BLC Summer 2026 Registration Form

Summer Camp Registration Form

Please fill out one form per student.
Student Name

First NameMiddle NameLast Name
Student Birth Date

MonthDayYear
Grade (Fall 2026)
Pronouns (Optional)
Parent/Guardian Name

First NameLast Name
Best Contact Phone # for Parent/Guardian
Please enter a valid phone number.Format: (000) 000-0000.
Best Email for Parent/Guardian
example@example.com
Address

Street Address

Street Address Line 2

CityState / 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.
Survey: Student Race
This information is only used as part of required reports to funders.
Survey: Student Ethnicity
This information is only used as part of required reports to funders.
Survey: Student Gender
This information is only used as part of required reports to funders.
Survey: Yearly Household Income
This information is only used as part of required reports to funders.
Survey: Total number of children in household
This information is only used as part of required reports to funders.

Magic Academy for Science & Stagecraft (Ages 6-11)

June 22 - 26, 2026

$375 Add After-Care for this Week of Camp
Item subtotal:

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

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Total

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
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Summer Camp Registration Form