Complete the Form Below To Register!
We Can't Wait to Help Your Child Learn & Grow!

1. I give permission for my child to participate in activities such as group led enrichment, movies, outdoor play, etc. at Mission to Learn Academy LLC.

2. I give permission for my child to be included in pictures or other publicity connected with the camp, including Instagram, Facebook and other social media platforms.

3. I understand that full payment must be made by 5 p.m. the Friday prior to the start of the week for weekly billing or the 6th of the month for monthly billing.

4. If my child is not picked up by the designated time, a $35 fee will apply for each occurrance. A parent may upgrade from part time to full time if space is available.

5. I understand field trips will be offered throughout the school year and may require a small additional fee.

6. I am aware of the nature of this activity and I hereby assume responsibility for the participant listed above to participate. I acknowledge that, while not common, any activity that involves height and motion involves risk of injury ranging from minor (bruises and sprains) to more serious and catastrophic injuries. I will not hold Mission to Learn Academy LLC or its employees responsible in the case of accident or injury as a result of this participation. I understand that this completed form must be in the possession of Mission to Learn Academy LLC prior to participation in any program. If, at any point, I have a question or a concern regarding the safety of my child or the intent of the program, I will contact the owner, director or instructor immediately. I also allow the participants listed to be photographed and videotaped for publicity and advertising purposes only.