Summer Camp Registration

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You're Registered!

Thanks for signing up for Elevate Summer Camp.
We'll follow up at the email you provided within 1–2 business days.

☀️ CHOOSE YOUR WEEK(S) *

Select one or both weeks.

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WEEK 1

Jun 22 – 26

9 AM – 3 PM

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WEEK 2

Jun 29 – Jul 3

9 AM – 3 PM

🧒 STUDENT INFORMATION

STUDENT FULL NAME *

DATE OF BIRTH *

GRADE IN FALL 2026 *

SCHOOL NAME

HOME ADDRESS

T-SHIRT SIZE

👨‍👩‍👦 PARENT / GUARDIAN INFORMATION

FATHER / GUARDIAN 1 *

FULL NAME *

PHONE NUMBER *

EMAIL ADDRESS *

MOTHER / GUARDIAN 2 (optional)

FULL NAME

PHONE NUMBER

EMAIL ADDRESS

⚕️ HEALTH & ALLERGIES

ALLERGIES

MEDICAL NOTES / SPECIAL NEEDS

💬 ADDITIONAL COMMENTS

I have read and agree to the Elevate Tech Summer Camp 2026 Terms, Conditions & Liability Waiver. I confirm the information provided is accurate and I am the parent or legal guardian of the student named above.

Questions? Email us at elevatetechus@gmail.com