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Enrollment Application
2025 Summer Session
Camp Dates: July 13-19, 2025

 

Parent/Legal Guardian #1

Parent/ Legal Guardian #2

Parent/Legal Guardian #2
Same Address
Different Address
Number of Campers Enrolling
One camper
More than one camper

Camper #1

Child Lives With
Both Parents
Parent #1
Parent # 2
Other
Parents are:
Married
Divorced
Separated
Other
If we need to contact your family who should we contact first
Parent #1
Parent # 2

Enrollment Agreement

I agree to the following terms:


APPLICATION

I understand that this application is incomplete until a refundable deposit of $750 is received per camper. If you have more than 2 campers please email samantha@campwillowusa.com to complete the remaining camper applications.


Payment by credit card can be made below with a 4% service charge.

If paying by check please call the office ‪(626) 714-1105 to let us know.


All checks must be made payable to:

Camp Willow

99 W. California Blvd. #51106,

Pasadena, CA 91105


Once you agree to the terms of this agreement above we will send you the Questionnaire documents.

Camp Session & Payment

Sessions (select all that apply)
*Camper Deposit $750+4% Service Fee$780
Parent 2 Nights $475 +4% Service Fee$494
Test$1

Register for Camp 

Camp Willow is designed for kids ages 8-17, with moderate ADHD and related conditions like social anxiety or learning differences as more extreme cases may require a higher level of support.

Our admission process is tailored to ensure that Camp Willow is the right fit for each child, helping them thrive in our camp community.

 

We encourage you to review Camp Willow’s dates and tuition for the 2025 season and sign up, or contact us to discuss the benefits of camp and determine if Camp Willow is the right fit for your child.

Summer Camp Application Process

Enrollment is Open for 2025!
Secure your child's place today!!!


1. Submit a 2025 Enrollment Application with a refundable* $750 deposit. The application is not complete until the deposit is received. 

Payment methods accepted:

  • Deposits can be made by check made payable to:
    Camp Willow
    99 California Blvd. Suite #51106,
    Pasadena, CA. 91105

  • Credit Card (a 4% service fee will be applied).
    ​   

This will secure your child's spot to Register for Camp.  

We have limited spots available (based on age) so we strongly encourage you to complete the Enrollment Application as soon as possible.

2. Shortly after the Enrollment Application is received, we will reach out to you to set up an informal interview with your child via Zoom to meet the Camp Directors. Additional questionnaires will be sent to be completed by the parent/legal guardian.

 

3. Upon your child's acceptance you will be asked to complete Camper Registration to complete the process.

Cancelation & Refund Policy 

*Deposit will be fully refunded if applicant does not qualify for our program or spaces are full. 

 

The following pricing of $2980 is specifically for our Early Bird Special enrollment tuition . After Dec 1, 2024 our Standard Enrollment Rates will go into effect. To lock in early enrollment pricing, the deposit is due by December 1st. 


Upon acceptance and completion of Registration tuition will be due.


Cancellation Policy:
Until January 1st 2024, tuition is refundable minus a $300 processing fee taken from deposit.

Cancellation fee schedule for 2025 (below are the fees taken upon cancellation):

January 1 - January 31 = $1,000
February 1 - February 28th = $1,750 

March 1 - March 31st = $2200

April 1 - April 30th = $2750

After May 1st no payments will be refunded.

Please note that Camp Willow tuition is non-refundable once a child has arrived at camp.

Eligibility: Admission is depending on availability for your child's age group. If there is no availability in your child's age group, you may opt to be placed on our waiting list.

Please contact us if you have any questions or need further clarification.

Apply Now

Please note that Camp Willow has limited availability for our summer session. In order to secure a spot for your child, we strongly encourage prospective families to begin the application which requires enrollment and a refundable* $750 deposit.

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