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Star Academy

Summer Camp 2025 Registration (Extra Early Bird)

Summer Camp Registration

Camp Registration Open.

We are inviting you to have an incredible summer, with camp activities based around our five pillars of child development! Our Athletic, Academic, Social, Emotional and Global Pillars guide our planning.

Please note that we can ONLY REGISTER ONLINE children born in 2021 or earlier.

If you have a child born in 2022 (3 years old) and wish to register for Summer Camp, please call the school office to discuss. Rates for 3-year olds are $395 per week (full rate) $355 on the Extra-Early-Bird and $370 on the Early Bird after December 15th.

Dates: Week of June 30, to week of August 18, 2025

(Monday – Friday: 8:00 am to 3:30 pm)

Extended Care available between 3:30 pm to 5:00 pm ($15 per child/day)

Extra Early Bird Rate:

To qualify for the Extra Early Bird Discount please submit the form along with full payment before Dec 18, 2024

Week 1. June 30 - July 4 (4 day week) – Canada Day $275

Week 2. July 7 – July 11 - $325

Week 3. July 14 – July 18 - $325

Week 4. July 21 – July 25 - $325

Week 5. July 28 – August 1 - $325

Week 6. August 5 – August 8 (4 day week) $275

Week 7. August 11 – August 15 - $325

Week 8. August 18 – August 22 - $325
GENERAL INFORMATION FOR ALL PARTICIPANTS
First Name Parent 1*
Last Name Parent 1*
Mailing Address*
Street Address City State / Province / Region ZIP / Postal Code
Parent Daytime Phone Number*
Cell #*
Parent Email*
First Name Parent 2
Last Name Parent 2
Mailing Address
Same as parent 1

