Summer Camp Enrollment Agreement Summer 2026

Summer Camp Enrollment Agreement
Summer Camps will be held for 7 weeks lasting from 9:00am-4:00pm beginning Monday, June 2nd through Friday, July 25th with the exception of July 4th week. We will be closed Monday, June 30th through Friday, July 4th.

Upon completion of this contract, families will be financially responsible for summer camp invoicing with no refunds or exceptions.
A. Student Information
Student Legal Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Age*
*Allergies and/or Medications (if any):
Additional Comments
Second Student (Optional)
Student Legal Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Age
*Allergies and/or Medications (if any):
Additional Comments
Third Student (Optional)
Student Legal Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Age
*Allergies and/or Medications (if any):
Additional Comments
Fourth Student (Optional)
Student Legal Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Age
*Allergies and/or Medications (if any):
Additional Comments
B. Parent/Guardian Information
Primary Guardian*

First NameLast NameRelationship
Mobile Phone*
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Secondary Guardian

First NameLast NameRelationship
Mobile Phone
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email
example@example.com
Address (If address is the same as above, then you do not need to complete this).

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Information
Contact #1*

First NameLast NameRelationship to Student(s)
Mobile Phone*
Please enter a valid phone number.
Email*
example@example.com
Contact #2

First NameLast NameRelationship to Student(s)
Mobile Phone
Please enter a valid phone number.
Email
example@example.com

C. Waiver of Liability, Release and Hold Harmless Policy
Parent/Guardian Signature*

Clear
Printed Name*

First NameLast Name
Date*

MonthDayYear
Date
IF SOMEONE OTHER THAN THE PARENT SIGNED ABOVE IS PRIMARILY RESPONSIBLE FOR THE FINANCIAL OBLIGATIONS OF THIS STUDENT, THE PERSON MUST SIGN BELOW. IN ANY EVENT, THE PARENT SIGNING ABOVE IS FINANCIALLY RESPONSIBLE.
Contracts will NOT be voided if a child is suspended and/or expelled for any reason or for any period of time.

Contracts will ONLY be voided if the student(s)' primary residence is relocated to 50 miles away or more from school grounds with at least a 14-day notice.

Contracts will NOT be voided if a student withdraws from camp with less than a 14-day notice.
SIGNATURE OF FINANCIALLY RESPONSIBLE PARTY

Clear
PRINTED NAME OF FINANCIALLY RESPONSIBLE PARTY

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

Summer Camp Enrollment Agreement

A. Student Information

Second Student (Optional)

Third Student (Optional)

Fourth Student (Optional)

B. Parent/Guardian Information

Emergency Contact Information

C. Total Tuition Fees

C. Waiver of Liability, Release and Hold Harmless Policy

IF SOMEONE OTHER THAN THE PARENT SIGNED ABOVE IS PRIMARILY RESPONSIBLE FOR THE FINANCIAL OBLIGATIONS OF THIS STUDENT, THE PERSON MUST SIGN BELOW. IN ANY EVENT, THE PARENT SIGNING ABOVE IS FINANCIALLY RESPONSIBLE.