Summer Camp Registration

Summer Camp Registration

Use this template to register in a sports event with personal data, guardian and emergency information, allergies/health problems reference. Form Preview
  • There are 3 registration options for each week of camp!

    • AM half-day camp will be from 9:00am-12:00pm
    • PM half-day camp will be from 1:00pm-4:00pm
    • Full Day camp will be from 9:00am-4:00pm

    Early drop off: $50

    Late Pick-Up: $50

    Coding Drones Camp: $575.00 (Ages 9-14) *Price includes the cost and set-up of student's Drone. Drones are the student's to keep at the end of the week.

  • Student Information *Child must be at least 7 years of age to register

  • Parent/Guardian Information

  •  -

  •   AM
    HALF-DAY
    9:00am-
    12:00pm
    PM
    HALF-DAY
    1:00pm-
    4:00pm

    FULL
    DAY
    9:00am-
    4:00pm

    EARLY
    DROP-OFF
    8:00am-
    9:00am
    LATE
    PICK-UP
    4:00pm-
    5:00pm
    June 4-8th
    MINECRAFT
    CREATE
    June 11-15th
    ROBLOX
    CREATE
    June 18-22nd
    TBD
    June 25-29th
    GAME BUILDERS
    CLUB
    July 9-13th
    CODING
    DRONES
    (full day only)
    July 23-27th
    MINECRAFT
    CREATE
    July 30-Aug 3rd
    GAME BUILDERS
    CLUB
    August 6-10th
    ROBLOX CREATE
    August 13-17th
    BEGINNING
    JAVASCRIPT
    August 20-24th
    TBD
  • Payment information

    Credit Card will be processed once confirmation is sent.
  • Emergency Contact Information

  •  -
  • Informed Consent and Acknowledgement

    My children will abide by all rules and policies of Code Ninjas during Summer Camp. I, for myself and anyone entitled to act on my behalf, waive and release Code Ninjas of Tega Cay / Fort Mill and its officers and agents, all employees, their representatives and successors from all claims or liabilities even though liability may arise out of negligence or carelessness on the part of the persons named in this waiver.

    I grant permission to all the foregoing to use any photographs, motion pictures, recordings, or any other record of this event for any legitimate purpose.

    I understand that Code Ninjas is not responsible for lost items during Code Ninjas Summer Camps.

    I understand that Code Ninjas is a NUT FREE facility and I will not send my child with a snack containing nuts of any kind.

  • Medical Release and Authorization

    As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

    Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

    Permission is also granted to Code Ninjas and its affiliates including Directors, Senseis, and other staff to provide the needed emergency treatment prior to the child’s admission to the medical facility.

    Release authorized on the dates and/or duration of the camp selections.

    This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

  • Confirmation

    BY ACKNOWLEDGING AND SUBMITING THE REGISTRATION FORM, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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