Registration
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Summer days full of fun: Gymnastics & Tumbling Skills, Trampoline, Ninja Skills & Obstacle Courses, Arts & Crafts, Outdoor Games and Play, and much more! 9am to 12pm. WE WILL ADJUST THE RATE AND CHARGE YOUR CARD AFTER YOU HAVE REGISTERED. Junior Camp Monday-Thursday 9:00-12:00 Member $295 Non-Member $310. $10 discount on 2nd week and each additional week. $10 sibling discount for each child when registering multiple children from the same household. No refunds. You may switch to another camp session if we are notified at least one week prior to the start of whichever camp comes first.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Doctor/Physician
Father
Grandparent
Guardian
Mother
Other
Parent
Step Father
Step Mother
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
pre-K
preschool
Medications (Leave blank if NONE):
:
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
pre-K
preschool
Medications (Leave blank if NONE):
:
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
pre-K
preschool
Medications (Leave blank if NONE):
:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
pre-K
preschool
Medications (Leave blank if NONE):
:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
School:
Grade Level:
10th grade
11th grade
12th grade
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Adult
kindergarten
pre-K
preschool
Medications (Leave blank if NONE):
:
Additional Information:
FINANCIAL AGREEMENT/CANCELLATION POLICY
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Payment due upon registration. Do not process payment yourself. We will adjust the fees if needed before processing the payment. No refunds. You may switch to another camp session if we are notified at least one week prior to the camp start date.
I've read the above and agree.
WHAT TO BRING
(Show-Hide Details)
*Both snack and lunch, which is to be provided by parents. If your child has no snack or lunch, we will provide them with food and charge the card on file.
*Sunscreen - Campers may put on sunscreen before they arrive or bring their own sunscreen to put on. Rising Star Staff will NOT apply sunscreen to any students.
*Warm clothes - it can be chilly outside.
*Refillable Water bottles - we have a water refilling station if needed
*Hair ties - Long hair should be pulled back with a hair tie to keep hair out of the face.
* Appropriate footwear - Woodchips from the park tend to get caught up in shoes such as flipflops and crocs.
*I understand and agree to the above policies for myself and my child.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
Visa
Mastercard
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
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Exp Year:
*
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Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
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