Street Address City State / Province / Region ZIP / Postal Code
Parent Daytime Phone Number
Cell #
Parent Email
CAMP INFORMATION
Total number of children applying*
- 1
- 2
- 3
- 4
Child #1 Information
Child’s First Name*
Child’s Last Name*
Age*
DOB (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
DOB (mm/dd/yyyy)
Gender*
- Male
- Female
Grade for September 2025-2026*
Current School Your Child is attending*
Health Card Number*
Version Code*
Expiry Date (mm/dd/yyyy)*
Family Doctor*
Doctor Phone Number*
Immunization Up-to-date*
- Yes
- No
Does your child have any behavioural issues/specials needs?*
- Yes
- No
Please review the list and checkmark any conditions that apply to your child.*
- Asthma
- Diabetes
- Eczema
- Epilepsy
- Frequent Nosebleeds
- Heart Condition
- Headaches
- Hay Fever
- Hepatitis
- Hearing Problems
- Tuberculosis
- Skin Problems
- Seizures
- Urinary Problems
- ADHD
- Other Conditions
- None
Does your child require prescription glasses?*
- Yes
- No
Does your child have any allergies?*
- Yes
- No
Does your child have an Epi-Pen?*
- Yes
- No
If yes, medical alert bracelet recommended & 2 EPI-PENS MUST be provided.
Does your child have any dietary/food restrictions?*
- Yes
- No
Are there any foods your child should not eat for medial, dietary or religious reasons?
*Please be advised that failure to disclose or providing false medical information regarding medical conditions or prescription medications will result in dismissal from our camp programs. There are no refunds on all fees paid.
MEDICAL CONDITIONS AND OR ALLERGIES:
Condition/Allergy Symptom Treatment
MEDICATION: Medication taken at home must be listed.
Any medication required during camp needs to be in the original container and handed into the office. Please include non-prescription medicines in this list (Headache medicine, cough drops etc.). Medications will be administered by Star Academy staff.
Medication Dosage Administration Time
Does your child have any diagnosis, or suspected diagnosis (Learning Disability, ADHD, Autism Spectrum Disorder, Communication Disorder, etc…) that could impede their ability to fully participate in camp? If YES please describe in detail below.*
Do you have any concerns about your child’s participation in camp?*
- Yes
- No
Has the camper ever withdrawn or been dismissed from a camp, an academic institution or a co-curriculular program?*
- Yes
- No
Does the camper receive or require educational support in their school environment?*
- Yes
- No
Child 1 Summer Camp:
Price: $0.00
Please register my child for the following:*
- Week 1. June 30 - July 4 (4 day week)
- Week 2. July 7 – July 11
- Week 3. July 14 – July 18
- Week 4. July 21 – July 25
- Week 5. July 28 – August 1
- Week 6. August 5 – August 8 (4 day week)
- Week 7. August 11 – August 15
- Week 8. August 18 – August 22
Extended Care 3:30 pm to 5:00 pm*
- Yes
- No
Extended Care 3:30 pm to 5:00 pm
Price: $15.00
Number of Extended Care Days ($15/day)*
Pizza Lunch*
Select your child’s Friday Pizza Order (Pizza Nova):
- Cheese Pizza One Slice Two Slices
- Pepperoni Pizza One Slice Two Slices
- No Pizza for my child
Child #2 Information
Child’s First Name*
Child’s Last Name*
Age*
DOB (mm/dd/yyyy)
DOB (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade for September 2025-2026*
Current School Your Child is attending*
Health Card*
Version Code*
Expiry Date (mm/dd/yyyy)*
Child's Doctor*
Doctor's Phone*
Immunization Up-to-date*
- Yes
- No
Does your child have any behavioural issues/specials needs?*
- Yes
- No
Please review the list and checkmark any conditions that apply to your child*
- Asthma
- Diabetes
- Eczema
- Epilepsy
- Frequent Nosebleeds
- Heart Condition
- Headaches
- Hay Fever
- Hepatitis
- Hearing Problems
- Tuberculosis
- Skin Problems
- Seizures
- Urinary Problems
- ADHD
- Other Conditions
- None
Does your child require prescription glasses?*
- Yes
- No
Does your child have any allergies?*
- Yes
- No
MEDICAL CONDITIONS AND OR ALLERGIES:
Condition/Allergy Symptom Treatment
Does your child have an Epi-Pen?*
- Yes
