S.T.E.A.M Summer Camp Registration
For children 5-14 years old. Please fill out one form for one child. Thank you.


S.T.E.A.M. summer camps (8:30 am-3:00 pm) Age 5-14 Years Old

We offer learning activities in science, technology, art, music, robotics, puzzles, 3D printing, wall climbing, sports, and computer programming — activities that align with the weekly theme so your child never gets bored.

Rates
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$475 / week Full Day from 8:30 am to 3:00 pm

$125 / week After Care from 3:00 - 5:30 pm

$40 / week Materials Fee for all students

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Additional Options

$50 / week Lunch and Snacks  Please check the link for the Lunch Menu.


If you do not order the food from Kids Elite, please prepare lunch and snacks, and something to drink for your children.

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メールアドレス *
Kid's Name *
Gender
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D.O.B
Home address
School Attending in Fall 2023
Grade in Fall
Name(s) of Siblings also attending
Parent’s Name/Guardian 1
Cell Phone
Email
Parent’s Name/Guardian 2
Cell Phone
Email
Emergency Contact Name
Important medical limitations and special conditions (Allergies to medicine or food, Asthma etc.)
6/12-6/16/2023  Encanto
6/19-6/23/2023 Turning Red
6/26-6/30/2023  Minecraft  
7/3-7/7 no camp
7/10-7/14/2023 Pokémon
7/17-7/21/2023 Jurassic Park  
7/24-7/28/2023   Next Gen  
7/31-8/4/2023 Good Night Opportunity (Oppy)
8/7-8/11/2023 Moana
What do you want your children to experience in the day camp?
Participants Behavior All student participants are expected to conduct themselves according to Kids Elite student rules. *
必須
Be polite and concise. Use appropriate language.Inappropriate Conduct The following are prohibited: • Anything prohibited by law, district, or school rules • Using obscene language or intentionally accessing or possessing obscene or pornographic material, as defined in subdivision (a) of Penal Code Section 313 • Harassing, insulting, or attacking others. •Sending or displaying intimidating, offensive, sexually explicit, or hate related material•Activities that would subject the district or the individual to criminal, civil, or administrative liability. *
必須
Accommodating Students with Special Need  If a student has an assistant/paraprofessional during the school day, they must also have an assistant/Para-professional to work with them during the After-School Program or non School day programs. This assistance must be provided by the parent or guardian. The parent or guardian must contact Kids Elite a minimum of 2 weeks to coordinate this. *
必須
Photos used for Website/Class Publicity Photos taken during camps may be published on our website, Facebook page, marketing materials and/or fliers unless a written no-photo request is emailed to info@kidseliteclub.com *
必須
Liability Release I, the undersigned, in consideration of my child’s participation in the summer program(s) offered at Kids Elite, assume all risk and do hereby agree to indemnify, hold harmless, and release Kids Elite and staff members, including its owners, employees, volunteers, and representatives for any and all liability from any injury or loss which may be suffered by the above-named child arising out of or in any way connected with the participation in this program.  I further authorize Kids Elite to obtain any emergency and/or medical treatment on my child’s behalf.  I have read, fully understand, and hereby voluntarily agree to the terms of this agreement and release. *
必須
Name of person who registers *
How do you know about us?
Date of registration *
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