Virtual Summer Camp Registration Form

Virtual Summer Camp Registration Form
Welcome to our virtual summer camp for this year 2021. Provide activities where your child/children can learn various things virtually.
Requirements:
1. Computer device (Desktop, laptop, tablet)
2. Network connection
3. Google Meet/Zoom
4. Materials that will be needed for virtual activities (will be provided by instructors)
5. Focus participation
6. Webcam
7. Microphone
Please fill out the form below in order to register a camper:
Parent/Guardian Name
First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Camper's Name
First NameLast Name
Camper's Age
Date of Birth
MonthDayYear
Date
Grade Level
School
This is a 4-week summer camp program, please choose the dates you preferred to join:
Select you preferred time (based on the days selected above)
You selected {thisIs} - {selectYou}.
Terms and Conditions
- The parent/guardian should supervise the child/children if needed for the virtual activities.
- For children below 13 years old, the parent/guardian will be responsible for handling, maintaining, and supervising their accounts.
- Most Google Meet video conferencing will be recorded so by signing this form, you agree for the child/children to be recorded for archive and promotional offers only.
- All the lessons, tutorials, and activities will be recorded so that the camper can rewatch them if needed.
- Please avoid absences because the slot is already resolved for the camper.
- The video conferencing app that will be used is via Google Meet. If an issue occurs, the next app to use will be Zoom.
- Kindly make sure that all requirements are available to fully enjoy the virtual summer camp.
Parent/Guardian Signature
Clear
Date Signed
MonthDayYear
Date
Should be Empty:

Virtual Summer Camp Registration Form

Terms and Conditions