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Summer Camp

Child’s Name:(Required)
Child’s Date of Birth:(Required)
Parent/Guardian Name:(Required)
Parent/Guardian Name:
Student’s Address:(Required)
ELC:(Required)

Summer Camp is available for ENTERING Kindergarten – EXITING 6th grade students.

Non – Refundable Registration fee $55.00 / family

Return this form with: Reg. fee, 1st week in full PLUS a $10.00 deposit for each additional week.

Weekly Camp - 7:15 am – 6:30 pm - $180.00 PER WEEK

Initial each week you are choosing for your camper(Required)

******* PLEASE READ BEFORE SIGNING *******

I understand that by signing this application and placing a deposit for any or all weeks of camp,

I am committed to paying for the weeks selected whether or not my child attends. There are no refunds once I agree to place my child in a week.

Consent(Required)
MM slash DD slash YYYY
If parents cannot be reached in an emergency, the following person should be contacted:(Required)
Name
Phone #
Alternate Phone #
 

SHIRT SIZES:

One Shirt Included With Registration - Additional Shirts $12.00 Each.

*Shirts are only available while supplies last. Later enrollments may not receive a shirt*

YOUTH:
ADULT

Photo Release

will mark the space below to grant or not grant permission of photos of my child to be used in the manner below.
Use still photos in promotional materials(Required)
Display still photos on facility’s website(Required)
Display in facility’s bulletin boards, show to current and prospective clients(Required)

Field Trips

Please initial(Required)

Refunds

Please initial(Required)

Tuition

agree to register my child for summer camp and understand the policies outlined on this application. I agree to pay all tuition for each week(s) chosen by me. I understand all payments will be charged through the app Brightwheel. Check payments have a processing fee of .60 and credit/debit cards are charged 2.9%.
MM slash DD slash YYYY
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