Summer Day Camp Registration

  • 2022 Summer Day Camp Registration Form
    (9am - 12pm, 12pm - 3pm, 9am - 3pm)

     
  • MM slash DD slash YYYY
  • Please enter a number from 5 to 15.
    Players age 5 - 6 may only register for Morning Half Day Camps.
  • Parent Information

  • Camp Options & Fees

  • Multi-Week Discount Packages
    Additional weeks can be purchased at the discounted rate via emailing admin@passacademybullis.com
    Additional weeks can be purchased at the discounted rate via emailing admin@passacademybullis.com
    Additional weeks can be purchased at the discounted rate via emailing admin@passacademybullis.com
  • Individual Weeks
  • Drop In Full or Half Days
  • Price: $70.00
    9am-12 or 12-3pm
  • Enter desired date(s).
  • Price: $120.00
    9am-3pm
  • Enter the desired Day Camp date(s).
  • $0.00
  • American Express
    Discover
    MasterCard
    Visa
    Supported Credit Cards: American Express, Discover, MasterCard, Visa
     
  • Medical Authorization & Release

  • MM slash DD slash YYYY
    By dating above, in an emergency, when I/we cannot be contacted, I/we hereby authorize the staff of the Pass Academy to take my/our child to the emergency room of the nearest hospital. I/we authorize that hospital and its medical staff to provide treatment deemed necessary for the well-being of my/our child.
  • MM slash DD slash YYYY
    By dating above, I agree to hold Pass Academy and Bullis School harmless for injury or loss that may occur as a result of my participation in Pass Academy activities.
    I give permission for photos of my child participating in Pass Academy at Bullis programs to be taken and used for the Website and/or Facebook page. We understand that if students are identified, only their first names will be used.