Camp Registration PLEASE NOTE: All camps take place at our Medford location. Student InformationStudent's Name* First Last Student's Date-Of-Birth* MM slash DD slash YYYY Student's Grade Level for the 2023/2024 School Year* Parent's Name* First Last Email* Enter Email Confirm Email Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent's Phone*Parent's Cell PhoneFood Allergies or Restrictions:Health or Medical Conditions we need to be aware of:Anything else you’d like us to know:Emergency Contacts1st Contact's Name* First Last Relation* Phone*2nd Contact's Name* First Last Phone*Relation* Release Form* I have read and agree to the terms outlined in the camp release form (pdf). CampsCamp OfferingsCamp Offerings $149 each. If your child is enrolled in our SSA camp already, they can save 10%. Text us for the code! Intro to Spanish Intro to Drawing Super Science Summer Success AcademySummer Success Academy For incoming 2nd-7th Graders. $899 for Full Summer (monthly options available). No SSA on July 4th. FULL SUMMER : June 20-August 17 JUNE: June 22-June 29 JULY: July 1-29 AUGUST: August 3-19 TutoringEnroll your child in Tutoring?Add on the enrollment fee for tutoring and save $100! View Our Rates. This lifetime Enrollment Fee covers materials and assessments. Your child can start at stop tutoring throughout his/her lifetime without paying any additional start-up fees.Yes, enroll my child in tutoring. $50.00TotalIf you have a coupon code, enter it here. Grand Total $0.00 Credit Card* Cardholder Name Card Details CommentsThis field is for validation purposes and should be left unchanged.