- No
If yes, medical alert bracelet recommended & 2 EPI-PENS MUST be provided.
Does your child have any dietary/food restrictions?*
- Yes
- No
Are there any foods your child should not eat for medial, dietary or religious reasons?
*Please be advised that failure to disclose or providing false medical information regarding medical conditions or prescription medications will result in dismissal from our camp programs. There are no refunds on all fees paid.
MEDICATION: Medication taken at home must be listed.
Any medication required during camp needs to be in the original container and handed into the office. Please include non-prescription medicines in this list (Headache medicine, cough drops etc.). Medications will be administered by Star Academy staff.
Medication Dosage Administration Time
Does your child have any diagnosis, or suspected diagnosis (Learning Disability, ADHD, Autism Spectrum Disorder, Communication Disorder, etc) that could impede their ability to fully participate in camp? If YES please describe in some detail below.
Do you have any concerns about your child’s participation in camp?*
- Yes
- No
Has the camper ever withdrawn or been dismissed from a camp, an academic institution or a co-curriculular program?*
- Yes
- No
Does the camper receive or require educational support in their school environment?*
- Yes
- No
Child 2 Summer Camp:
Price: $0.00
Please register my child for the following:*
- Week 1. June 30 - July 4 (4 day week)
- Week 2. July 7 – July 11
- Week 3. July 14 – July 18
- Week 4. July 21 – July 25
- Week 5. July 28 – August 1
- Week 6. August 5 – August 8 (4 day week)
- Week 7. August 11 – August 15
- Week 8. August 18 – August 22
Extended Care 3:30 pm to 5:00 pm*
- Yes
- No
Extended Care 3:30 pm to 5:00 pm
Price: $15.00
Number of Extended Care Days ($15/day)*
Pizza Lunch*
Select your child’s Friday Pizza Order (Pizza Nova):
- Cheese Pizza One Slice Two Slices
- Pepperoni Pizza One Slice Two Slices
- No Pizza for my child
Child #3 Information
Child’s First Name*
Child’s Last Name*
Age*
DOB (mm/dd/yyyy)
DOB (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade for September 2025-2026*
Current School Your Child is attending*
Health Card*
Version Code*
Expiry Date (mm/dd/yyyy)*
Child's Doctor*
Doctor's Phone*
Immunization Up-to-date*
- Yes
- No
Does your child have any behavioural issues/specials needs?*
- Yes
- No
Epipen required and Carried at all times:*
- Yes
- No
Please review the list and checkmark any conditions that apply to your child*
- Asthma
- Diabetes
- Eczema
- Epilepsy
- Frequent Nosebleeds
- Heart Condition
- Headaches
- Hay Fever
- Hepatitis
- Hearing Problems
- Tuberculosis
- Skin Problems
- Seizures
- Urinary Problems
- ADHD
- Other Conditions
- None
Does your child require prescription glasses?*
- Yes
- No
Does your child have any allergies?*
- Yes
- No
MEDICAL CONDITIONS AND OR ALLERGIES:
Condition/Allergy Symptom Treatment
Does your child have an Epi-Pen?*
- Yes
- No
If yes, medical alert bracelet recommended & 2 EPI-PENS MUST be provided.
Does your child have any dietary/food restrictions?*
- Yes
- No
Are there any foods your child should not eat for medial, dietary or religious reasons?
*Please be advised that failure to disclose or providing false medical information regarding medical conditions or prescription medications will result in dismissal from our camp programs. There are no refunds on all fees paid.
MEDICATION: Medication taken at home must be listed.
Any medication required during camp needs to be in the original container and handed into the office. Please include non-prescription medicines in this list (Headache medicine, cough drops etc.). Medications will be administered by Star Academy staff.
Medication Dosage Administration Time
Does your child have any diagnosis, or suspected diagnosis (Learning Disability, ADHD, Autism Spectrum Disorder, Communication Disorder, etc) that could impede their ability to fully participate in camp? If YES please describe in some detail below.
Do you have any concerns about your child’s participation in camp?*
