2025 Summer Camp Registration Form

Today's Date

Camper Information

Camper's First Name:

Camper's Last Name:

Date of birth:

Tell Us Which Weeks You're Interested In Signing Up?
IMPORTANT NOTE: THERE IS NO CAMP ON JULY 7-11
Week 1
(June 16-20) Week 2
(June 23-27) Week 3
(June 30-July 3) Week 4
(July 7-11) CLOSED Week 5
(July 14-18) Week 6
(July 21-25)

Camper's Current Age:

Food allergies?

Any medical conditions?

Home street address:

Unit/Apt:

City:

State:

Zip:

Home Phone:

Mother's cellphone:

Father's cellphone

Mother's first name:

Mother's last name:

Mother's email address:

Mother's occupation:

Father's first name:

Father's last name:

Father's email address:

Father's occupation:

Emergency Contact Name:

Emergency Contact Phone:

Camper's Insurance Career:

Camper's Insurance Number:

By signing below, I acknowledge that I have read and understood the Sonia Kids Center’s policies and procedures and that I agree to adhere to these policies and procedures, including but not limited to data privacy, tuition, refund and safety measures.

In addition, I understand that there are inherent risks of possible physical injuries associated with, arising out of, and inherent to activities such as dance, soccer, basketball, swimming, cooking, art, and other camp activities. In recognition of this, I agree to release and hold harmless Sonia Kids Center of all liabilities, and hereby acknowledge that I am knowingly and voluntarily assuming full responsibility of all risks of physical injury arising out of active participation of the Camper registered herein in the Sonia Kids Center classes.

Please sign this form by typing your name below.

First Name:

Last Name:

(408)909-0176

Mon-Fri 1:00pm-6:00pm

2025 Summer Camp Registration Form

Thank You!

Camper Information