Southern Sitters Westhaven Camp 2024 Registration

  • Southern Sitters Camp Registration

    Camp Westhaven 2024

  • Welcome to registration for our Camp Westhaven 2024! We are so excited to be back for our 6th year of camp. 

    Camp Westhaven 2024 will run two weeks of camp, each week filled with fun filled activities and games! Week One of camp will run from June 10th-14th and Week Two will run from July 15th-19th. Each day of camp will run from 9:00am-1:00pm. Check out the themes for each day of camp below!

     

    CAMP WEEK THEMES

    Week One - June 10th-14th

    Monday - Slime Day

    Tuesday - Disney Day

    Wednesday - STEM Day

    Thursday - Pool Day

    Friday - Game Day

     

    Week Two - July 15th-19th

    Monday - Craft Day

    Tuesday - Pool Day

    Wednesday - Science Day 

    Thursday - Christmas in July Day

    Friday - Tie Dye Day

     

    Each week of camp is $300/camper, with a $50 sibling discount for each additonal sibling. Each camper will recieve a t-shirt on their first day of camp! Camp Westhaven accepts all children aged 5 years old - 12 years old.

    If you have any questions, feel free to give us a call! 

    (615) 200-0754

  • Camper Information

  • Date of Birth *
     - -
  • Date of Birth
     - -
  • Date of Birth
     - -
  • Camper 1 Swimming Ability*

  • Camper 2 Swimming Ability

  • Camper 3 Swimming Ability

  • Camp Westhaven T-shirts

  • I would like to purchase a Camp Westhaven T-shirt for my camper(s) for an additional $20/shirt
  • Camper 1 Shirt Size*

  • Camper 2 Shirt Size

  • Camper 3 Shirt Size

  • Parents' Information

    Parent/Guardian 1
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Where would you like to be reached while your child is at camp?*

  • Contact

    Parent/Guardian 2
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Where would parent/guardian 2 like to be reached while your child is at camp?

  • Emergency Contacts/Authorized Pickup

    Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. Person listed must be within one hour of the Westhaven Resident's Club able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age.
  • Format: (000) 000-0000.

  • Medical / Health Information

  •  -
  • Is this camper up-to-date on all immunizations?*

  • Do your children have any food, medication or environmental allergies?*
  • 0/150
  • Does your child’s/children's allergy/allergies require child care staff to monitor child for symptoms, take action if a reaction occurs, or give emergency medication to your child?

  • 0/150
  • Does the special health or medical condition require child care staff to perform a procedure, or perform child specific care such as: to monitor your child/children for symptoms or administer medication during child care hours?
  • Does your child have any dietary restrictions, including those for medical, religious or cultural reasons?*
  • 0/150
  • 0/200

  • Additional Medication

    Skip Page if N/A
  • My child requires

  • If your child's medication meets any of these criteria:

    1. A physician's instruction is needed for a nonprescription medication (e.g. child is underage or underweight per the label instructions); or
    2. It is a sample medication without a prescription label; or
    3. The nonprescription medication is to be given longer than three consecutive days within a fourteen day period or is a topical product or lotion that is being used for a skin ailment and is to be given no longer than fourteen consecutive days; or
    4. The child is on a modified diet (an entire food group is eliminated); or
    5. The medication contains codeine or aspirin.

    ***The topical product or lotion and the physician's instructions exceed the manufacturer's instructions or use

     

  • Upload a File
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  • Payment and Statement of Understanding


  • Date Signed*
     - -

  • Once complete, submit registration below!

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