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Field Trip Registration
Camp Pali 2026 Registration
Step
1
of
3
33%
STUDENT DETAILS
STUDENT NAME
(Required)
First
Last
Grade Level
(Required)
5
6
7
8
9
Gender
(Required)
Male
Female
Birthday
(Required)
MM slash DD slash YYYY
PARENT/GUARDIAN DETAILS
PARENT/GUARDIAN NAME
(Required)
First
Last
Email
(Required)
Phone
(Required)
How did you hear about this event?
My student
Social Media
School Newsletter
Teacher
Friend/Family Member
Other
Permissions & Agreements
Camp Pali registration may be covered using Epic Learning Funds. If Learning Funds are not available, payment can be made securely through PayPal.
Preferred Payment Method
(Required)
Learning Funds
PayPal
Total
PayPal
PayPal Checkout
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Learning Funds Release Authorization
(Required)
I acknowledge that by submitting this registration form, I am authorizing Epic California Academy to process and release the required learning funds for my student’s participation in this field trip. I understand and agree that once funds are released, they are committed to the vendor and refunds cannot be guaranteed for any reason, including but not limited to student absence, illness, schedule changes, or trip cancellation.
Acknowlege
Parent/Guardian Intials
(Required)
Your registration is not complete until funds have been processed.
Media Release Authorization
Epic California Academy may photograph, film, or record students during this field trip for use in school publications, social media, websites, or other promotional materials. By completing this form, you acknowledge and grant permission for your student to be included in such media.
I DO NOT authorize Epic California Academy to use my student’s name, image, or likeness for the purposes stated above.
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