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?*
Students Date of Birth*

MonthDayYear
Date
Which Camp day would you like to register for?
September 19th 2025 registration option*

Full Day: 8:30 AM-5:30 PM $105Half Day: 8:30 AM-12:30 PM $85
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
Field Trip Information
- Note about Field Trip: Parents will be notified in advance of all off-site field trips with accurate information provided, and individual permission slips will be required for each trip.
- Note: Daily use of our outdoor play areas and Elizabeth Park (Dupont st location only) are part of our regular program and are not considered field trips.
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*
Coupons code
Coupons Calculation
Final price

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?

Field Trip Information