Camp 2023 Registration

  • Which best describes your situation?(Required)

    Instructions: Please complete this registration form for each child you are registering.





    Does the student have any special physical (including allergies), behavioral, learning and/or other needs our staff should be aware of?




    Instructions: Choose the camp weeks and location, as well as the before and after camp options if needed.

    ILS Greenwood: Greenwood Ave N. & 78th  •  ILS Ballard: 8th Ave & NW Market St.

    Week 1 (7/5 - 7/7)*: 3-day camp

    Greenwood

    Week 2 (7/10-7/14)

    Greenwood
    Ballard

    Week 3 (7/17 - 7/21)

    Greenwood
    Ballard

    Week 4 (7/24 - 7/28)

    Greenwood
    Ballard

    Week 5 (7/31-8/4)

    Greenwood
    Ballard

    Week 6 (8/7-8/11)

    Greenwood
    Ballard

    Week 7 (8/14 - 8/18)

    Greenwood
    Ballard

    Week 8 (8/21 - 8/25)

    Greenwood
    Ballard

    Week 9 (8/28 - 9/1)

    Greenwood
    Ballard

    Payment

    Select a payment method(Required)
    Select a payment authorization(Required)

    Payment and Cancellation Policy (Non-Negotiable)

    • I understand there is a one-time, non-refundable processing fee of $35.00 for each new student.
    • I understand there is a non-refundable deposit which goes toward each week's total cost.
    • I understand that each week's balance is due 14-days prior to the start of each camp and will be charged automatically using the payment method on file.
    • I understand there is a $40.00 fee for any rejected debit from your financial institution.
    • I understand there is a late pick-up charge of $25.00 per every 10 minutes late; automatically charged.
    • I understand that a Camp T-shirt will be provided and must be worn daily. Replacements cost $10.00 per shirt; charged automatically.
    • I consent to ILS keeping my signature on file to initiate a debit or credit card transaction on an ongoing basis in the amount due for camp tuition payments and fees.
    • I understand that withdrawal must be submitted in writing, via email and will be acknowledged within a 14-days start of camp.

    Medical Consent  I hereby consent to allow ILS to seek emergency medical treatment, including ambulatory transport if required, for the child named on this registration. I authorize first-aid care as necessary to preserve the life, limb and well-being of my child. If it is necessary for the child to be transported to receive emergency care at Children's Hospital, I will be responsible for all charges not covered by insurance. I consent for the emergency contact listed on the registration form to ACT ON MY BEHALF until I am available. I agree to review and update this information whenever a change occurs.

    Removal from Program due to Behavioral Issues  I understand that ILS has a Zero Tolerance Policy for bullying and children who do not comply may be asked to leave immediately without refund if behavior cannot be reasonably corrected.

    Photo Release Agreement  I understand that from time to time Illumination Learning Studio takes photos of students engaged in its programs for use on their social media or on their website. While photos are used exclusively without identifying a student's name or other personal information or age, I understand that I may request any photo be taken down.

    Agreement(Required)