• K-8 Summer Camp 2025 Application

    Thank you for applying to the K-8 Summer Camp 2025 held at the Honickman Learning Center Comcast Technology Labs! The Summer Camp is open to all rising Kindergarten (must be 5 years old) through 8th Grade students! Please make sure to list the grade the child will be entering this 2025-26 upcoming school year. Email us with questions! k8program@projecthome.org.

  • To register for camp, we will need this application form, an ELRC application, a health assessment, immunization records, and payment. You will receive an email once your application is submitted to walk you through the next steps. You are not officially enrolled until we have all documents and payment submitted!

     

    Summer Camp dates are Monday, June 30 - Friday, August 8.

    Hours:

    K-5th Grades: 8:30 am - 4:00 pm (WednesdayTrip Days)

    Middle School (6-8th Grades): 9:30 am - 4:00 pm (FridayTrip Days)

    Parents / Guardians must attend one Summer Camp Orientation.

     

    Cost:

    • Rowan Residents free.
    • Everyone else, with ELRC application:
      • 1 child ($210),
      • 2 children ($395),
      • 3 children ($555),
      • 4 children ($690)
    • If ELRC application is accepted, free.

     

    Priority will be given for children living in 19121 and 19132 zip codes.

    This application will allow you to apply for three children maximum; any additional children will require a separate form.

  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Email*
  • Format: (000) 000-0000.
  • Email*
  • Attendance of 60% or (3 days a week) is the required minimum in order maintain enrollment. If your child misses more than 15 days of summer program, they may not be eligible for camp. If you have planned absences, they should be communicated prior to the start of Camp. Please clarify which weeks your child(ren) plan to attend summer camp? Select all that apply.*
  • An ELRC application is required. Have you applied for the ELRC child subsidy? Visit this website for instructions: https://www.compass.dhs.pa.gov/home/#/*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Student Information

    Child 1
  • Child 1's Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Child's Gender*
  • Child's Race (This information is collected solely for statistical reasons.)*
  • Child's Ethnicity (This information is collected solely for statistical reasons.)*
  • Format: (000) 000-0000.
  • Does your child have permission to travel home independently from the Honickman Learning Center/Comcast Technology Labs?*
  • Please your child have any of the following conditions? Please check all that apply.*
  • Does your child have any food allergies?*
  • Does your child have any other allergies?*
  • Are you enrolling another child into the summer camp?*

  • Student Information

    Child 2
  • Child 2's Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Child's Gender*
  • Child's Race (This information is collected solely for statistical reasons.)*
  • Child's Ethnicity (This information is collected solely for statistical reasons.)*
  • Does the K-8 Program have a health assessment on file for your child? (If no, you will need to provide a health assessment for your child that was completed in the past 12 months.)*
  • Format: (000) 000-0000.
  • Does your child have permission to travel home independently from the Honickman Learning Center/Comcast Technology Labs?*
  • Does your child have any of the following conditions? Please check all that apply.*
  • Does your child have any food allergies?*
  • Does your child have any other allergies?*
  • Are you enrolling another child into the summer camp?*

  • Student Information

    Child 3
  • Child 3's Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Child's Gender*
  • Child's Race (This information is collected solely for statistical reasons.)*
  • Child's Ethnicity (This information is collected solely for statistical reasons.)*
  • Does the K-8 Program have a health assessment on file for your child? (If no, you will need to provide a health assessment for your child that was completed in the past 12 months.)*
  • Format: (000) 000-0000.
  • Does your child have permission to travel home independently from the Honickman Learning Center/Comcast Technology Labs?*
  • Please your child have any of the following conditions? Please check all that apply.*
  • Does your child have any food allergies?*
  • Does your child have any other allergies?*

  • Health Assessment and Immunization Record Upload

    We need a health assessment on file for all children you are enrolling in program. If your child is currently enrolled in our school year program, we have it. If not, you will need to provide a health assessment and immunization records for your child(ren) that was completed in the past 12 months. Please upload below. They cannot begin camp without it.
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Emergency Contact / Parental Consent Form

    Please read carefully and fill out all Emergency Contact, Authorized Release and Parental Consent questions to indicate your consent.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Emergency Contact Persons

    Please provide emergency contacts and authorized release persons
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Authorized Release

    Please provide at least 2 persons to whom your child can be released that is not a parent/guardian
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Field Trips/Water Play

    In order for your child to attend trips and participate in water play, we require parent/guardian permission. We are not authorized to offer swimming, only water play activities (wading pools, water sprays, slip n slides, etc.)
  • Summer Camp 2025 K-5 Trips (Wednesdays) - please select the trips you permit your K-5 student(s) permission to attend:*
  • Summer Camp 2025 Middle School Trips (Fridays) - please select the trips you permit your middle school student(s) permission to attend:*

  • Sanitizer & Topical Ointments

  • Parent/Guardian Responsibilities

  • Project HOME Image Release Form

  • Definition of “Personal Image”
    In this form, “Personal Image” means any:
    • photograph, film, video, sound recording, or drawing that depicts the image, likeness or voice of my child; or
    • any edited or modified version of the above; or
    • my child’s name

    Grant Project HOME Right to Use Personal Image
    I, on behalf of my minor children, grant to Project HOME the right and license to use, copy, modify and display the Personal Image in any medium (example- written or electronic) for its promotional or operational efforts.

    Types of Uses by Project HOME
    This right includes the right to use my child’s Personal Image in Project HOME’s:
    • newsletter, mailings, promotional and fundraising materials, paper or electronic publications, web pages, social media and networking sites, films, videos, and other similar works.

    No Compensation
    I understand that neither I, nor my minor children, will receive any money or other compensation for use of any Personal Image.

    No Right to Approve use or Personal Image
    I understand that neither I, nor my minor children, will have the right to inspect or approve any Personal Image or any edited or modified version of any Personal Image.

    Waiver and Release of Any Liability
    I, on behalf of my minor children, hereby release and hold harmless Project HOME and its agents and employees from and against any claims related to the use of any Personal Image, such as any editing, blurring, or alteration, either intentionally or otherwise, that may occur in its publication or distribution.

    Right in Perpetuity
    I understand that this right continues unless I change my permissions in writing to the Program Manager, or Building Direcor, or the Development at Project HOME.

  • Biometrics - Security Camera Consent

  • This Security Camera Consent (this “Consent”) is by and between Project HOME and its affiliates (collectively “Project HOME”) and the undersigned.

    By signing this Consent, I understand and agree that Project HOME utilizes a cloud-based security system with facial recognition software provided by a third-party vendor for purposes of verifying identity and securing and controlling access to our buildings (the “Security Cameras”). The Security Cameras leverage algorithmic systems that may collect, capture, or otherwise acquire certain information about facial geometry, or other bodily features, that constitute biometric data or identifiers under some laws or regulations.

    I expressly agree that the Security Cameras may collect and process your information, including any facial geometry or other biometric data, so that Project HOME may secure and control access to its buildings; ensure the safety of its inhabitants and personnel; prevent and deter theft; investigate any incidents, unauthorized access, or other issues; and as otherwise necessary and appropriate. I further agree that the vendor of the Security Cameras may use your information to train the algorithms and software used to power the Security Camera. I further agree to the terms of Project HOME’s Privacy Policy.

  • I,    *   *   (full name of parent/legal guardian ), have legal custody of the child(ren) listed below and consent to the collection, processing, storage, and disclosure their data in accordance with the terms set out above.

  • 2025 Summer Camp Registration/ Emergency Contact and Parental Consent Form

    Please hit submit to complete the Emergency Contact/Parental Consent form.

  • I have read this release, acknowledge, and understand all of its terms.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: