SKATECAMP REGISTRATION- FULLDAY 6/15-6/19

Company

This field is for validation purposes and should be left unchanged.

SECTION 1: PARENT / GUARDIAN INFORMATION

Parent / Guardian Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Primary Phone*

(Cell Preferred)

Secondary Phone

(Optional)

SECTION 2: EMERGENCY CONTACT

Emergency Contact Name*

First Last

Emergency Contact Phone*

SECTION 3: PARTICIPANT INFORMATION

Participant Name*

First Last

Participant Age*

Please enter a number from 8 to 15.

Participant Pronouns

He / Him / His
She / Her / Hers
They / Them / Theirs

SECTION 4: SKATE EXPERIENCE

Skateboarding Skill Level*

Beginner - New to Skateboarding
Beginner / Intermediate - Can roll and turn
Intermediate - Comfortable at skateparks
Advanced - Confident with tricks and obstacles

SECTION 5: HEALTH & SAFETY

Does your child have any medical conditions or allegies?*

Yes
No

Please list any medical conditions, allergies, medications, or accommodations needed*

Example: asthma, diabetes, food allergies, inhaler, EpiPen, etc.

Anything else you’d like our staff to know about your child?

Learning needs, anxiety, behavioral supports, etc.

SECTION 6: PROTECTIVE GEAR

All campers are required to wear a helmet at all times while skateboarding. If you would like your child to wear additional protective gear during camp, please select the items below.

Additional Protective Gear Required by Parent

Knee Pads
Elbow Pads
Wrist Guards

Selecting an item means you are requesting that Launch require your child to wear that protective gear during camp.

SECTION 7: DROP-OFF & PICK-UP POLICY

Drop-Off & Pick-Up Acknowledgement*

I understand that my child must be signed in and out by an authorized adult and that Launch is not responsible for campers outside of program hours.
I understand that prompt pick-up is required and that late pick-up fees may be applied if my child is not picked up on time.

Authorized Pick-Up Persons (if different from parent/guardian)

Please list names and phone numbers.

SECTION 8: MEDIA CONSENT

Photo & Video Permission

Yes, I give permission
No, I do not give permission

SECTION 9: CAMP SELECTION

FULLDAY SKATECAMP (6/15-6/19)*

6/15-6/19 SKATECAMP ($395)

Late Pickup Option (5:00pm)

Select All
Monday
Tuesday
Wednesday
Thursday
Friday

SECTION 10: SPONSOR A PARTICIPANT

Our skate camps are made possible through community support. If you’re able, you can help expand access to skateboarding programs for youth who might not otherwise be able to participate. Contributions are optional and have no impact on camp registration or placement.

Would you like to support a local youth in gaining access to Launch skateboard programs?

Yes, I'd like to help expand access

Sponsor Level

$25 – reduce barriers to participation
$50 – participation in a skate lesson
$100 – enrollment in build-a-skate workshop
$200 – access to half-day skate camp
$400 – access to full-day skate camp

All contributions directly support youth access to Launch Community skate programs.

Coupon

Total

$0.00

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SKATECAMP REGISTRATION- FULLDAY 6/15-6/19

SKATECAMP REGISTRATION 2026- FULL-DAY (6/15-6/19)

SECTION 1: PARENT / GUARDIAN INFORMATION

SECTION 2: EMERGENCY CONTACT

SECTION 3: PARTICIPANT INFORMATION

SECTION 4: SKATE EXPERIENCE

SECTION 5: HEALTH & SAFETY

SECTION 6: PROTECTIVE GEAR

SECTION 7: DROP-OFF & PICK-UP POLICY

SECTION 8: MEDIA CONSENT

SECTION 9: CAMP SELECTION

SECTION 10: SPONSOR A PARTICIPANT

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