Summer Camps

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Summer Camps 2021 Registration

Parent/Guardian First Name *
Parent/Guardian Last Name *
Number of Students to Register *

(Between 1 and 4)
Student 1 First and Last Name *
Student 1 Preferred Name / Nick Name *
Student 1 Birth Date (mm/dd/yy) *
Student 1 Grade Level 2021-22 *
Student 1 Camp Choice(s)
June 7-10 Basketball 9-noon June 7-10 Drama 12:30-3:30 June 14-17 Soccer 9-noon June 14-17 Art 12:30-3:30 June 21-24 Tennis 9-noon June 21-24 STEM 12:30-3:30
Student 2 First and Last Name
Student 2 Preferred Name / Nick Name
Student 2 Birth Date (mm/dd/yy)
Student 2 Grade Level 2021-22
Student 2 Camp Choice(s)
June 7-10 Basketball 9-noon June 7-10 Drama 12:30-3:30 June 14-17 Soccer 9-noon June 14-17 Art 12:30-3:30 June 21-24 Tennis 9-noon June 21-24 STEM 12:30-3:30
Student 3 First and Last Name
Student 3 Preferred Name / Nick Name
Student 3 Birth Date (mm/dd/yy)
Student 3 Grade Level 2021-22
Student 3 Camp Choice(s)
June 7-10 Basketball 9-noon June 7-10 Drama 12:30-3:30 June 14-17 Soccer 9-noon June 14-17 Art 12:30-3:30 June 21-24 Tennis 9-noon June 21-24 STEM 12:30-3:30
Student 4 First and Last Name
Student 4 Preferred Name / Nick Name
Student 4 Birth Date (mm/dd/yy)
Student 4 Grade Level 2021-22
Student 4 Camp Choice(s)
June 7-10 Basketball 9-noon June 7-10 Drama 12:30-3:30 June 14-17 Soccer 9-noon June 14-17 Art 12:30-3:30 June 21-24 Tennis 9-noon June 21-24 STEM 12:30-3:30
Parent Email *
Parent Cell Phone *
Family Address *
Address
City *
State *
Postal/Zip *
Summer Camp Emergency Contact Name *
Relationship to Student *
Emergency Contact Cell Number *
Current School *
How did you hear about our Summer Camps? * (1 required)
Social Media Website Current Parent / Family Other
If current family referred you to OMA, please list their name. *
Preferred Method of Communication re: Summer Camp Information *
Please list any medical conditions for your child(ren): *
Medical Waiver/Release

I hereby authorize the staff of the Oak Mountain Academy Summer Camps 2021 to act for me in accordance with their best judgment in any emergency requiring medical attention for my child(ren). I hereby waive and release the school and its employees from any and all liability for any injuries incurred while at camp. I have no knowledge of any physical impairment that would be affected by the registered child(ren)’s participation in the school program as outlined.
Medical Waiver / Release Form Electronic Signature *
Electronic Acceptance * (1 required)
I understand by typing my name and submitting, I am electronically signing the Medical Waiver Form.
Enter Your Email Address: *

All Camps: $100 per student per session or $150 for a full day (2 sessions) / $85 for added sibling per session or $150 for a full day (2 sessions).

Rising K - 8th grades

June 7-10 Basketball

9-noon

June 7-10 Drama

12:30-3:30

June 14-17 Soccer

9-noon

June 14-17 Drama

12:30-3:30

June 21-24 Tennis

9-noon

June 21-24 STEM

12:30-3:30

Welcome to Summer Camps 2021 through Oak Mountain Academy! All camp registration should be completed online. Contact Katie Kilgore for questions at katiekilgore@oakmountain.us.

After completion of your registration form, you will receive an email with payment options.

Enjoy your summer!