Gaming, Internet Safety, & Digital Citizenship Summer Camp Enrollment

Please complete the enrollment form below. Ensure all fields are accurate before proceeding to checkout.

Fill in participant, parent, and emergency contact information
Select any add-ons you would like to include; the order summary will update automatically
Click Proceed to Checkout to complete payment via Stripe
After payment you will receive a confirmation email with further details

Participant Information

Participant Full Name

Age (years)

Grade (entering fall 2026)

School Attending

City

State

Zip Code

Allergies (optional)

Parent Full Name

Parent Phone

Parent Email

Emergency Contact Full Name

Emergency Contact Phone

Emergency Contact Email

Emergency Contact Street Address

Emergency Contact City

Emergency Contact State

Emergency Contact Zip Code

All add-ons are optional. Base camp fee is $200 and includes lunch, snack, and the student final project.

Extended Camp Day (choose one)

Base camp fee$200

Total$200