Summer Camp Scholarship Application Form

CFS Summer Camp 2022 Registration Form

All registrations are received and reviewed on a first come, first serve basis. Upon filling all open spots, all additional submissions will be added to our waiting list.
General Information
Child's Full Name *

First Name Last Name Child Age
Child's Full Name

First Name Last Name Child Age
Child's Full Name

First Name Last Name Child Age
Parent Information
Parent Full Name *

First Name Last Name
Email *
example@example.com
Home Phone *

Area Code Phone Number
Work Phone

Area Code Phone Number
Parent Full Name

First Name Last Name
Email
example@example.com
Home Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Other Adults Approved for Pick-up/Drop-off
Name

First Name Last Name
Email
example@example.com
Phone

Area Code Phone Number
Name

First Name Last Name
Email
example@example.com
Phone

Area Code Phone Number
Summer Camp Schedule Options
Options *

Full Day: 9AM-4PM ($225 per week) Half Day, Morning Slot: 8AM-12PM ($175 per week) Half Day, Afternoon Slot: 12PM-4PM ($175 per week) Before Care Support: 8AM-9AM ($10 per day) After Care Support: 4PM-5PM ($10 per day)
Child Allergies and/or Medical Condistions
Other If you do not need support for the entire 8 weeks of summer camp, please specify what dates you will need below.
After submitting your registration form, you will be redirected to the registration payment click. Though you have filled out the registration form, your child's spot is not guaranteed until after the registration fee is paid. Thank you for choosing Chicago Free School Summer Camp Programming.
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CFS Summer Camp 2022 Registration Form

General Information

Parent Information

Other Adults Approved for Pick-up/Drop-off

Summer Camp Schedule Options