- Yes
- No
Has the camper ever withdrawn or been dismissed from a camp, an academic institution or a co-curriculular program?*
- Yes
- No
Does the camper receive or require educational support in their school environment?*
- Yes
- No
Child 3 Summer Camp:
Price: $0.00
Please register my child for the following:*
- Week 1. June 30 - July 4 (4 day week)
- Week 2. July 7 – July 11
- Week 3. July 14 – July 18
- Week 4. July 21 – July 25
- Week 5. July 28 – August 1
- Week 6. August 5 – August 8 (4 day week)
- Week 7. August 11 – August 15
- Week 8. August 18 – August 22
Extended Care 3:30 pm to 5:00 pm*
- Yes
- No
Extended Care 3:30 pm to 5:00 pm
Price: $15.00
Number of Extended Care Days ($15/day)*
Pizza Lunch*
Select your child’s Friday Pizza Order (Pizza Nova):
- Cheese Pizza One Slice Two Slices
- Pepperoni Pizza One Slice Two Slices
- No Pizza for my child
Child #4 Information
Child’s First Name*
Child’s Last Name*
Age*
DOB (mm/dd/yyyy)
DOB (mm/dd/yyyy)*
Date Format: MM slash DD slash YYYY
Gender*
- Male
- Female
Grade for September 2025-2026*
Current School Your Child is attending*
Health Card*
Version Code*
Expiry Date (mm/dd/yyyy)*
Child's Doctor*
Doctor's Phone*
Immunization Up-to-date*
- Yes
- No
Does your child have any behavioural issues/specials needs?*
- Yes
- No
Epipen required and Carried at all times:*
- Yes
- No
Please review the list and checkmark any conditions that apply to your child*
- Asthma
- Diabetes
- Eczema
- Epilepsy
- Frequent Nosebleeds
- Heart Condition
- Headaches
- Hay Fever
- Hepatitis
- Hearing Problems
- Tuberculosis
- Skin Problems
- Seizures
- Urinary Problems
- ADHD
- Other Conditions
- None
Does your child require prescription glasses?*
- Yes
- No
Does your child have any allergies?*
- Yes
- No
MEDICAL CONDITIONS AND OR ALLERGIES:
Condition/Allergy Symptom Treatment
Does your child have an Epi-Pen?*
- Yes
- No
If yes, medical alert bracelet recommended & 2 EPI-PENS MUST be provided.
Does your child require prescription glasses?*
- Yes
- No
Does your child have any dietary/food restrictions?*
- Yes
- No
Are there any foods your child should not eat for medial, dietary or religious reasons?
*Please be advised that failure to disclose or providing false medical information regarding medical conditions or prescription medications will result in dismissal from our camp programs. There are no refunds on all fees paid.
MEDICATION: Medication taken at home must be listed.
Any medication required during camp needs to be in the original container and handed into the office. Please include non-prescription medicines in this list (Headache medicine, cough drops etc.). Medications will be administered by Star Academy staff.
Medication Dosage Administration Time
Does your child have any diagnosis, or suspected diagnosis (Learning Disability, ADHD, Autism Spectrum Disorder, Communication Disorder, etc) that could impede their ability to fully participate in camp? If YES please describe in some detail below.
Do you have any concerns about your child’s participation in camp?*
- Yes
- No
Has the camper ever withdrawn or been dismissed from a camp, an academic institution or a co-curriculular program?*
- Yes
- No
Does the camper receive or require educational support in their school environment?*
- Yes
- No
Child 4 Summer Camp:
Price: $0.00
Please register my child for the following:*
- Week 1. June 30 - July 4 (4 day week)
- Week 2. July 7 – July 11
- Week 3. July 14 – July 18
- Week 4. July 21 – July 25
- Week 5. July 28 – August 1
- Week 6. August 5 – August 8 (4 day week)
- Week 7. August 11 – August 15
- Week 8. August 18 – August 22
Extended Care 3:30 pm to 5:00 pm*
- Yes
- No
Extended Care 3:30 pm to 5:00 pm
Price: $15.00
Number of Extended Care Days ($15/day)*
Pizza Lunch*
Select your child’s Friday Pizza Order (Pizza Nova):
- Cheese Pizza One Slice Two Slices
- Pepperoni Pizza One Slice Two Slices
- No Pizza for my child
Total
$0.00
Mode of Payment:*
- Cash
- Cheque
- E-transfer ( finance@staracademy.ca)
Methods of Payment

