Non-refundable registration deposit: $50

Weekly camp deposit: $50 (Amount deducted from the balance of total due)

Camp Rates:

1 Week ---- $325

4 Weeks --- $1250

8 Weeks --- $2500

We accept NJ State Subsidy Programs (NJCK, Programs for Parents) Scholarships and Financial Aid are available for any household with combined income of $100K or less. Funding available on a first come, first serve basis.

Call 908-928-6000 for more information and to register today! Registration form can also be emailed to info@haynesprep.com or done in person!

Enrollment is based on a first-come, first-served basis. Please turn in ALL completed forms and payments to HPS staff in person or online. There is a minimum of 2 business days processing time for all enrollment packets before any child can attend.

Please select your schedule below. Program hours 7 AM – 6 PM

Registration Fees and Weekly Deposits:

$50 ONE TIME registration fee per child. A deposit of $50 per week to hold a spot is to be applied to the overall tuition balance. Deposits for canceled weeks are forfeited. Cancellation Policy: Full tuition is due for the week(s) selected above if less than two weeks or no notice is given.

We'd love to have your child with our camp for additional weeks! If you'd like to add additional weeks, please let the camp staff know as soon as possible. Adding weeks is subject to space availability and is not guaranteed.

Tuition is billed weekly and is due on the Friday BEFORE the week you want your child to attend.

There is no credit given for any absences. By signing below, parents/guardians understand that any changes or cancellations must be submitted in writing to the camp director and a schedule change form completed. Parents/guardians are responsible for all fees associated with registering for Haynes Preparatory School summer day camps.

Fill in all the blanks. 

If yes, check all that apply and fill in any applicable information.

Person(s) to contact in case of an emergency/authorized pick-up other than parent(s) or legal guardian(s) listed on page 2. At least one local contact is required, or a written emergency plan in no local contact is available.

If yes, please list their name and attach the required legal documentation.

Additional Important Information: Just as health and developmental information is important to HPS ACE Learning Camp, in order to provide the best care for your child, relationship and other life experience information helps us get to know your child better from the time they start. Please be thoughtful and thorough when completing this section.

What times does your child wake up in the morning and go to bed at night?

For fundraising and data collection purposes, we are requesting information regarding the ethnic background of the children we serve. Please mark all that apply to your child

I grant permission to Haynes Preparatory School’s ACE Learning Summer Program to provide care for my child. I understand that I have access to all of my child’s records.

I understand that Haynes Preparatory School assumes no responsibility or liability for injuries/illnesses of my child. I further understand that I hold Haynes Preparatory School, its officers, agents, employees, and volunteers harmless from any and all liability or claims which may arise out of my child’s participation in Haynes Preparatory School programs. I acknowledge that Haynes Preparatory School’s philosophy, policies, and procedures are communicated and available through the Haynes Preparatory School Family Handbook. I acknowledge that I have received a copy of the Family Handbook and that parents/ guardians are expected to read and adhere to all Haynes Preparatory School policies and procedures. I understand that the Family Handbook is available to me on Haynes Preparatory School’s website and anytime by request. I understand Haynes Preparatory Schools policies and procedures are subject to change at any time without notice. I understand that failure to follow Haynes Preparatory School's policies and procedures may result in termination of enrollment. I understand that Haynes Preparatory School staff are Mandated Reporters. “Mandated reporters” are persons or groups of persons who have frequent contact with children and families and are required by New Jersey State law to report suspected cases of child abuse and neglect to DCP&P or to the appropriate law enforcement agency. I grant permission to Haynes Preparatory School to contact any individuals listed in this form (i.e., previous caregivers, physician, therapist, etc for additional relevant information regarding my child. I understand that I will be notified, in advance, of anyone being contacted regarding my child. I grant permission for my child to use all of the play equipment and participate in all of the activities of the center. I grant permission for my child to be included in evaluations and promotional materials connected with the childcare program. Haynes Preparatory School is not responsible for anything that may happen as a result of a lack of and/or false information given by parent(s) or guardian(s) at the time of enrollment. All of the information provided is true and correct to the best of my knowledge. This contract is effective for the duration of my child’s enrollment in the Haynes Preparatory School ACE Summer Learning Program. Changes to my child’s schedule or complete withdrawal from the program are subject to the policies outlined in the Family Handbook and the Fee Agreement. I understand that failure to follow Haynes Preparatory School policies and procedures may result in termination of enrollment.

HEALTH & WELL-BEING AGREEMENT: Per State of New Jersey child care licensing and public health requirements, the following is available for parents to review at any time. These documents are posted in the parent area (or other convenient location) at each center and copies are available. Please take the time to read and understand these documents. 1.Center Health Policy: Center policy and procedures relating to staff and child health practices, communicable disease exposure and reporting, medication and first-aid management and other health-related topics. 2.Pesticide Policy: Center policy adhering to public health standards. 3.Disaster Preparedness Policy: Center policy in partnership with the schools where each center is located. Covers policy for major natural disaster preparedness, staff responsibility and disaster supply management. 4.Pet Policy: Center policy and procedures for the caring of classroom pets. Covers types of pets that are allowed/not allowed and certain procedures for caring for some pets.

I understand that the above documents are available for review.

OCCASIONAL WALKING FIELD TRIP PERMISSION: Throughout the summer camp session, we take occasional walking trips to the local park, play area, and library. All trips will be adequately staffed to provide the utmost safety for your child while enjoying an enriching visit to a nearby place. Parents will be notified of the trip in advance with the time of departure and arrival back to the center. This information will be posted on the door of the center. Parents will be allowed to pick up their child from a local walking trip location provided they have picked up their child before (staff will recognize you, notified the camp director in advance, and have signed out their child using our digital sign-in/sign-out software. I give my permission for my child to attend occasional walking field trips with Haynes Preparatory School throughout the summer.

