2025 PCA Summer Camp Registration
Summer camp will begin on June 2nd-July 25th. The hours are from 8AM to 4:30PM. Camp is for completed kindergarten through completed 5th grade. There is a one time registration fee of $50.00, which includes a camp shirt. You will receive an invoice for the registration fee after completing this form. Once you pay the registration fee, your child's registration will be complete. The cost is $190 per week. This is due on or before the Monday of each week. This price includes the cost all of the field trips too. Please note that we will be closed on July 4th and in observance of Independence Day. I will send out our schedule to your email with field trips and other information at a different time. For other questions about summer camp, please contact Mrs. Franklin at Bfranklin@pcawarrior.org. We're looking forward to a great summer!
Name
Camper's First Name
Camper's Last Name
Grade Completed
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Camper's Birthday
-
Month
-
Day
Year
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent 1 Name
First Name
Last Name
Parent 1 Phone Number
Please enter a valid phone number.
Parent 1 Email
example@example.com
Parent 2 Name
First Name
Last Name
Parent 2 Phone Number
Please enter a valid phone number.
Parent 2 Email
example@example.com
Camper's teeshirt size. 1 shirt is included in the registration fee. We use this shirt for field trips.
Youth Extra Small
Youth Small
Youth Medium
Youth Large
Youth X-Large
Adult Small
Adult Medium.
Adult Large
Adult XL
Adult 2XL
Would you like to purchase an extra camp shirt for your child? The cost is $10.00 each. This is due when paying for registration. Camp shirts will be given out on the first day of camp on June 2nd.
No, I would not like an extra camp shirt.
Youth Extra Small
Youth Small
Youth Med.
Youth Large
Youth X-Large
Adult Small
Adult Med.
Adult Large
Adult XL
Adult 2XL
Other
What weeks will your child be attending camp? Check all that apply.
Week 1 June 2nd-6th
Week 2 June 9th-13th
Week 3 June 16th-20th
Week 4 June 23rd-27th
Week 5 June 30th-July 4th 1 (We will be closed on July 4th.)
Week 6 July 7th-11th
Week 7 July 14th-18th
Week 8 July 21st-25th
Does your child have any allergies or take any medication that we need to be aware of?
Emergency Contact List
*
I give PCA Summer Camp Staff permission to take my child's picture for PCA related publication purposes such as the school's website, the school's social media platforms, the school's newsletter, or other promotional materials including the BAND summer camp parent's page and future promotions for PCA Summer Camp.
Please Select
Yes, my child may have his or her picture taken for publication purposes.
No, my child may not have his or her picture taken for publication purposes.
I, the undersigned parent, give my child permission to participate in Pineview Christian Academy's Summer Camp. I give my child permission to be transported to any field trip during the 2024 summer camp. I also give my child permission to participate in all activities at Pineview Christian Academy including laser tag, blow up water slides, bouncy houses, STEM projects, cooking projects, and other activities.
Submit
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