2025 Weekly Camps Registartion

Published: January 29, 2025

2025 Presidents & Spring Break Camp

Our next- weekly camp from Presidents’ Week Recess & Spring Recess of 2025! These camps are open to children ages 5 & up!

Camper drop-off will be from 7:30 am to 9:00 am.
The pick-up time will be from 3:00 pm to 6:00 pm.
1-4 Day Camp options are also available!
We will take the campers on a safe field trip to the Strong Museum of Play.
Campers should bring a packed lunch (except FRIDAY), reading material and/or academic work, and a water bottle.
No electronics during camp.
Taekwondo, Fun and Safe Activities, Arts and Crafts, Board Games, and more...

Registration for this day camp is open! As always, feel free to contact us with any questions!

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Camper Information

Instructions Weekly Field Trip Admission and Friday Pizza Party Are Included in the Camp Fee.

Campers Name *

Birthday *

Age *

Allergies *

Parent/Guardian Information

Parent/ Guardian's Name *

Relation *

Cell Phone *

Work Phone (Optional)

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Email *

Emergency Contact Information

Emergency Contact Person's Name *

Relation *

Emergency Contact phone *

Insurance Company Name *

Family Physician Name *

Doctor's Phone *

CHILD IN CARE MEDICAL STATEMENT Note: NYSED requires physical exam for new entrants and students in Grade Pre-K or K,1,3,5,7,9,& 11: annually.

Camp Information

Which Camp? *

Select the one or more. Day Camp are available too. Type in the dates in next comment box.Feb 17-21/2025 Full Camp 7:30am-6:00pmFeb 17-21/2025 Reg. Camp 8:00am-3:00pmApil 14-18/2025 Reg. Camp 7:30am-6:00pmApil 14-18/2025 Reg. Camp 8:00am-3:00pmDay Camp 7:30am-6:00pmDay Camp 8:00am-3:00pm

Which Day(s) Type in the day(s) of camp you need. Example. 02/18, 02/20....

Camp Fee *Field Trip Admission and Friday Pizza Party are included in Full/Reg. Week Camp Fee.

Camper T-Shirt Size Let us sknow your child' Shirt Size. It's Included in Camp Registration Fee!

Waiver I hereby voluntarily submit my application for my attendance and participation to Agape Black Belt Center, LLC and hereby assume all responsibilities for any and all damages, injuries or losses I may sustain or incur while attending and participating. I hereby release and waive all claims against the sponsors, promoters, organizers, operators, host, instructors, associations, schools, owners, officers, directors, employees and other participants connected with Agape Black Belt Center, LLC individually or otherwise. I fully understand that in case of injury the only medical treatment provided will be first aid. I understand that I must strictly obey instructors and observe safety rules. I further agree that any photography and video taping of me in connection with Agape Black Belt Center, LLC can be used for publication, promotion, articles, and advertisements without additional consent and without compensation at this time or any other time. I understand that all registration fees are non-refundable.

Yes. I agree to terms *

Yes

Parent/ Guardian Name *

Verification

Please enter any two digits *Example: 12
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Published: January 29, 2025

Categories: Camp, School Announcement