Registration
E-Learning Camp: This is new for our fall 2020 school year. E-learning camp at Amplitude is for students attending virtual classes during the fall semester. Amplitude will provide a safe learning environment where students can successfully complete their remote coursework, as well as participating in physical activity and enrichment activities. Children will be kept physically distanced. Children will be proctored by a member of our staff. Children must bring their own device(s) with chargers and headphones. Lunch, snacks, and a drink must be brought from home daily.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
Release of Liability
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I've read the above and agree.
 
Assumption of Risk
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I've read the above and agree.
 
Medical Emergencies
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Photography/Video Release
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Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*