MOUNTAIN KIDS ACADEMY
 

                            Academy Registration

We are a licensed Child Care program, check with your tax advisor for a possible tax write off.

Please submit the following registration for each child you are registering. Take note, that you may deduct $25 from each session for additional children registered. 
If you have any questions please call Jared at 970-963-8271, 970-355-4908 or email jared@mountainkidsacademy.com

You may either fill out, print and mail this form with your check or you may hit the submit button at the bottom and mail in the check separately.
We also accept CREDIT CARDS and PAYPAL, simply click on the pay buy credit button at the bottom of the registration and we will email you an invoice with your total cost, you will then click on the appropriate paypal button and complete the payment. There will be a 2.9% service fee with each credit card transaction.
A limited number of Partial Scholarships are available, please contact us for more information.

Mountain Kids Academy Registration
Camper Information
First Name:

Last Name:

Mailing Address:

City:

Zip Code:

 (5 digits)

State:

T-shirt Size

Guardian
First Name:

Last Name:

Guardian Contact Information
Daytime Phone:

Cell Phone:

Email:

Camper's Age
Entering Grade Level

Birth Date

Academy Session Choices
Multiple Sessions or

Individual Session

Total Price:

(USD)

Multiple Camper Deduction, $25 less per additional child from the individual session cost.

(USD) if applicable

Grand Total with multiple camper deduction.

(USD) if applicable

Any  Medical Concerns or Comments
Comments:

I will mail a check for the total price.

                                  

Please email invoice for Credit Card or Paypal payment.
                                    

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