CA Summer Camp 2026 Registration Form

Welcome to Creation Acres summer camps!

What to Bring

A nut-free lunch
A refillable water

Note: The Leader in Training (L.I.T.) program is for ages 14-15.

Number of Students*

Student 1 Name*

First NameLast Name

Student 1 Birth Date*

Date

Does this student have any allergies, chronic illnesses, or medical conditions that require medication? If yes, please describe.

Does this student have any developmental or behavioral concerns that our camp leaders should know about?

Student 2 Name

First NameLast Name

Student 2 Birth Date

Date

Does this student have any allergies, chronic illnesses, or medical conditions that require medication? If yes, please describe.

Does this student have any developmental or behavioral concerns that our camp leaders should know about?

Student 3 Name

First NameLast Name

Student 3 Birth Date

Date

Does this student have any allergies, chronic illnesses, or medical conditions that require medication? If yes, please describe.

Does this student have any developmental or behavioral concerns that our camp leaders should know about?

My Products*

June 15 - June 19: FULL WEEK

$315.00

Camp Duration	Quantity	Price
Full Week/Full Day (315.00)		$315.00
L.I.T. - Full Week/Full Day (250.00)		$250.00
Full Week/Half Day (250.00)		$250.00
L.I.T. - Full Week/Half Day (190.00)		$190.00
Before Care (30.00)		$30.00
After Care (35.00)		$35.00

Item subtotal:$0.00

June 15 - June 19: SINGLE DAY

Choose the total number of days needed for all students. (Example: 2 children for 2 days = a quantity of 4)

$75.00

Camp Duration	Quantity	Price
Single Full Day (75.00)		$75.00
Single Half Day (60.00)		$60.00
Before Care (7.00)		$7.00
After Care (8.00)		$8.00

Item subtotal:$0.00

June 22 - June 26: FULL WEEK

$315.00

Camp Duration	Quantity	Price
Full Week/Full Day (315.00)		$315.00
L.I.T. - Full Week/Full Day (250.00)		$250.00
Full Week/Half Day (250.00)		$250.00
L.I.T. - Full Week/Half Day (190.00)		$190.00
Before Care (30.00)		$30.00
After Care (35.00)		$35.00

Item subtotal:$0.00

June 22 - June 26: SINGLE DAY

Choose the total number of days needed for all students. (Example: 2 children for 2 days = a quantity of 4)

$75.00

Camp Duration	Quantity	Price
Single Full Day (75.00)		$75.00
Single Half Day (60.00)		$60.00
Before Care (7.00)		$7.00
After Care (8.00)		$8.00

Item subtotal:$0.00

August 3 - August 7: FULL WEEK

$315.00

Camp Duration	Quantity	Price
Full Week/Full Day (315.00)		$315.00
L.I.T. - Full Week/Full Day (250.00)		$250.00
Full Week/Half Day (250.00)		$250.00
L.I.T. - Full Week/Half Day (190.00)		$190.00
Before Care (30.00)		$30.00
After Care (35.00)		$35.00

Item subtotal:$0.00

August 3 - August 7: SINGLE DAY

Choose the total number of days needed for all students. (Example: 2 children for 2 days = a quantity of 4)

$75.00

Camp Duration	Quantity	Price
Single Full Day		$75.00
Single Half Day		$60.00
Before Care		$7.00
After Care		$8.00

Item subtotal:$0.00

August 10 - August 14: FULL WEEK

$315.00

Camp Duration	Quantity	Price
Full Week/Full Day (315.00)		$315.00
L.I.T. - Full Week/Full Day (250.00)		$250.00
Full Week/Half Day (250.00)		$250.00
L.I.T. - Full Week/Half Day (190.00)		$190.00
Before Care (30.00)		$30.00
After Care (35.00)		$35.00

Item subtotal:$0.00

August 10 - August 14: SINGLE DAY

Choose the total number of days needed for all students. (Example: 2 children for 2 days = a quantity of 4)

$75.00

Camp Duration	Quantity	Price
Single Full Day (75.00)		$75.00
Single Half Day (60.00)		$60.00
Before Care (7.00)		$7.00
After Care (8.00)		$8.00

Item subtotal:$0.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Parent/Guardian Information

Name*

First NameLast Name

Phone Number*

Format: (000) 000-0000.

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Information

Emergency Contact's Name*

First NameLast Name

Relationship*

Phone Number*

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

Second Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Alt. Phone Number

Format: (000) 000-0000.

How did you hear about us?*

How did you hear about us? (Other)

Cancellation Policy

Cancellations received on or before April 15, 2026, will receive a refund minus applicable processing fees and a 20% non-refundable enrollment fee. Cancellations after April 15, 2026, are not eligible for a refund.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, 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.

Date

Signature

2026 Camp Registration

Student Information

Student 1

Student 2

Student 3

Camps