2024-2025 Day Camp (Champion Student)

Day Camp Extended Care for Champion After School Student Select all that apply Morning Care (8:30am - 9:00am) Mandarin Afternoon Care (4:00pm - 6:00pm)

Day camp Hot Lunch ( include food, yogurt and fruit) Select all that apply Hot lunch (+ $8.00)

Student Full Name * Maximum of 30 characters

Student's Date of Birth (MM/DD/YYYY) * Maximum of 30 characters

Student's Grade in 2024 Fall Semester * Maximum of 30 characters

Emergency Contact Phone Number * Maximum of 30 characters

Parent's Email * Maximum of 40 characters

I assert that I have read the Champion Education policy and agree to be bound by them (AUDIO, VIDEO, PHOTOS & MARKETING MATERIALS, CODE OF CONDUCT, SAFETY, CONTACT WITH CAMP STAFF & TEACHER, REFUND, ART MATERIALS, ACCOUNT & SOFTWARE & WEB CONTENT). Select all that apply Yes, I assert and agree

I acknowledge and understand that any changes made on Champion Education class should be done at least 7 days prior to the class starts to avoid extra charges. All class subject to cancellation if its minimum enrollment has not been met (<5). Select all that apply I agree