Registration If you are human, leave this field blank.Week 4 Registration: June 30 – July 4 Child InformationFirst Name *Last Name *Age *Grade *Name of School *If paying by check, your check must be received within 10 days of registration or your registration will be deleted. Optional payment plan available: $150 non-refundable deposit due at the time of registration to hold your spot. Payments can be made at your scheduling with the total balance due by May 1, 2025. There will no no refunds for cancelaton after May 1, 2025. Scholarships are available for families that need it. Click here to apply. Be careful to choose the week(s) that works for your family—Registration change requests will be granted for a $50 reschedule fee and only if there is room to do so. If paying by Paypal, click on the Pay Now button that will appear on the next page after you submit this registration form. PAYMENT Optional payment plan available: $150 deposit due at the time of registration to hold your spot. Payments can be made at your scheduling with the total balance due by 6/1/2024. $850/week Select PaymentPay Full Amount of $850 by PayPal (+$25 processing fee)Pay Full Amount of $850 by CheckUse The Payment Plan and Pay $150 Deposit by PayPal (+$25 processing fee)Use The Payment Plan and Pay $150 Deposit by CheckWould you like us to provide lunch? Lunch will cost $100 for the week.No, I will bring my own lunchYes, please provide lunchEmail *Home Phone *Best Parent Contact Number *Alternate/Emergency Contact Number *AddressApt, suite, etc.CountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codePhysician Name *Physician Phone Number *Any Medical Concerns?Any Diet Restrictions?Anything Special We Should Know About Your Child?Film Rating All of our summer camp films are rated as G or PG at our own discretion. Please be sure to watch some of our films on YouTube https://www.youtube.com/@karithomas5684/videos to decide for yourself if our films are appropriate for your family. Please be aware that we do not guarantee large acting roles. WE ARE NOT AN ACTING CAMP. We are a filmmaking camp, where the cast and crew work as a team. Because we know that some filmmakers are only interested in one or the other, please indicate:I want to be a filmmaker behind the scenes! (Examples: directing, camera, boom operator, sound mixer, key grip, gaffer) I want to be an actor in front of the camera! I want to work behind the scenes as well as act in front of the camera. Liability & Media Release Forms *Liability & Media Release forms printed & signed? You can either mail these in to us with your check payment or bring them in to the first day of camp. Forms will be ready in January. You will get an email.Click here to print/fill out forms. Captcha *reCAPTCHA is required.Register & Pay