Once you have submitted the registration form payment can be sent via e-transfer to finance@staracademy.ca

If you would like to pay by another method please contact us at +1 905-891-1555 or email to camp@staracademy.ca (cash or cheque available)
Emergency Contact 1
Emergency Contact other than parent
Contact Name*
Relationship*
Daytime Phone*
Other Phone
Emergency Contact 2
Emergency Contact other than parent
Contact Name
Relationship
Daytime Phone
Other Phone
TRANSPORTATION INFORMATION
Please indicate people permitted to pick up your child during camp.
Name*
Phone*
Name
Phone
My child may use public transport/walk/bike (with a helmet on) home from school*
- Yes
- No
Please provide details of travel, bus route number, time and details of the students travel*
All photos are used responsibly and with care. No use of names.*
- Yes
- No
Terms & Conditions
Medical Consent Statement-I understand that in the event of an accident or illness, occurring to my child, Star Academy/Star Academy Summer Camps will make every attempt to contact me and/or my child’s other parent. I hereby give Star Academy/Star Academy Summer Camps authority to act on my behalf to take whatever steps are necessary to obtain emergency medical care if warranted. These steps may include, but are not limited to, the following:*
- Attempt to contact the child’s physician.
- Attempt to contact the emergency contact.
- Call another physician.
- Call an ambulance.
- Have the child taken to the emergency department of a hospital, in the company of a staff member of Star Academy/Star Academy Summer Camp.
I have provided Star Academy Summer Camp with all necessary medical information and I can be reached at the number listed within the application form. I authorize staff to administer First Aid to my child in an emergency as deemed appropriate by the attending physician(s). I authorize first aid measures by the best qualified person on hand at the time of any emergency. I hereby waive any claims against anyone administering first aid. I understand the school will make all possible efforts to reach me prior to any treatment. Codes of Behaviour 1. Campers must be respectful to the program supervisors and their peers at all times. 2. Campers must be respectful of school materials and the facility. 3. No verbal or physical harassment will be accepted under any circumstances. 4. Campers should bring energy and a positive attitude each day they participate in our program. 5. Campers agree to adhere to all safety and security protocols. *Please be advised that failure to follow the Camp Code of Behavior may result in withdrawal from our camp programs. There are no refunds on all fees paid.
Check the box beside the statement:*
I have read and agree to the above
Payment/Refunds
I understand that all fees paid are non-refundable, non-transferable and subject to change without notice. A complete payment is due upon completion of the application form. Any request on changes of weeks, dates or times after registration will incur a $20.00 administration fee per transaction per camper per week. Please allow 5 business days to process your changes. There are no refunds on any differences or over-payments. No refunds will be issued for camp days missed for any reason. Refund Policy: Fees are non-refundable. Late Policy: A surcharge of $1.00 per minute will apply to all campers picked up after the extended care time of 5:00 pm. If you have not pre-purchased Extended Care Camp, daily fees are set at $20.00 for afternoon extended care services, payable for each unplanned use. Program changes due to registration, weather, etc... may be made at the school's discretion, without notice. Should any unforeseen circumstances arise which are beyond our control, including but not limited to: acts of God, riots, war, terrorist acts, epidemic, pandemic, quarantine, civil commotion, breakdown of communication facilities, breakdown of web host, breakdown of internet service provider, natural catastrophes, governmental acts or omissions, changes in laws or regulations, national strikes, fire, explosion, accidents, generalized lack of availability of raw materials or energy, etc. Star Academy/Star Academy Summer Camps reserves the right to make changes to our programs (i.e. academic and dormitory arrangements, cancellations or re-scheduling of programs as deemed necessary, acceptance or admission to Star Academy/Star Academy Summer Camps’ programs or the deferral thereof and access to Star Academy/Star Academy Summer Camps’ premises and facilities), without any liability, whatsoever. It is the parent/guardian's responsibility to provide Star Academy/Star Academy Summer Camps staff with written notification of changes or new camper information, including that of returning campers from previous years.
Check the box beside the statement:*
I, the undersigned, understand and agree that all payments, installments and deposits are non-refundable and non-transferable and subject to change without notice.
Check the box beside the statement:*
I hereby certify that all information contained on these forms are accurate and complete.
Check the box beside the statement:*
I acknowledge that breaching any school policies, procedures, rules and/or regulations (including updates that are made from time to time) may result in immediate cancellation of enrollment and forfeiture of any fees paid.
Check the box beside the statement:*
I understand that acceptance into Star Academy Summer Camp program will be based on availability and first-come first-serve basis.
Release and Waiver of Liability
In consideration of the acceptance of this application and the permission given by myself as guardian of the aforementioned child, I as parent of the minor child and on behalf of myself, my heirs, executors, administrators and assigns hereby forever discharge and release Star Academy/Star Academy Summer Camps, its respective officers/ directors, managers, servants, agents or employees from any claims, demands, damages, actions or causes of actions arising out of or in consequence of any loss, injury or damage to my person or property incurred while the child is attending at or participating in the Star Academy Summer Camp program or participating in the aforementioned activity notwithstanding any such loss, injury or damage may have arisen by reason of the negligence of Star Academy/Star Academy Summer Camps, its respective officers/directors, managers, servants, agents or employees. I am aware that there are inherent risks and dangers associated with the participation in the Summer Camp Program and I hereby agree as parent of the said child to assume in their entirety these risks as my own responsibility.
Registration
NOTE – by sending the form and payment you consent to the Waiver Conditions below.

