Youth Empowered

STEAMcation SUMMER CAMP-2022

Please fill out the form completely to register your child.

The following enrollment application and all forms must be read, properly signed and delivered to Youth Empowered for enrollment in our 2022 STEAMcation SUMMER CAMP.

OUR POLICY

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Enrollment Packet

PLEASE CHECK ALL BOXES ^*

Application of Admission

Emergency Contact Form

Health Care Form (Must be completed per child)

Enrollment Fee Contract

Tuition Chart

Field Trip Permission Slip

Dress Code/ Code of Conduct/ Discipline Procedures

Parents Acknowledgement Form

Yes, I have read, completed, signed and returned all of the required forms and fees.

Parents,

Your child WILL NOT be enrolled until all of the above forms are completed and turned in and all applicable fees have been paid in full.

Cost: A NON-REFUNDABLE Registration Fee: $35 per child plus a $10 per child Summer Camp shirt fee paid in our office at time of registration.

Weekly tuition fee $65 per child (field trips are covered with this fee; parent may send additional money with child, however Youth Empowered is not liable for any lost money.) Weekly Tuition payments can be made via our website youthempowered.org by pressing the Summer Camp Payment Button.

Thank you for your support!

Admission Application

Child''s Full Name^*

First Name

Middle Name

Last Name

STEAMcation Form

Become positive contributors to society

Enrollment Packet

Parents,

Admission Application