ADLC SUMMER CAMP 2026 (NEW CAMPER)

2026 SUMMER CAMP (NEW CAMPER) REGISTRATION APPLICATION

* Your child must be at least 18 months to attend summer camp *
CAMPER INFORMATION
Name

First NameLast Name
Sex
Date of Birth

MonthDayYear
Date
Age (at start of Summer Camp)
PARENT/GUARDIAN 1
Name

First NameLast Name
Relationship to Camper
Email
example@example.com
Home Address
Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
PARENT/GUARDIAN 2
Name

First NameLast Name
Relationship to Camper
Email
example@example.com
Home Address
Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
How did you hear about us?

Other
RATES OVERVIEW
INCLUDES ON-SITE ACTIVITIES ONLY (9:00am - 4:00pm):
- Rates are shown below for each week.
INCLUDES ON-SITE ACTIVITIES & OFF-SITE FIELD TRIPS (9:00am - 4:00pm):
- Rates are shown below for each week.
BEFORE & AFTER CARE (6:45am-9am & 4pm-6pm):
- Weekly Rate: $50
- 4-Week Rate: $200
- 10-Week Rate: $500
  - *only offered as an add-on at this reduced rate. Must be signed up at time of registration.
NOTES:

*AS YOU MAKE YOUR CAMP SELECTIONS, YOUR CAMP TOTAL IS TALLIED BELOW WEEK 10. THIS TOTAL IS DUE UPFRONT (INVOICED WITHIN 1-WEEK).

**WE CAN SCEHDULE INSTALLMENTS (MUST DISCUSS)

***CAMP FEES ARE NON-REFUNDABLE.
WEEKS AND ACTIVITIES SIGNUP

Please select desired week(s) and activities:
Week 1: June 22nd - June 26th: "Stomping into Summer"
Week 2: June 29th - Jul 2nd: "Stomping into Summer" (Short week)
Week 3: Jul 6th - Jul 10th: "Splashing through Summer"
Week 4: Jul 13th - Jul 17th: "Splashing through Summer"
Week 5: Jul 20th - Jul 24th: "Science Mania"
Week 6: Jul 27th - Jul 31st: "Science Mania"
Week 7: Aug 3rd - Aug 7th: "Into the Wild"
Week 8: Aug 10th - Aug 14th: "Into the Wild"
Week 9: Aug 17th - Aug 21st: "Artsy Beats"
Week 10: Aug 24th - Aug 26th: "Artsy Beats" (Short week)
TOTAL CAMP COST *Includes Registration Fee
REGISTRATION PROCESS & PAYMENT TERMS:
- Summer camp application form must be sumbitted by May 29th
- Once your application is submitted, you will be registered into our system via "Procare" (our invoicing & communication software).
- You will receive an invoice via Procare within approximately 1-week via email.
- Payment can be made via ACH, CC or check.
- If paying by check, it must be handed to Max Goldfeld or Kim Regner.
CAMP NOTES:
- Please pack a fully disposable brown paper bag lunch on field trip days. For days where we are on-site or if your child is "on-site ONLY" camp days, you may pack a lunch or order our catered lunch at https://adlc.ahotlunch.com/login Use code:adlc to register.
- Children must be enrolled in summer camp to attend, no drop-ins unless agreed upon in advance.
- We have a limited number of spots available - enrollment will be on a first come, first served basis.
- Swim Instructions are once a week for ages 3 (fully potty-trained) and up. Our Teachers will accompany all campers in the pool. Location: Pinnacle Health and Fitness
- Please note for children not going on field trips/visitors, there will be in-classroom projects planned for them
- Field trips do not include lunch, so you must bring your own packed meal.
- While ADLC has confirmed dates with all vendors, the schedule is subject to change based on factors outside of our control including, but not limited to weather, vendor cancellation/rescheduling, and more. ADLC will look to offer an activity of equal or greater value. All field trips are non-refundable
- CAMP FEES ARE NON-REFUNDABLE.
DISMISSAL INFORMATION
My child
will be picked up (promptly) each day by:
Name 1
Relationship
Phone
Format: (000) 000-0000.
Name 2
Relationship
Phone
Format: (000) 000-0000.
Name 3
Relationship
Phone
Format: (000) 000-0000.
EMERGENCY INFORMATION
In case of an emergency, and the camper's parents cannot be reached, please contact:
Name 1
Relationship
Phone
Format: (000) 000-0000.
Name 2
Relationship
Phone
Format: (000) 000-0000.
ADDITIONAL INFORMATION
Important information we should know about your child:
Medical
Social/Emotional
Does your child require a special diet or have any food allergies?
If yes, please explain
Does your child have any non-food allergies?
If yes, please explain
Does your child require an Epi-pen?
Your child will participate in many events and activities and have an amazing experience at All Day Learning Centers. We take many photos throughout our day to send to you, post in the classroom, use in crafts, and newsletters as well as share on social media and advertising. Please Note: ADLC will never tag you or your child on any social channel unless requested. By unselecting yes, you do not give ADLC permission to post any photos as per below.
PERMISSION SLIPS

To be filled out by May 30th
Each summer camp field trip requires a separate permission slip, which can be found at www.alldaylearningcenters.com/summer-camp-permission-slips

As a parent, I acknowledge that I will complete and submit all the relevant permissions slips in a timely manner to ensure my child can participate in the all field trips.
If you wish to have Sunscreen and Insect Repellant applied to your child, you will need to supply your own. Please give them to your child’s classroom labeled with your child’s name.
Parent/Guardian Initials
PARENT HANDBOOK
As a parent, I have read and acknowledge the All Day Learning Centers Parent Handbook (www.alldaylearningcenters.com/ParentHandBook)
Parent/Guardian Name
Parent/Guardian Signature
Date

MonthDayYear
Date
Type a question
File Upload

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2026 SUMMER CAMP (NEW CAMPER) REGISTRATION APPLICATION

CAMPER INFORMATION

PARENT/GUARDIAN 1

PARENT/GUARDIAN 2

RATES OVERVIEW

WEEKS AND ACTIVITIES SIGNUP

DISMISSAL INFORMATION

EMERGENCY INFORMATION

ADDITIONAL INFORMATION

PERMISSION SLIPS

PARENT HANDBOOK