WATER ACTIVITIES PERMISSION: State licensing require that parent/guardians grant permission for their child/ren to participate in water activities while in program. Water activities may include wading and swimming pools, spray parks, water balloon games, etc. Swimming will only take place at locations where a life guard is on duty and with a 1 teacher for every 6 kids. Please sign if you would like your child to participate on water activity field trips. Please note that if you prefer not to swim, your child may attend the program and will be provided with an alternate activity at Haynes Preparatory School.

SUNSCREEN PERMISSION: State licensing requirements permit child care facilities to apply sunscreen to children only with the written consent from the parent. Please sign if you would like your child to use sunscreen while at Haynes Preparatory School. We will provide Sunscreen SPF 45 or higher. If you would like your child to use a specific brand you must supply it yourself. We highly recommend that all children use a sunscreen of level 45, and that application is done before arriving at Haynes Preparatory School. Please read the policy under HEALTH and WELL BEING in our Family Handbook to be thoroughly familiar with the requirements. We recommend for water activities that T-shirts be worn over bathing suits. For all other outdoor activities, hats or visors, and sunglasses are advisable.

Directions: Apply liberally to all exposed areas. For best results let dry 30 minutes before exposure to sun, and reapply after prolonged swimming, excessive perspiration, vigorous activity or toweling.

My child or a staff member may apply sunscreen according to the instructions above.

Example: Coppertone Water Babies SPF 45 Hypoallergenic. Water Babies is a gentle, non-irritating PABA-free formula, which is non-stinging. Active Ingredients: Ethylhexyl p-Methoxycinnamate, 2 Ethylhexyl Saclicylate, Oxybenzone, Homosalate. Inactive Ingredients: Water, Sorbitan Isostearate, Sorbitol, Polyglyceryl-3 Distearate, Octadecene/ MA Copolymer, Triathanolamine, Stearic Acid, Barium Sulfate, Benzyl Alcohol, Fragrance, Dimethicone, Aloe Extract, Jojoba Oil, Methylparaben, Tocopherol (Vitamin E, Propylparaben, Carbomer, Disodium, EDTA, Imidazolidinyl Urea.

HAND SANITIZER PERMISSION: State licensing requirements permit childcare facilities to give hand sanitizer to children only with written consent from the parent/guardians on field trips and/or when soap and water are not available. Hand sanitizer is not meant to replace regular hand washing practices of soap and water. Please sign if you would like your child to use hand sanitizer while on a field trip or when soap and water are not available. We will provide Purell* or a generic substitute ingredients and directions listed below. If you would like your child to use a different brand you must supply it yourself. Directions: Apply one pump into hands and rub hands together until all liquid has dried. Apply before eating and/or when soap and water are not available. My child may use hand sanitizer according to the instructions above.

*Purell Active Ingredients: Ethyl Alcohol

As parent/legal guardian, I authorize a qualified physician to examine the above-named student and in the event of injury to administer emergency care and to arrange for any consultation by a specialist, including surgeon and/or dentist, as deemed necessary to insure proper care of any injury for my child. I understand that every effort will be made to contact parents or guardians to explain the nature of the problem prior to any involved treatment. It is understood that a conscientious effort will be made to notify me or other persons listed on this form before such action is taken.

In the event it becomes necessary for HPS staff-in-charge to obtain emergency care for your student, neither the staff- in-charge nor HPS assumes financial liability for expenses incurred because of accident, injury, illness, and/or unforeseen circumstances.

Complete each section of this form in its entirety:

Haynes Preparatory School periodically receives attention from newspapers, magazines, radio, and TV stations; asking to take pictures, do interviews, and audio- and video record portions of our programs. This exposure is of great benefit to HPS as a whole and brings an understanding of the critical need for high-quality childcare in our community. Haynes Preparatory School engages professional photographers/ videographers and we ourselves take pictures of children and activities to use in our newsletters, posters, press releases, flyers, social media (e.g., Facebook), website, etc.

We need a legal guardian’s permission to do these things and ask you to read and respond to the information below. If you choose not to grant permission, this will in no way affect any child’s opportunity to participate in HPS programs or events.

So that we can honor your wishes, mark the box indicating your choice and sign the release. Please return this form to HPS. Please call if you have questions or concerns at (908) 928-6000.

An integral and important part of any quality school age care program is giving our kids opportunities for out of the center excursions. Some examples of field trip destinations include local and distant parks, local library etc. Examples of water activity field trips include local spray parks, community center, etc. By completing this form, you are consenting to your student participating on all scheduled field trips when your student is enrolled.

Haynes Preparatory School's field trip transportation policy is to utilize school bus or take local walking trips.

Taking a large group of children on a field trip can be challenging. We are very serious about the safety rules and will inform you about problems, if they occur. There are some problems that may result in your child being suspended from field trips. If this should occur, you are responsible for finding alternative care for your child.

Haynes Preparatory School will make every reasonable effort to provide a safe environment during the field trip. As the parent/guardian of the above named student I understand that there are inherent risks associated with participation in these activities including physical injury, and/or other consequences.

I understand that Haynes Preparatory School assumes no responsibility or liability for injuries/illnesses of my child. I further understand that I hold HPS, its officers, agents, employees, and volunteers harmless from any and all liability or claims which may arise out of my child’s participation on field trips.

I acknowledge that HPS’s Field Trip Behavior Expectations and any other instructions apply on all field trips. I grant permission for my child to participate in all the field trips on the days when they will be attending HPS.