Super Kids 2024

Thank you for registering your child for Super Kids Day Camp-- an engaging science based program for incoming 1st - 3rd grade students! This program is facilitated by the University of Central Arkansas College of Education Department of Elementary, Literacy, and Special Education.

Parent/Guardian Name * First Last
Child's Name * First Last
Phone * - (###) - ### ####
Parent/Guardian email (confirmations will be emailed within 7 business days) *
Child's Age (as of June 1, 2024) *
Child's Date of Birth *
What school does your child attend? *
Grade entering 2024-2025 (beginning in August) * 1st 2nd 3rd
Please check the session that is your 1st choice * June 10-13, 2024 June 17-20, 2024 June 24-27, 2024
Please check the session that is your 2nd choice (optional) June 10-13, 2024 June 17-20, 2024 June 24-27, 2024
Name and Phone Number of Emergency Contact #1 (other than parent) *
Name and Phone Number of Emergency Contact #2 (other than parent) *
List any information or special requests the staff should be aware of (medical, social, emotional, learning, grouping, etc). This includes if you would like your child grouped with a specific friend.
*
List all allergies and/or any medications that your child currently takes. Also list any adverse reactions to medications, if applicable. *
Payment Procedures:

The next screen will prompt you to enter your payment information. Registration is not complete until payment is received. You will receive a payment receipt emailed from the university upon successful registration. You will also receive a confirmation email from Jamie Dallas once payment is complete (within 7 business days) sharing camp details.

Refunds will be given through June 1, 2024.

Note: Your bank will show UCA Student Accounts as the payee for camp.