ADLC SUMMER CAMP 2026 (CURRENT STUDENT)

2026 SUMMER CAMP (CURRENT STUDENT) ENROLLMENT APPLICATION

* Your child must be at least 18 months to attend summer camp *
CURRENT STUDENT 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*
Work Phone
PARENT/GUARDIAN 2
Name

First NameLast Name
Relationship to Camper
Email
example@example.com
Home Address
Cell Phone
Work Phone
BillboardInstagramFacebookFlyerWord of MouthNewspapwerOther
RATES OVERVIEW
INCLUDES ON-SITE ACTIVITIES ONLY (Part Time or Full Time):
- Toddlers & Up: Current Monthly Tuition +$20 or $30 per week (part time or full time)
INCLUDES ON-SITE ACTIVITIES & OFF-SITE FIELD TRIPS:
- Preschool & Up: Current Monthly Tuition + *Weekly on/off-site rate
  *Weekly rates published below vary based on activities/trips for that week
NOTES:

*ONCE YOU SUBMIT YOUR ENROLLEMENT FORM, WE WILL SEND YOU A RECAP OF YOUR SUMMER PLAN WITHIN 1 WEEK, WHICH WILL INCLUDE YOUR OVERALL RATE.

**WE UNDERSTAND SCHDULES CHANGE DURING THE SUMMER. IF YOU ARE LOOKING TO ADJUST YOUR REGULAR YEARLY SCEHDULE, PLEASE REACH OUT TO DISCUSS. RATES ARE BASED ON YOUR CURRENT TUITION UNLESS OTHERWISE DISCUSSED.
WEEKS AND ACTIVITIES SIGNUP

Please select desired week(s) and activities:
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$100 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips . *3+ must be potty trained. (+$110 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$100 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$130 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$100 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$110 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$100 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$130 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$70 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
I'd like to sign up for on-site activities AND off-site field trips. *3+ must be potty trained. (+$65 on top of tuition)I'd like to sign up for on-site activities ONLY. (+$30 on top of tuition: Full-Time)I'd like to sign up for on-site activities ONLY. (+$20 on top of tuition: Part-Time)No thank you, we will NOT be attending camp this week.
REGISTRATION PROCESS & PAYMENT TERMS:
- Summer camp registration form must be sumbitted by May 29th
- Once you comeplete registration, you will be invoiced via Procare within approximately 1-week.
- Payemnt can be made via ACH, CC or check.
- Check must be handed to Max Goldfeld or Kim Regner.
CAMP NOTES:
- Please pack a fully disposable brown paper bag lunch on field trip days. On regular camp days, parents can sign up for lunch usi
- 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
DISMISSAL INFORMATION
My child*
will be picked up (promptly) each day by:
Name 1*
Relationship*
Phone*
Name 2
Relationship
Phone
Name 3
Relationship
Phone
EMERGENCY INFORMATION
In case of an emergency, and the camper's parents cannot be reached, please contact:
Name 1*
Relationship*
Phone*
Name 2
Relationship
Phone
ADDITIONAL INFORMATION
Important information we should know about your child:
Medical
Social/Emotional
YesNo
If yes, please explain
YesNo
If yes, please explain
YesNo
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, I do not give ADLC permission to post any photos as per below.

Yes, I understand ADLC may use photos in Newsletters, Social Media & Advertising, etc
PERMISSION SLIPS
I give permission to apply Sunscreen according to directions on the product label.I give permission to apply Insect Repellant according to directions on the product label.I will not be providing sunscreen for my child, please do not apply another child’s sunscreen on themI will not be providing insect repellant for my child,please do not apply another child’s insect repellant on them.
Each summer camp field trip selected above and swimming 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 selected field trips.
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*

Clear
Date*

MonthDayYear
Date
Type a question
Should be Empty:

2026 SUMMER CAMP (CURRENT STUDENT) ENROLLMENT APPLICATION

CURRENT STUDENT INFORMATION

PARENT/GUARDIAN 1

PARENT/GUARDIAN 2

RATES OVERVIEW

WEEKS AND ACTIVITIES SIGNUP

DISMISSAL INFORMATION

EMERGENCY INFORMATION

ADDITIONAL INFORMATION

PERMISSION SLIPS

PARENT HANDBOOK