/29-7/2 (July 3rd is a holiday)

7/6-7/10

7/13-7/17

7/20-7/24

7/27-7/31

8/3-8/7

8/10-8/14

8/17-8/21

Music & Art (Half Day Each)

Music & Lego/Robotics (Half Day Each)

Art & Lego/Robotics (Half Day Each)

Just Music (in AM for Ages 4-7 or PM for Ages 8+)

Just Art (in PM for Ages 4-7 or AM for Ages 8+)

Just Robotics (AM Half Day)

Just Robotics (PM Half Day)

None

6/11 (No Half Day Camp)

6/12 (No Half Day Camp)

6/15-6/19

6/22-6/26

6/29-7/2 (July 3rd is a holiday)

7/6-7/10

7/13-7/17

7/20-7/24

7/27-7/31

8/3-8/7

8/10-8/14

8/17-8/21

Clear selection

Choose Days

Note:

None

Mon

Tues

Wed

Thurs

Fri

6/11 (No Half Day Camp)

6/12 (No Half Day Camp)

6/15-6/19

6/22-6/26

6/29-7/2 (Holiday on 7/3; Price reduced by $25)

7/6-7/10

7/13-7/17

7/20-7/24

7/27-7/31

8/3-8/7

8/10-8/14

8/17-8/21

Payment and Refund Policies *

REVIEW & CHECK ALL boxes. You agree to all these policies by signing this form at the bottom.

Early Bird: $25/week OFF if registered before 4/30/2019

Only one kind of discount can be utilized

Sibling Discount: 5% Each child (Check this box even if you are not registering a sibling)

I will "Reserve My Spot" by placing a non-refundable deposit of $50 for EACH week selected; This will be applied towards tuition at time of camp.

Adding our partner robotics camp (for half day) will add $25/wk for Full or Extended day camp.

Cancellation has to be SENT IN WRITING 1 month prior to start date of camp for full refund MINUS $50 deposit;

Cancellation (Must be done in WRITING) that is between 7-30 days prior to start date of camp will only get 50% refund MINUS $50 deposit;

Any cancellation (Must be sent in WRITING) within 7 days of start date of camp will not get any refund;

Required

Credit Card Number (If you are placing deposit for future weeks, only $25/week will be charged now; Discounts and Remaining fees will be applied 1 week before actual camp week) *

Expiry Date *

Name and address on card *

I hereby waive all right and claims against Notes n' Beats LLC and its staff and and its partner company, Science Cosmos (STEM ED LLC) and its staff for any liability resulting from my child's participation of any indoor or outdoor events organized by Notes n' Beats. By checking the box below, I agree to the above terms. *

I agree

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Notes n' Beats. Report Abuse

Forms