AMISTAD INTO TO THE WILD Registration Form 2026

Summer Camp Registration 9:00 am - 4:00 pm
Do you have a subsidy that you would like to use?

We welcome childcare subsidies. If you have one you'd like to use, please contact Maria Paula directly at mariapaula.uribe@seattleamistadschool.org for more details
STUDENT INFORMATION:
Child Name/ Nombre del niñx*
Birth Date/ Fecha de nacimiento*

MonthDayYear
Grade/Grado
Allergies/ Alergias
PARENT/GUARDIAN INFORMATION INFORMACIÓN DEL PADRE / TUTOR:
Parent/Guardian Name 1/ Nombre del padre o tutor 1*

First NameLast Name
Cell Phone Number/ Numero de Celular*

Area CodePhone Number
E-mail/ Correo electronico*
example@example.com
Parent/Guardian Name 2/ Nombre del padre o tutor 2*

First NameLast Name
Cell Phone Number/ Numero de Celular *

Area CodePhone Number
E-mail/ Correo electronico*
example@example.com
Select the weeks you would like. Selecciona las semanas que deseas.

INTO THE WILD Summer Camp 2026

● Cancellation policy.

* If cancellation notice is received days before the first day of camp, invoice will not be generated, but will be charge $60 dollar of admin fee.

* If cancellation notice is received between 6-3 days before first day of camp, 50% of full camp amount will be invoiced.

* If cancellation notice is received 1 or 2 days before the first day of camp, 75% of full payment will be invoiced.
Informed consent and acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Seattle Amistad School during the selected camp.*

AgreeI do not agree
Media Disclosure Seattle Amistad School may periodically photograph students participating and working during camp. These photographs may be used in a variety of ways; Public relations and marketing purposes. Names will not be included in photographs or posted on social media. We appreciate your support.*

AgreeI do not agree
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Summer Camp Registration 9:00 am - 4:00 pm