Hye Lights Summer Camp 2026 Registration

Welcome!

You can register up to 3 children on this form. Everything below (meals, classes, activities, pool days, water park days, movie nights, entertainment shows, and weekly surprises) is included in weekly tuition.

Classes & activities: Animation, 3D Modeling, Business Bootcamp for Kids, Robotics, Chess, Dance, Arts & Crafts, Taekwondo, Acting, Science, Bible Study, Sports, Cooking, English, Math, plus pool days, water park days, movie nights, entertainment shows, and weekly surprises.

Tuition: $350/week. Registering by June 15, 2026? Contact the director for early registration discount information. A one-time $90 registration fee per child includes use of iPads during Animation Class (iPads stay at camp and are not sent home), 3D Modeling materials, and Armenian books. Purchase of Armenian books: $15 one-time per child. Camp insurance fee: $10 one-time per child. Tennis class: $30/week optional add-on.

Child Information

Registering more than one child? Just tap below to add a second or third.

Child 1

Child’s full name *

Date of birth *

Age *

Grade entering (Fall 2026) *

School name *

Home address * Primary language spoken at home (optional)

Parent or Guardian

Parent / guardian full name *

Relationship to child *

Phone number *

Email address * Home address *

Second parent or guardian (if applicable)

Name

Relationship

Phone

Emergency Contacts

Please list two contacts who are not the primary parent or guardian.

Emergency Contact 1

Full name *

Relationship *

Phone number * Authorized to pick up the child

Emergency Contact 2

Full name *

Relationship *

Phone number * Authorized to pick up the child

Authorized Pickup

Your child will only be released to the adults listed here. A photo ID may be required at pickup. Please notify the camp right away if this list changes.

Authorized adult 1 — name & phone * Authorized adult 2 — name & phone Authorized adult 3 — name & phone Anyone NOT authorized to pick up your child? (if applicable)

Choose Your Weeks *

Check every week your child will attend.

Week 9: August 10–15 — I am interested in Week 9 if enrollment allows. (To be confirmed based on enrollment and interest)

Weekly tuition is $350 per week. If you are registering by June 15, 2026, please consult the director for early registration discount information.

Registration fee: $90 per child (one-time).

Medical & Allergies

Allergies (list all, or write None) * Medical conditions Medications taken during the day Emergency medication (inhaler, EpiPen, etc.) & instructions Special instructions for our staff

By submitting, I authorize necessary first aid and medical or surgical treatment under the supervision of a licensed California physician or dentist if I cannot be reached in an emergency. Reasonable efforts will be made to contact me first. This authorization is given under Section 25.8 of the California Civil Code.

I have read and agree to the Emergency Medical Authorization. *

Meals & Diet

Breakfast, lunch, and a snack are included daily. Please tell us about your child’s food needs and favorites so we can make every meal a happy one!

Food allergies (or write None) * Dietary restrictions (vegetarian, halal, no pork, etc.) Foods your child cannot have What are your child’s favorite foods and meals?

CCRC If applicable

Accepted for qualifying or approved families.

Will your family use CCRC?

Yes No

Parent / guardian name on case

Child name on case

Case number (if available)

Approved schedule / notes (if available)

Transportation Optional add-on

Availability and final pricing confirmed separately.

Interested in transportation?

Yes No

Pickup address

Phone for coordination

One way or round trip?

Weeks needed & any notes I understand transportation availability and final pricing must be confirmed separately.

Pool & Water Activities

Can your child swim? * Water safety notes I give permission for my child to take part in pool days, water park days, water play, and related summer water activities. *

Field Trips & Special Activities

Specific trip details are shared and confirmed before each event.

I give permission for off-site activities, special events, entertainment shows, and related activity transportation, with details confirmed before each event. * Notes about field trips or special activities

Photo & Video Release *

May we capture the joy of your child’s summer?

Yes — I give permission for my child to be photographed and recorded for camp memories, social media, advertising, website, and promotional materials. No — I do not give permission.

Payment & Policies

Registration fee: $90 per child · Purchase of Armenian books: $15 per child (one-time) · Weekly tuition: $350/week. For early registration discount, consult the director. · Tennis class: $30/week (optional) · Transportation: optional, priced separately.

All payment methods accepted, including credit cards. CCRC accepted for approved families.

Policy: Tuition is due in full at least one week before each selected week. Changes to weeks must be requested at least one week in advance. A $30 fee applies to returned checks.

Refunds: No refunds are given for missed days, except in the case of a serious issue or illness.

Preferred payment method * I have read and agree to the tuition, fees, and payment policy. *

Agreements

Behavior: Camp is a group environment. Behavior that harms others, physically or emotionally, may result in dismissal to protect the safety and wellbeing of all children. I will support staff in helping my child grow, take responsibility, and build positive relationships.

I agree to the Behavior Expectations. *

Liability release: In consideration for acceptance into Hye Lights Summer Camp 2026, I release and hold harmless Hye Lights, its officers, directors, agents, volunteers, and employees from any and all claims for personal injury, illness, death, or property damage arising from participation in camp activities, including transportation, lodging, or meals. I assume all risks of recreational activities and grant permission for my child to take part in all aspects of the program. In an emergency, I authorize Hye Lights to seek medical treatment if I and the emergency contacts cannot be reached, and I agree to be financially responsible for medical costs incurred and for transportation costs if my child must leave the program early. I confirm the information provided is accurate.

I have read and agree to the Liability Release. * How did you hear about us?

Signature

Typing your full name below serves as your electronic signature and confirms you have read, understood, and agreed to all sections of this form.

Parent / guardian full name (typed signature) *

Today’s date *

Child(ren)’s name(s) *

🎉

Thank you for registering!

We’ve received your form and will be in touch soon with next steps and payment details. We can’t wait to share a bright, joyful summer with your family!

📞 747 243 7086 · ✉️ [email protected]

Hye Lights Summer Camp · 400 S Louise St, Glendale, CA 91205
📞 747 243 7086 · [email protected]

Hye LightsSummer Camp 2026