Eukarya Athletics Summer Programs Registration One Form Per Child Step 1 of 4 25% Camper Name(Required) First Last We are thrilled to welcome you to our Athletic Camps this summer, featuring Flag Football, Basketball, Soccer, and Volleyball! Each camp is designed to foster skill development, teamwork, and a love for the game, while also integrating our core Christian values. Get ready for four action-packed weeks where your athletic abilities will be honed and your faith strengthened. Please complete this form to secure your athlete’s spot, as space is limited! Registrations will be accepted on a first-come, first-served basis. Athletes 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. Pricing: A non-refundable registration fee of $50 is required at the time of registration. Pricing is done per camp, see the price associated with each week later in this form. The weekly fee is due upon reserving your athlete’s spot and will be paid prior to each week’s attendance. 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 athlete. If a change must occur, a notice of two weeks must be given by email to Lee Reems (lreems@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'm Interested in Before/After Care Before Care After Care Check these if you would like more information about before or after care during the summer programs. CampsSport Levels(Required)Select between 1 and 2 choices. 3rd - 5th Grade 6th - 8th Grade 9th - 12th Grade Girls 10 - 18 Choose your camper's grade level for the 2024-2025 school year. Or you may also select "Girls age 10 - 18" to participate in our Volleyball camp.Choose Which Camps You Will Attend (3rd - 5th Grade) Flag Football (July 7 - 11) Basketball (July 14 - 18) Soccer (July 21-25) Choose Which Camps You Will Attend (6th - 8th Grade) Flag Football (July 7 - 11) Basketball (July 14 - 18) Soccer (July 21-25) Choose Which Camps You Will Attend (9th - 12th Grade) Flag Football (July 7 - 11) Basketball (July 14 - 18) Soccer (July 21-25) Choose Which Camps You Will Attend (Girls Age 10 - 18) Volleyball (July 28 - 31) Flag Football ECA Sports Academy Flag Football Camp is great for students in 3rd-12th grade. For younger players, learning happens through play and interaction, with activities that encourage creativity and teamwork. Older or more experienced players will receive focused instruction and be challenged to take their skills to the next level.Basketball ECA Sports Academy is offering a one-week basketball camp. Third through twelfth grade students will experience five intense days of basketball skills instruction, competitive team play, personal attention from coaching staff, and excitement while meeting new friends in a safe and fun environment. Players are divided into different groups based on their skill levels. Drills include fundamental basketball instruction, ball handling, shooting, individual scoring, defensive principles, speed and agility, and mental toughness. Soccer ECA Sports Academy Soccer Camp strives to make soccer a rewarding experience for soccer players on and off the field. Our summer program will provide the best learning environment and social and competitive training opportunities for players at every level. The camp programs are for players ages 7 through 18 and feature age-appropriate training in soccer skills in a fun environment.Volleyball The ECA Sports Academy Volleyball Camp program focuses on skill development to improve and enhance all aspects of a player’s technique and proficiency on the court. Each camp is staffed by skilled volleyball instructors with a proven coaching background to provide camp attendees with expert instruction. The skills addressed at this camp will be the following: serving, passing (forearm underhand passing), setting (overhead passing), attack options (hitting/spiking), blocking (from attack and defend positions), and defensive skills (rolling & sliding). The All Skills Camp is open to girls ages 10-18 at all experience levels. It will cover skills and techniques to benefit every position.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, 2025.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 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, Square, 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.Choose How to Pay(Required) Credit Card Manual Payment Choose Manual Payment if you intend to pay manually to the office. Note that your registration will not be considered completed until payment has been confirmed.Promotional Code Enter a promotional code if you have it.Registration Fee Due Today(Required) Price: Total Due This is the total amount of your purchase.Credit Card Cardholder Name Card Details 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.CommentsThis field is for validation purposes and should be left unchanged.
