Summer Camp Registration Form
Please fill out one form per student.
Student Name
*
First Name
Middle Name
Last Name
Student Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
Year
Grade (Fall 2026)
*
Pronouns (Optional)
Parent/Guardian Name
*
First Name
Last Name
Best Contact Phone # for Parent/Guardian
*
Please enter a valid phone number.
Best Email for Parent/Guardian
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
(Optional) Please use this space to share information about accommodations, allergies, or anything else we should know about your child!
(Optional) Does your child wish to be placed with another student attending the same camp session? Please list the friend's name.
Select Your Camp Session(s)
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( X )
Story Rescue Squad (Ages 6-11) (Early bird pricing)
June 8 - 12, 2026 - Save $25 if you register by March 17!
$
350
Add After-Care for this Week of Camp
No
Yes
Item subtotal:
$
0.00
Superhero U (Ages 6-11) (Early bird pricing)
June 15-19, 2026 - Save $25 if you register by March 17!
$
350
Add After-Care for this Week of Camp
No
Yes
Item subtotal:
$
0.00
Magic Academy for Science & Stagecraft (Early bird pricing)
June 22 - 26, 2026 - Save $25 if you register by March 17!
$
350
Add After-Care for this Week of Camp
No
Yes
Item subtotal:
$
0.00
Make a donation to Brave Little Company!
Help support our summer camp scholarships! Your donation is tax deductible to the extent allowable by law.
$
Free
$0
$5
$10
$20
$25
$50
$100
Policies
*
I have read the summer camp policies and agree that my student and I will abide by them. I will share the policies with any other adults involved with my student's care so they may abide by the policies as well. I understand policies are subject to change at BLC's discretion, and I will be provided with a final copy about 2 weeks from the start of camp along with release forms and detailed contact forms to fill out.
Refund Policies
*
I have read and understood the refund policies.
Pay with PayPal
Choose from one of the PayPal options to
make your payment.
Register Now!
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