SKATECAMP REGISTRATION- FULLDAY 7/20-7/24 SKATECAMP REGISTRATION 2026- FULL-DAY (7/20-7/24) Monday - Friday / 9am-3pm CompanyThis field is for validation purposes and should be left unchanged.SECTION 1: PARENT / GUARDIAN INFORMATIONParent / Guardian Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Enter Email Confirm Email Primary Phone*(Cell Preferred)Secondary Phone(Optional)SECTION 2: EMERGENCY CONTACTEmergency Contact Name* First Last Emergency Contact Phone*SECTION 3: PARTICIPANT INFORMATIONParticipant 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 EXPERIENCESkateboarding 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 & SAFETYDoes 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 GEARAll 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 POLICYDrop-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 CONSENTPhoto & Video Permission Yes, I give permission No, I do not give permission SECTION 9: CAMP SELECTIONFULLDAY SKATECAMP (7/20-7/24)* 7/13-7/17 SKATECAMP ($395) Late Pickup Option (5:00pm) Select All Monday Tuesday Wednesday Thursday Friday SECTION 10: SPONSOR A PARTICIPANTOur 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 Credit Card Cardholder Name Card Details CAPTCHA Δ