Waiver

The summer camper and parents acknowledge and agree that Star Academy or camp directors, officers, or employees, will NOT be held responsible for any accident damage, injury, or loss, however, caused, negligent, or otherwise, at any time and expressly releases any and all the aforementioned parties from all claims arising from any accident, damage, injury or loss or as a consequence thereof. Also, parents/guardians hereby authorize Star Academy staff to seek any emergency medical treatment it deems necessary for their child/ren or legal dependent. Parents/guardians authorize the use of any photos taken at the Star Academy Summer Camp program for promotional purposes.

I/We agree to pay any damages or debt incurred by Star Academy as a result of the student defacing, damaging, removing, or misusing any school property (inclusive of false fire alarms). I/We agree to pay to Star Academy within 30 days of notice by Star Academy thereof.

By clicking YES and submitting this form, I, the Parent / Guardian, certify I have read the conditions above and agree to participate having read them.

Cancellation Policy

75 percent refund if canceled via email and acknowledged via email by June 1, 2025. There are no refunds after that date.

Allergy Acknowledgement

Within our community, there are several students who have a potentially life-threatening allergy (anaphylaxis) to foods, predominantly to peanuts and tree nuts (e.g., almonds, cashew, hazelnut, pistachio). The best way to reduce the risk of accidental exposure to these students is to respectfully ask for the cooperation of the parents within our campers to avoid sending peanut butter or products with peanuts or other nuts listed in the ingredients. Due to anaphylaxis and also a variety of food sensitivities, all parents are asked to consult with the office in advance of sending in food to celebrate a child's birthday or other special occasions. You are encouraged to consider non-food items for these events so that all children may participate in the fun.

Thank you for helping us to provide an 'allergy-safe' environment for children at risk of anaphylaxis. Your cooperation and understanding of this matter is appreciated.
NOTE – by sending the form and payment you consent to the Waiver Conditions below. Waiver The summer camper and parents acknowledge and agree that Star Academy or camp directors, officers, or employees, will NOT be held responsible for any accident damage, injury, or loss, however, caused, negligent, or otherwise, at any time and expressly releases any and all the aforementioned parties from all claims arising from any accident, damage, injury or loss or as a consequence thereof. Also, parents/guardians hereby authorize Star Academy staff to seek any emergency medical treatment it deems necessary for their child/ren or legal dependent. Parents/guardians authorize the use of any photos taken at the Star Academy Summer Camp program for promotional purposes. I/We agree to pay any damages or debt incurred by Star Academy as a result of the student defacing, damaging, removing, or misusing any school property (inclusive of false fire alarms). I/We agree to pay to Star Academy within 30 days of notice by Star Academy thereof. By clicking YES and submitting this form, I, the Parent / Guardian, certify I have read the conditions above and agree to participate having read them. Cancellation Policy 75 percent refund if canceled via email and acknowledged via email by June 1, 2025. There are no refunds after that date. Allergy Acknowledgement Within our community, there are several students who have a potentially life-threatening allergy (anaphylaxis) to foods, predominantly to peanuts and tree nuts (e.g., almonds, cashew, hazelnut, pistachio). The best way to reduce the risk of accidental exposure to these students is to respectfully ask for the cooperation of the parents within our campers to avoid sending peanut butter or products with peanuts or other nuts listed in the ingredients. Due to anaphylaxis and also a variety of food sensitivities, all parents are asked to consult with the office in advance of sending in food to celebrate a child's birthday or other special occasions. You are encouraged to consider non-food items for these events so that all children may participate in the fun. Thank you for helping us to provide an 'allergy-safe' environment for children at risk of anaphylaxis. Your cooperation and understanding of this matter is appreciated.
I hereby give permission for my child to participate in the SUMMER CAMP provided by Star Academy Mississauga, along with any/all activities associated with this week*
- Yes
- No
How did you hear about our Summer Camp?*
Parent 1 Signature*
Date*
Date Format: MM slash DD slash YYYY
Parent 2 Signature*
Date*
Date Format: MM slash DD slash YYYY

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