Adventure Program Registration

Contact Infromation

Parent/Guardian Namerequired

First Name

Last Name

Email Addressrequired

Best Contact Phonerequired

Student Information

Student's Namerequired

First Name

Last Name

Program Registration

June Session - Week(s) Attending

Week 1: 6/13-6/17

Week 2: 6/20-6/24

Week 3: 6/27-7/1

July Session - Week(s) Attending

Week 4: 7/11-7/15

Week 5: 7/18-7/22

Week 6: 7/25-7/29

Week 1 Days Attendingrequired

Monday - Friday: 9am-12pm ($150.00)

Monday/Wednesday/Friday: 9am-12pm ($90.00)

Tuesday/Thursday: 9am-12pm ($60.00)

Add Extended Day Option For Week 1 (M-F)

Afternoon Adventure: 12-3pm ($150.00)

Camp Sunrise: 7-9am ($100.00)

Camp Sunset: 3-6pm ($150.00)

Add Extended Day Option For Week 1 (M/W/F)

Afternoon Adventure: 12-3pm ($90.00)

Camp Sunrise: 7-9am ($60.00)

Camp Sunset: 3-6pm ($90.00)

Add Extended Day Option For Week 1 (T/Th)

Afternoon Adventure: 12-3pm ($60.00)

Camp Sunrise: 7-9am ($40.00)

Camp Sunset: 3-6pm ($60.00)

Week 2 Days Attendingrequired

Monday - Friday: 9am-12pm ($150.00)

Monday/Wednesday/Friday: 9am-12pm ($90.00)

Tuesday/Thursday: 9am-12pm ($60.00)

Add Extended Day Option For Week 2 (M-F)

Afternoon Adventure: 12-3pm ($150.00)

Camp Sunrise: 7-9am ($100.00)

Camp Sunset: 3-6pm ($150.00)

Add Extended Day Option For Week 2 (M/W/F)

Afternoon Adventure: 12-3pm ($90.00)

Camp Sunrise: 7-9am ($60.00)

Camp Sunset: 3-6pm ($90.00)

Add Extended Day Option For Week 2 (T/Th)

Afternoon Adventure: 12-3pm ($60.00)

Camp Sunrise: 7-9am ($40.00)

Camp Sunset: 3-6pm ($60.00)

Week 3 Days Attendingrequired

Monday - Friday: 9am-12pm ($150.00)

Monday/Wednesday/Friday: 9am-12pm ($90.00)

Tuesday/Thursday: 9am-12pm ($60.00)

Add Extended Day Option For Week 3 (M-F)

Afternoon Adventure:12-3pm ($150.00)

Camp Sunrise: 7-9am ($100.00)

Camp Sunset: 3-6pm ($150.00)

Add Extended Day Option For Week 3 (M/W/F)

Afternoon Adventure: 12-3pm ($90.00)

Camp Sunrise: 7-9am ($60.00)

Camp Sunset: 3-6pm ($90.00)

Add Extended Day Option For Week 3 (T/Th)

Afternoon Adventure: 12-3pm ($60.00)

Camp Sunrise: 7-9am ($40.00)

Camp Sunset: 3-6pm ($60.00)

Week 4 Days Attendingrequired

Monday - Friday: 9am-12pm ($150.00)

Monday/Wednesday/Friday: 9am-12pm ($90.00)

Tuesday/Thursday: 9am-12pm ($60.00)

Add Extended Day Option For Week 4 (M-F)

Afternoon Adventure: 12-3pm ($150.00)

Camp Sunrise: 7-9am ($100.00)

Camp Sunset: 3-6pm ($150.00)

Add Extended Day Option For Week 4 (M/W/F)

Afternoon Adventure: 12-3pm ($90.00)

Camp Sunrise: 7-9am ($60.00)

Camp Sunset: 3-6pm ($90.00)

Add Extended Day Option For Week 4 (Tu/Th)

Afternoon Adventure: 12-3pm ($60.00)

Camp Sunrise: 7-9am ($40.00)

Camp Sunset: 3-6pm ($60.00)

Week 5 Days Attendingrequired

Monday - Friday: 9am-12pm ($150.00)

Monday/Wednesday/Friday: 9am-12pm ($90.00)

Tuesday/Thursday: 9am-12pm ($60.00)

Add Extended Day Option For Week 5 (M-F)

Afternoon Adventure: 12-3pm ($150.00)

Camp Sunrise: 7-9am ($100.00)

Camp Sunset: 3-6pm ($150.00)

Add Extended Day Option For Week 5 (M/W/F)

Afternoon Adventure: 12-3pm ($90.00)

Camp Sunrise: 7-9am ($60.00)

Camp Sunset: 3-6pm ($90.00)

Add Extended Day Option For Week 5 (Tu/Th)

Afternoon Adventure: 12-3pm ($60.00)

Camp Sunrise: 7-9am ($40.00)

Camp Sunset: 3-6pm ($60.00)

Week 6 Days Attendingrequired

Monday - Friday: 9am-12pm ($150.00)

Monday/Wednesday/Friday: 9am-12pm ($90.00)

Tuesday/Thursday: 9am-12pm ($60.00)

Add Extended Day Option For Week 6 (M-F)

Afternoon Adventure: 12-3pm ($150.00)

Camp Sunrise: 7-9am ($100.00)

Camp Sunset: 3-6pm ($150.00)

Add Extended Day Option For Week 6 (M/W/F)

Afternoon Adventure: 12-3pm ($90.00)

Camp Sunrise: 7-9am ($60.00)

Camp Sunset: 3-6pm ($90.00)

Add Extended Day Option For Week 6 (Tu/Th)

Afternoon Adventure: 12-3pm ($60.00)

Camp Sunrise: 7-9am ($40.00)

Camp Sunset: 3-6pm ($60.00)

Summer Program Payment Informationrequired

I Understand and agree to the following:

The balance is due in full by the registration deadline. (June 1st for programs beginning in June and July 1st for programs beginning in July)
Late payments (after the registration deadline) will be charged an additional 25% late fee.
It is the responsibility of the parent/guardian to pay by the due date.
Enrollment in the program will not be held after the registration deadline unless payment is received. (The spot will be opened up to waitlisted students.)

Payment Information

Please select a payment typerequired

Credit Card

Billing Addressrequired

Address

City

State/Province

Country

Zip/Postal Code

Cardholder Namerequired

First

Last

Expirationrequired

Month

Year

Elgin Academy

Summer Adventure Program Registration

Contact Infromation

Student Information

Program Registration

Payment Information