2023 Summer Camp Enrollment Form: CURRENT FAMILIES

2023 Summer Camp Enrollment Form

Hi Bloom Families! Please complete the form with all your Summer Camp selections for July & August 2023. You will be billed for all the camps at the beginning of Summer. (One form per child) -ALL CHILDREN MUST HAVE CURRENT COVID VACCINATIONS-
Student Name:*

First and Middle NamesLast Name
Status:

Current StudentReturning Student
Date of Birth:*

MonthDayYear
Date
Summer Camps:

Week 1 - July 10 - 14 - Creativity CampWeek 2 - July 17 - 21 - Builders & EngineersWeek 3 - July 24 - 28 - Let's Get MovingWeek 4 - July 31 - Aug 4 - Sea Life in the PNWWeek 5 - Aug 7 - 11 - Young ScientistsWeek 6 - Aug 14 - 18 - Fun & GamesWeek 7 - Aug 21 - 25 - Doing Good in the Neighborhood
Weekly Morning Schedule: (5 days: $231 per week | 3 days: $151 per week) Times vary based on room assignment: 8:00pm - 12:00pm | 8:15pm - 12:15pm | 8:30 - 12:30pm

MondaysTuesdaysWednesdaysThursdaysFridays
Weekly Afternoon Schedule: (2 days: $67 per week | 3 days: $98 per week | 4 days: $150 ) 1:00pm - 3:30pm

MondaysTuesdaysWednesdaysThursdays
GENERAL Your tuition is calculated and per Camp and invoiced in full at the start of Summer *

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PAYMENT TYPE Payments may be made at the school with cash, check, and money order, Zelle, or online directly from the link in the invoice *

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LATE PAYMENT FEE 1.5% fee will be added to balance due if payment is more than 5 days past the payment date*

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UNPAID TUITION Failure to pay Camp Fees prior to the first day of attendance will result in enrollment being put on hold until the balance has been paid. We are happy to discuss payment options with you *

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RETURNED CHECKS The full Returned Check Fee levied by the bank will be added to your account. Subsequent payments must then be made with cash, money order, payment app, or online *

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ADDITIONAL FEES Lunch Bunch or any additional attendance fees will be added to your invoice on a monthly basis based on your child’s participation *

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SUSPENDED ACCOUNT If your account / enrollment has been suspended due to outstanding tuition fees, you are required to pay the delinquent amount within 14 days. Failure to pay will result in your account being sent to a collection agency, and your enrollment in the Academy terminated *

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NON-REFUNDABLE Registration Fees are not refundable. Camp Fees are non-refundable for missed days or weeks due to illness, vacation, or other reasons. *

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HOLIDAYS/ IN-SERVICE DAYS/ SCHOOL CLOSURES Tuition and fees are calculated in total for all registered Summer camps, without reduction for holidays, vacations, and professional in-service days for our faculty, or absences or illnesses of students throughout the year. No credit or refund will be owed for school closures due to inclement weather, natural disasters, or pandemics*

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LIMITS TO TUITION CHARGES DURING EXTENDED CLOSURES If the school is closed for any reason for 2 weeks or less, tuition is due for that time. If the school is closed for more than 2 weeks then NO tuition will be charged. Tuition billing will resume when the school reopens*

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I have read the TERMS and CONDITIONS of this Agreement and have had the opportunity to ask questions for clarification prior to signing it*

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Today's Date:

MonthDayYear
Your Name:

First NameLast Name
Account Holder's Full Signature*

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Should be Empty: