Summer Camp Registration Form | Self Empowering Through Love & Faith

Join Our 2026 Summer Camp Today!

Parent Full Name*

Parent Phone Number*

Parent Email *

Child’s Name*

Child’s Age*

Are you a returning family? (Returning Families are edible for $10 off the registration fee or a waived registration fee if you refer 3 new families)*

Yes, I am a current or previous SELF/KT Learning Academy parent

No, I am not a current or previous SELF/KT Learning Academy parent

Were you referred by a currently enrolled family? (Anyone referred by a currently enrolled family is eligible for $5 off the registration fee!)*

Yes

No

Payment Options…Will your summer camp be paid through Action for Children or will you be paying out of pocket through our bright wheel app? The out of pocket registration fee is $75 per family! (Please note additional fees may apply for field trips & Girl Scouts) *

I will be going through action for children

I will be paying through bright wheel

I’m not sure (I need help checking eligibility)

What is action for children? I want more information on action for children & I want to check my eligibility!

If you selected yes please enter the name of the parents who referred you! If you selected no please type N/A!*

Select the box to confirm that you understand that all registration fees that aren’t through action for children will be billed through bright wheel & are due May 29th by 3pm!*

I understand & I am ready to sign my child/children up!!!

Register now and secure your child's spot for summer fun! Summer camp will take place June 22nd-July 31st!

Registration ends May 25th!

Children joyfully participating in summer camp activities outdoors.

FAQ

How to register?

Fill out the online form with your child and parent details to secure a spot.

What ages qualify?

Our camp welcomes children of various ages; please specify your child’s age on the form.

Can I get a discount?

Yes! Refer three families who enroll before May 25th, and your child’s registration fee is waived.

Is financial aid available?

Families meeting income guidelines may qualify for childcare assistance.

How to pay?

Payments can be made on bright wheel app May 25th-May 29th or through Action for Children if eligible.

What activities does camp offer?

Kids can enjoy karate, yoga, sports, STEM, tutoring, entrepreneurship, karaoke, and field trips.

Empowerment

Uplifting individuals and families through love.

Conact Us

Faith

Support@selforg.in

312-754-4140