Clone of Summer Camp Enrollment Form

Child Name*

First NameLast Name

Birth Date*

MonthDayYear

Grade*

School of Attendance during the school year*

Choose your camps (Camps are NOT FREE- but pricing is dependent on how many camps you register for as well as how early you register, therefore you will receive an invoice based on your registration date and number of camps you are booking- Rates on Rates and Dates page)

I would like to add Camp Wild After Care for my registered camps (1PM-4PM) $300 per week.

YESNO

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail*

example@example.com

Physician Name

First NameLast Name

Phone Number

Medical Concerns

Cancellation Policy
Our Cancellation / Refund Policy is as follows:

(All cancellations must be submitted via email to info@wildrootslearningcenter.com)

- We highly recommend purchasing Camp Tuition Insurance to cover your expenses in the event you should need to cancel. Camp tuition insurance will likely be offered by Travmark (MHRoss) and will be confirmed with the information in your confirmation/invoice, a travel insurance company, and not by Wild Roots Learning Center directly. Please remember that Camp Tuition Insurance is the ONLY way to be reimbursed for camp expenses should something unexpected come up for your family (sporting events, travel changes, positive COVID test, changes in academic schedules, injury, etc.).
- You are welcome to change sessions as needed at no cost, provided there is space available in your desired session, and the session length is greater or equal to the currently enrolled session. If you switch to a session that is shorter in length, the difference in price will not be refunded. If session is greater, the balance will be invoiced.
- All cancellations made prior to March 1st: Tuition returned, less $50 registration fee.
- Cancellations made between March 1st & April 15th: Tuition returned less $250 non-refundable deposit for per enrolled session.
Any cancellations made after April 15th No refund.

*Remember, the only way to receive any refund is through the travel insurance.

- This includes cancellations due to illness, COVID-19, family emergencies or anything unexpected.
- Any credits used for camp tuition are subject to the cancellation policies above.
- Campers sent home for disciplinary reasons: No refund.
- Camper sent home due to illness, COVID 19 protocols, or injury: No refund.
- Camper registrations can only be traded or exchanged with other campers if camp is not already full. Available slots in a full session are filled from the waitlist based on date of application.
- If Camp is forced to close or cannot operate for any reason, parents will be able to select their preferred cancellation option from our Camp Closure Cancellation Policy.

Please sign to confirm you have read and fully understand the cancellation and refund policy for Camp Wild.

Signature

Did you hear about Camp Wild from the Folsom Easter Egg hunt?

Camp Wild Registration 2026

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION