REGISTRATION (Boot Camp)

registration procedures (please read carefully!)

1) This form must be filled out online in its entirety at time of registration. No exceptions! 

2) Invoices are sent via Quickbooks. Payment must be made for guaranteed placement.

3) All payments must be submitted 48 hours before the first day of camp!

4) Boot Camp is August 19th-23rd (a week before school starts). Times and Cost are as follows:

Boot Camp 9:00 AM-3:30 PM $85/day

Pre Camp 7:00-8:45 AM $10/day 

Post Camp 3:30-6:00 PM $15/day

Catered Lunch Monday-Friday $7/day

4. For any questions please email us at bootcamp@oldschooltutorme.com or give us a call at (713) 510-3164.

Child's Name *
Child's Name
Child's Date of Birth *
Child's Date of Birth
What days would you like to attend? *
Are you interested in any of our additional add-ons?
Parent 1 *
Parent 1
Parent 1 Phone Number *
Parent 1 Phone Number
Parent 2
Parent 2
Parent 2 Phone Number
Parent 2 Phone Number
Medical/ Personal Information *
Please check all that apply so that we can better assist your child. *Please note, Old School may not be able to accommodate certain needs. If you have questions about whether we are equipped to work with your child, please contact us at 713-510-3164.
Please list any dietary restrictions, special needs, existing conditions and/or prescribed medication. If your child does not have any of these write "none".
Emergency Contact 1 *
Emergency Contact 1
Emergency Contact 1 Phone Number *
Emergency Contact 1 Phone Number
Media Release *
Old School may at any point take photographs or video of our program at work for such purposes as publicity, illustration, advertising, and web content. I grant Old School LLC and it's representatives and employees permission to take such photographs or videos of my child.
Parent Permission *
Old School ASC will be planning recreational activities for my child and screen a movie for kids on occasion. All movies shown are PG or G rated. If you object to your child watching or specific content please notify your site director in writing. I hereby grant Old School permission to plan daily activities for my child to take part in and to screen movies for my child.
Medical Authorization & Permission to Treat *
I hereby grant Old School ASC permission to take whatever action in its judgement may be necessary in supplying emergency medical services to the named child. I understand that, consistent with the circumstances of the situation and available time, Old School ASC will make every effort to contact and follow the instructions of the parent or legal guardian. I hereby Agree that I will be solely responsible for and will pay promptly any expenses which may be incurred by Old School ASC in making emergency medical treatment to named child.