Registration Form

Parent First Name

Parent Last Name

Student's First Name (1st child)

Student's Last Name (1st child)

Student's First Name (2nd child)

Student's Last Name (2nd child)

1st Childs Birthday

Month

Day

Year

2nd Child Birthday

Month

Day

Year

Phone

Address

Additional Information (Example) Additional Child Name, DOB,

"Level UP Summer; Learn *Build *Create -3 Camps 1 Location. You Choose.

*SUMMER REGISTRATION FEE PER CHILD (Select 1st Weekly Payment in Options Below) $85

Early Bird Special Before April 10th -Summer Camp fee 7am- 6pm$110

Summer Camp fee if Register After April 10th$125

Summer Camp (Early Drop off) 6:30-7am per child $10

Summer Camp Late Pickup 3:30pm -6:30 pm per child$20

STEM Summer Camp Lego Robotics & AI Animation June 8th-12th (FULL DAY) 9am-4pm$475

STEM Summer Camp Lego Robotics & AI Animation (HALF DAY) June 1st-19th 9am-12pm$275

STEM Summer Camp Lego Robotics & AI Animation (HALF DAY) June 1st -19th, 1-4pm$275

Check box to acknowledge this communication that future weekly payments are on auto-pay and include a $3.00 convenience fee.

Product

Product 1$0