2025 Camp 5:5 – Registration Form One Form Per Child Step 1 of 5 20% Camper Name(Required) First Last Grade for 2024-2025 School Year(Required)Rising kindergarteners & 1st graders - RookiesRising 2nd & 3rd graders- JuniorsRising 4th & 5th graders - SeniorsRising 6th - 8th graders - Middle School ManiaWe 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: - Activities based around the weekly theme - Field trips, depending on age group (some of these outings may be a local park, pool, theater, caverns, 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: $50 Enrollment fee to be paid at time of registration. The weekly fee is $210. Weekly fee is due upon reserving camper’s spot, and will be paid prior to each week’s attendance. A non-refundable registration is due upon reserving the campers spots. Along with registration, the camp registration fee is due for all camps. If you would like to make payment arrangements then choose manual payment on checkout and reach out to accounting to finalize your registration. 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 $15 per day or $70 per week. Please reach out to Summerprograms@eukaryaacademy.com to reserve before or after care. 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 Summerprograms@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. Yes I am Interested in Before or Aftercare Before Care After Care Check these boxes if you are interested in receiving before or after care. CampsChoose Camps To Attend (Rookies)(Required) Wild World of Sports (Jun 9th-13th) Hidden in the Garden (Jun 16th-20th) Masterpiece Makers Camp (Jun 23rd-27th) Patriot's Journey Camp (Jun 30th - Jul 4th) What's Beyond the Moon? (Jul 7th-11th) Starstruck Drama Camp (Jul 14th-18th) Island Fiesta (Jul 21st-25th) Safari Adventure Camp (Jul 28th - Aug 1st) The Big Eukarya Cooking Challenge (Aug 4th - 9th) Choose Camps To Attend (Juniors)(Required) Wild World of Sports (Jun 9th-13th) Hidden in the Garden (Jun 16th-20th) Masterpiece Makers Camp (Jun 23rd-27th) Patriot's Journey Camp (Jun 30th - Jul 4th) What's Beyond the Moon? (Jul 7th-11th) Starstruck Drama Camp (Jul 14th-18th) Island Fiesta (Jul 21st-25th) Safari Adventure Camp (Jul 28th - Aug 1st) The Big Eukarya Cooking Challenge (Aug 4th - 9th) Choose Camps To Attend (Seniors)(Required) Wild World of Sports (Jun 9th-13th) Hidden in the Garden (Jun 16th-20th) Masterpiece Makers Camp (Jun 23rd-27th) Patriot's Journey Camp (Jun 30th - Jul 4th) What's Beyond the Moon? (Jul 7th-11th) Starstruck Drama Camp (Jul 14th-18th) Island Fiesta (Jul 21st-25th) Safari Adventure Camp (Jul 28th - Aug 1st) The Big Eukarya Cooking Challenge (Aug 4th - 9th) Choose Camps To Attend (Middle School)(Required) Wild World of Sports (Jun 9th-13th) Hidden in the Garden (Jun 16th-20th) Masterpiece Makers Camp (Jun 23rd-27th) Patriot's Journey Camp (Jun 30th - Jul 4th) What's Beyond the Moon? (Jul 7th-11th) Starstruck Drama Camp (Jul 14th-18th) Island Fiesta (Jul 21st-25th) Safari Adventure Camp (Jul 28th - Aug 1st) The Big Eukarya Cooking Challenge (Aug 4th - 9th) Wild World of Sports: This exciting camp introduces kids to a variety of sports, from soccer and basketball to cross-country and track. Campers will have the chance to try new games, sharpen their skills, and develop teamwork in a positive and energetic environment. Whether they’re a beginner or already an athlete, every child will find their passion while learning the fundamentals of different sports. Let's play! Hidden in the Garden: This hands-on camp invites young explorers to discover the diverse creatures that live right under our noses. Through guided nature walks, interactive activities, and fun experiments, campers will learn about the crucial roles insects play in our ecosystem. From butterflies to beetles, each day is filled with wonder as kids observe, identify, and appreciate the tiny creatures that call our gardens home. Let's go explore! Masterpiece Makers Camp: This hands-on camp is the perfect place for young artists to explore their talents through painting, drawing, sculpture, and more. Campers will learn new techniques, experiment with different mediums, and bring their imaginative ideas to life. Are you the next Van Gogh?! Patriot’s Journey Camp: Step back in time and explore the heart of America's past at Patriot’s Journey Camp. This exciting camp brings American history to life through fun, interactive activities, including reenactments, historical games, and learning about the traditions of Independence Day. Campers will dive into the story of America's founding, the significance of the Fourth of July, and the heroes who shaped the nation. Give me liberty or give me death! What’s Beyond the Moon?: Blast off into an unforgettable adventure at Space Explorers Camp! This hands-on, out-of-this-world experience lets kids dive into the wonders of space through exciting activities like building model rockets, exploring the solar system, and learning about space technology. Campers will engage in interactive challenges, simulating life as astronauts and discovering the science behind space exploration. That’s one small step for man and one giant leap for mankind! Starstruck Drama Camp: Step into the world of theater in the most exciting way! This camp introduces young campers to acting, storytelling, and performance through fun games, creative exercises, and group skits. Whether they’re pretending to be superheroes, animals, or fairy tale characters, children will build their confidence, teamwork, and imagination. Romeo, Romeo, where for out thou Romeo! Island Fiesta: This exciting, tropical-themed camp brings the lively culture of island life to camp. Campers will dive into fun activities like