Leap Coderz Summer Camp 2026 - Enrollment

Summer Camp 2026 Enrollment

Complete the form below to secure your child's spot. Payment via PayPal.

👨‍👩‍👧 Parent / Guardian Information

Full Name *

Email Address *

Phone Number *

Street Address *

City *

State *

Zip Code *

🎓 STUDENT 1

Full Name *

Age *

Grade (Fall 2026) *

Camp Program *

Select Weeks & Schedule (Minimum 2 weeks) *

🚨 Emergency & Medical

Emergency Contact Name & Phone *

Medical Conditions / Allergies

📋 Agreements & Consent

I understand there are no make-up days or credits for missed classes. My child will bring their own lunch and snacks — food is not provided. I understand and accept the cancellation and refund policy. I agree to pay the full amount at the time of enrollment. I consent to my child participating and authorize emergency medical treatment if needed.

Subtotal: $0

TOTAL AMOUNT DUE: $0

✅

Enrollment Complete!

Thank you for registering for Leap Coderz Summer Camp 2026.

A confirmation email with receipt has been sent to your inbox.

Our team will contact you within 24 hours.

Processing your enrollment...

Summer Camp 2026 Enrollment

🎓 STUDENT 1

👧 STUDENT 2 (Sibling Discount Applied)

Enrollment Complete!