2023 Camp 5:5 – Registration Form

One Form Per Child

Step 1 of 4

Camper Name(Required)

First Last

Grade for 2023-2024 School Year(Required)

We are so excited that you will be joining us at Camp 5:5 this summer! The name Camp 5:5 comes from Revelation 5:5, “Then one of the elders said to me, “Do not weep! See, the Lion of the tribe of Judah, the Root of David, has triumphed”. We are looking forward to ten great weeks of camps this summer! Please complete this form to reserve your camper’s spot as space is limited! Spaces will be first come, first serve.

Each week has a specific theme that will be explored in various ways each day.

Structure of the Day: Each camper’s day will include:
- Start of day worship and Bible lesson
- Activities based around the weekly theme
- Field trips, depending on age group (some of these outings may be a local park, pool, zoo, laser tag, etc.)

Campers who are not currently registered at ECA or EKC will need to submit all enrollment forms, including a birth certificate and immunization record BEFORE their first day of camp. For campers currently registered at ECA or EKC, we will be in touch if additional forms or information are required.

We will be enrolling kids for the following class groupings, based on need:

Rising kindergarteners & 1st graders - Rookies
Rising 2nd & 3rd graders- Juniors
Rising 4th & 5th graders - Seniors
Rising 6th - 8th graders - Middle School Mania

Pricing:
$25 Enrollment fee to be paid at time of registration.
The weekly fee is $170 when you register by May 1. If you register after May 1, the weekly fee becomes $185. Weekly fee is due upon reserving camper’s spot, and will be paid prior to each week’s attendance. Phrasing needs to change to reflect reservation process.

Local field trips (pool, parks, library) are included in each week’s fee. Additional field trips (laser tag, zoo, etc.) will be included in that week’s invoice.

Before/After Care: Before and After Care is an option for families that need it.After Care is $12 per day or $50 per week. Before care is given based on reservation. $2.50 per day or $10 per week.

Schedule: I understand that I am reserving the following days for my camper. If a change must occur, a notice of two weeks must be given by email to Owen Donnelly (odonnelly@eukaryaacademy.com). If a two week’s notice is not received, I understand that I will be responsible for payment of days registered for. For last-minute schedule changes, I understand that I must receive confirmation that a spot is available before dropping off.

PERMISSION and MEDICAL RELEASE

Camper’s Name

First Last

Date(Required)

Parent/Guardian Signature(Required)

Date(Required)

Parent/Guardian Name(Required)

First Last

Parent/Guardian Signature

Date

Parent/Guardian Name

First Last

Your registration is not yet complete!

In order to finish registering for camp you need to make a pre-payment and vault a card on file. You are going to be sent to our payment processor, Stripe, to make the payment. Click submit below to be sent to our processor.

Your registration is not finished until payment has successfully completed. You will receive a receipt in your email with details of your transaction. If you don't see it right away then please check your spam email.

Total Due Today

Price:

Pre-payment for one camp + registration fee is required at this time. The rest of the payment is auto-billed using the card on file

Remaining Balance Due

This is the remaining balance you will owe after today's payment. In order to keep payments simple, we have spread out the billing so that camps are charged 7 days prior to the camp. Your pre-payment today covers the first camp you register for, and then the remaining amount for each camp will be auto-billed from your card on file 7 days prior to the beginning of each camp.

Correction

This is a simple backend correction in the system to the balance. You can ignore this and pay attention to the Total Due Today and the Remaining Balance due.

2023 Camp 5:5 – Registration Form

One Form Per Child

PERMISSION and MEDICAL RELEASE

Your registration is not yet complete!

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