The 2026 "ADVENTURE LAB" Summer Program: Registration & Payments
Thank You for considering us for your summer activities, we look forward to providing an AMAZING Summer Experience for your children. You can use this form to register your child and also make payments. Your spot is secured once the "registration fee" is paid, please be sure to pay that when you register. You will receive a confirmation that included the schedule for the weekly fee payments. #DaddyBackwards
Parent/Guardian Name:
*
First Name
Last Name
Parent/Guardian Email Address:
*
example@example.com
Parent/Guardian Phone Number:
*
-
Area Code
Phone Number
Child #1 Name:
*
First Name
Last Name
Child #1 Birth Date:
*
-
Month
-
Day
Year
Date
Child #1 Gender:
*
Male
Female
Child #2 Name:
First Name
Last Name
Child #2 Birth Date:
-
Month
-
Day
Year
Date
Child #2 Gender:
Male
Female
This form will submit Registration and/or Payments for up to (2) Two Children. If you need to register more than (2) Two Children please submit this form 1st and then do another for additional children.
Payment Options:
*
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Registration Fee (The 2026 ADVENTURE LAB Summer Program)
$
50.00
This Registration Fee secures your child(ren)'s spot in our "2026 'Adventure Lab' Summer Program. Once we receive your registration, we will send an official confirmation within 48 hours. CT Sales tax is added at checkout.
Quantity
1
2
Item subtotal:
$
0.00
Weekly Fees (The 2026 ADVENTURE LAB Summer Program)
$
75.00
Weekly Fees (The 2026 Adventure Lab Summer Program) Required
Weekly Payment Option
Quantity
Price
Week 1: 6/22 - 6/26/26
1
2
$
75.00
Week 2: 6/29 - 7/3/26
1
2
$
75.00
Week 3: 7/6 - 7/10/26
1
2
$
75.00
Week 4: 7/13 - 7/17/26
1
2
$
75.00
Week 5: 7/20 - 7/24/26
1
2
$
75.00
Week 6: 7/27 - 7/31/26
1
2
$
75.00
Week 7: 8/3 - 8/7/26
1
2
$
75.00
Week 8: 8/10 - 8/14/26
1
2
$
75.00
Item subtotal:
$
0.00
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Payment Information
All payments are Securely Processed through "SQUARE", Daddy Backwards Entertainment does not see or receive your payment information. You will be emailed a link to your receipt. If you have any questions, please feel free to contact us: info@DaddyBackwardsEntertainment.com
Submit
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