Summer Camp Application
We are so excited that you have decided to move forward with enrolling your child in our School-Age Summer Camp Program. Summer Camp is filled on a first come, first serve basis, and enrollment decisions are based on availability. Please note that this form does not necessarily guarantee enrollment, but confirms your interest. Once we receive your application, you will receive an email informing you of your child's enrollment status. This process is typically complete within 1-2 business days of receiving your application. Once accepted, there is a one time $50 registration fee (waived for students actively enrolled in our after-school program). Weekly tuition is $220.
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Child Information
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
If applicable, please explain any special needs or other health situations such as physical or mental conditions, existing or pre-existing illnesses, operations, or hospitalizations which would require special procedures to be followed by Redstone Children's Academy.
If applicable, please list any allergies or dietary restrictions for your child.
Would you like to add another child?
*
Yes
No
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2nd Child Information
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
If applicable, please explain any special needs or other health situations such as physical or mental conditions, existing or pre-existing illnesses, operations, or hospitalizations which would require special procedures to be followed by Redstone Children's Academy.
If applicable, please list any allergies or dietary restrictions for your child.
Would you like to add another child?
*
Yes
No
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Next
3rd Child Information
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
If applicable, please explain any special needs or other health situations such as physical or mental conditions, existing or pre-existing illnesses, operations, or hospitalizations which would require special procedures to be followed by Redstone Children's Academy.
If applicable, please list any allergies or dietary restrictions for your child.
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Parent/Guardian Information
Name
*
First Name
Last Name
Relationship to Child
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Would you like to add another parent?
*
Yes
No
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2nd Parent/Guardian Information
Name
*
First Name
Last Name
Relationship to Child
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Digital Signature
Parent Signature
*
Submit
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