Camp day Registration

Camp day Registration
Welcome to Camp day!

We're thrilled that you're interested in our Camp day program! This unique program offers a day filled with creativity and fun for your child on teacher work days.

Camp day runs from 8:30 AM to 5:30 PM for a full day, or 8:30 AM to 12:30 PM for a half day. Your child will have the opportunity to engage in art lessons, free time/creation stations, and outdoor activities.
Parent’s / Guardian Name*

First NameLast Name
Parent’s/Guardian Email*
example@example.com
Phone Number
Please enter a valid phone number.
Select one*

My child is currently enrolled in RWSAS or ASAPI am not enrolled currently with your programs
What program is your child currently attending?*

After School (ASAP)Elementary school (RWSAS)
How did you hear about us?
Students Name*

First NameLast Name
What grade is your child in?*
Which Camp day would you like to register for?
Monday January 22nd 2024 registration option*

Full Day: 8:30 AM-5:30 PM $73Half Day: 8:30 AM-12:30 PM $57
Wednesday January 31st 2024 registration option*

Full Day: 8:30 AM-5:30 PM $73Half Day: 8:30 AM-12:30 PM $57
Friday, September 20, 2024 registration option*

Full Day: 8:30 AM-5:30 PM $77Half Day: 8:30 AM-12:30 PM $65
Friday, October 18, 2024 registration option*

Full Day: 8:30 AM-5:30 PM $77Half Day: 8:30 AM-12:30 PM $65
PRICE CALCULATION
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
I hereby give my consent for emergency medical care or treatment to be used only if I cannot be reached immediately.*

YESNO
I give permission for my child to participate in field trips and other activities during operating hours.*

Transported and walkingTransported onlyWalking onlyNo
I GIVE PERMISSION FOR MY CHILD TO BE PHOTOGRAPHED*

Print and webPrintWebNo
Does {StudentName} have special needs? (IEP,504 plan,aid in classroom etc)
Are there any allergies, medical conditions, or health-related information we should be aware of to best support {studentsName} ? Please provide details. If none, please write 'NONE'.*
Please list all the emergency/Pick-up contact for {StudentName} along with their phone number and adresses*

CAMP DAY TOTAL

USDDescription

Payment Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Camp day Registration

Welcome to Camp day!

Which Camp day would you like to register for?