dance, music, arts and crafts, and beach games, all inspired by island traditions. It’s time for the Macarena! Safari Adventure Camp: This thrilling camp invites young adventurers to dive into the wonders of the animal kingdom through exciting safaris, nature hikes, and hands-on activities. Campers will discover a variety of animals, learn about their habitats, and gain a deeper understanding of conservation efforts. Roar! The Big Eukarya Cooking Challenge: It’s time for “The Big Eukarya Cooking Challenge”! This camp is full of recipes, resources, printables, activities, and challenges! There are even Campfire recipes and ideas, because it is camp, after all! At the end of the week Campers will be able to show off their skills in some type of cooking challenge! May the best Camp Cook win! Form Completed by(Required) First Last Billing Email(Required) Email to send receipt and future billing correspondence related to this transaction. Phone(Required) PERMISSION and MEDICAL RELEASECamper’s Name First Last Date(Required) MM slash DD slash YYYY Permission(Required) As the parent or legal guardian of listed students, I give my permission for him/her to attend the field trips and activities, both on and off campus, of Camp 5:5 until September 1, 2024.Field Trip Cancellation Policy(Required) I understand that the staff or Board of Eukarya Christian Academy reserves the right to cancel any trip for safety or other reasons. In the event of such a cancellation, the policies of those providing services in connection with the trip will determine the amount of the refund to which I am entitled, if any.Conduct(Required) I understand that in addition to the rules and requirements established by each field trip venue, all school rules apply to each person attending each field trip.Transportation(Required) I understand that a staff member, a faculty member, an administrator, may be used to transport students to and from an activity. The owner of the vehicle is required to carry bodily injury insurance and have proof of a current vehicle state inspection.Acknowledgement of Personal Liability and Waiver(Required) I understand that field trips and activities may expose my child to some risks and I assume any such risk that may arise there from. I accept full responsibility for all medical expenses for any injuries that might occur to my child by reason of his/her participation.By signing this form, I release Camp 5:5 d.b.a. Eukarya Christian Academy, its Board members, administrators, directors, faculty, staff, and volunteers (“released parties”) from and against all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain (a) arising out of my child’s failure to comply with local, state, and federal laws and Camp 5:5’s policies and procedures; (b) arising out of any damage or injury caused by my child; or, (c) arising out of a designated driver’s operation of a motor vehicle in relation to these trips/activities. I also agree to indemnify and hold harmless the released parties from any and all related costs, attorney fees, liabilities, settlements, and/or judgments. Medical Release(Required) I AgreeIn the event that the parents cannot be contacted and if the injury or illness is life threatening or requires emergency treatment, I authorize the designated representative of Camp 5:5 to summon any and all professional emergency personnel to attend, transport, and treat listed child(ren).Parent/Guardian Signature(Required)Date(Required) MM slash DD slash YYYY Parent/Guardian Name(Required) First Last Parent HandbookPlease review the parent handbook. Photo Release(Required) I GIVE MY APPROVAL for using my child’s image for publications, etc. over which ECA has control I DO NOT GIVE APPROVAL for using my child’s image for publications, etc. over which ECA has control. Camp 5:5 may solicit various media outlets for coverage of school events and students, such as the ECA website, a newsletter, school videos, and other school publications and presentations.Signatory's Name(Required) First Last Signature(Required)I have read and understood all of the policies, rules, and procedures as set forth in the Camp 5:5 Handbook and agree to adhere to all policies to the best of my ability. Make Payment to Complete Registration In order to finish registering for camp you need to make a payment. If you cannot pay in full at this time, please choose manual payment and reach out to the accounting team to setup a payment plan. Please note that your space is not reserved until payment arrangements have been made. Your card will be processed by our payment processor, Square, to make the payment. You will receive a receipt in your email with details of your transaction. If you don't see it within a few minutes then please check your spam email.Promotional Code Enter a promotional code if you have it.Manual Payment Manual Payment I would like to make manual payment arrangements with Eukarya.Registration Fee Due Today(Required) Price: Total Due Consent(Required) I agree to the privacy policy.I, the parent/legal guardian of the enrolled child, hereby acknowledge and agree to pay all fees associated with the Eukarya Christian Academy Summer Camp on the Wednesday before each camp session begins. I understand that it is my responsibility to ensure that my payment information is up-to-date and that any outstanding balances are paid in a timely manner. I further understand that my card used today will be the default automatic payment method on file for summer camps. By checking this box, I confirm my understanding and acceptance of this automatic payment agreement.Credit Card(Required) Cardholder Name Card Details EmailThis field is for validation purposes and should be left unchanged.