2026 FAITH Summer Camp Student Contract

2026 Summer Camp Student Contract (Primary-Upper Elementary)

Please fill out a separate form for EACH child.
Student's First Name*
First Name
Student's Last Name*
Last Name
Student's Birthdate *

MonthDayYear
Date
Parent 1 Name*

First NameLast Name
Parent 1 Phone Number*
Format: (000) 000-0000.
Parent 1 Email*
example@example.com
Parent 2 Name

First NameLast Name
Parent 2 Phone Number
Format: (000) 000-0000.
Parent 2 Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contacts
Emergency Contact #1 - Name*

First NameLast Name
Emergency Contact #1 - Phone Number*
Format: (000) 000-0000.
Pick-Up Authorizations
The emergency contacts listed have authorization to pick up my child in case of emergency. These individuals will be contacted in an urgent situation including medical emergency, in the event that neither parent can be reached.
Pick Up Authorization*

I agree
Health & Allergy Information

Please note we are NOT a nut free school. If your child has or develops allergies it is your responsibility to inform office staff through a written notice.
If needed for minor concerns (scrapes, bug bites, bruises, general first aid), staff may administer:*

All of below (Essential Oils, Homeopathic Tablets, Herbal and Homeopathic Ointments)Essential OilsHomeopathic TabletsHerbal or Homeopathic OintmentsNone of above
Please list any dietary restrictions we need to know about. Please note we can not accommodate all dietary restrictions.*

NONE - No Dietary RestrictionsOther
Please list any allergies or medical conditions we need to know about.*

NONE -No Allergies or Medial ConditionsOther
Please enter your child's physician's name (in case of emergency.) *
Please enter your child's physician's phone number (in case of emergency.) *
Format: (000) 000-0000.
Photography Permission
Please be advised that your child may be photographed or video-taped for educational purposes.*

YES, I give permission for my child’s photograph and/or video to be posted on any co-op-related publications, including websites, public and private Facebook pages or newsletters.NO, my child’s photograph and/or video may not be posted.
Release of Liability
Faith Montessori - Waiver and Release of Liability

Liability Statement

Faith Montessori does not carry medical, accident or loss of personal property insurance for any program participants, due to the fact that it would drastically increase the cost of our program fees. Please review the insurance policies that protect you and your family to be certain that proper coverage is in place.

IN CONSIDERATION of being a participant of the Faith Montessori (hereafter “F.M.”) and being permitted to utilize the facilities of F.M. and Community of Christ (hereafter "C.C.") I, the undersigned, intending to be legally bound for my family, do hereby:

1) Acknowledge that my family’s participation in F.M. and my family’s utilization of the C.C. facility could expose my family to a possible risk of personal injury, and I assume all risks inherent in such participation and/or utilization.

2) Release and agree to indemnify F.M. and C.C., which includes any F.M.S. member, parent volunteer, staff members, and employees, from any and all liability, loss, damage, expense, or cost of any nature whatsoever from any and all claims by or against my family for property damage, personal injury, and/or claims arising from my family’s participation and/or utilization, including claims that are known or unknown, foreseen or unforeseen, future or contingent;

3) Agree that my family shall not now or at any time in the future, directly or indirectly, commence or prosecute any action, suit, or other legal proceeding against F.M. or C.C. arising out of, relating to, or in connection with the actions, causes of action, claims, and demands hereby waived, released or discharged by me; and

4) Attest that I am of legal age to execute this form as a binding legal document in accordance with its intention.
Release of Liability*

I agree
Emergency Medical and Transportation Release
Faith Montessori

Authorization for Medical Care, Transportation & Treatment

I hereby consent to and authorize the transportation to a hospital or medical practitioner’s office or center by Faith Montessori staff or ambulance as deemed necessary and the giving of all treatments, medications and procedures which are ordered by a PHYSICIAN of such hospital, center or practice for the diagnosis, medical care and treatment of my child/ren named above for any condition which in the discretion of Faith Montessori appears to require immediate medical attention and that is observed whilst child is actively participating in any Faith Montessori activity or program.

As the parent or legal guardian of the aforementioned person, I hereby agree to personally provide for any medical expenses and transportation expenses resulting therefrom and which may be incurred by my child as a result. In addition I hereby consent to and authorize the transportation of my child by Faith Montessori staff in the event of an emergency whether medical or non-medical and as in their sole discretion such staff deem necessary for the health, safety or wellbeing of the child or of other children in their care.

Consent to administer First Aid

I give my permission to Faith Montessori to administer First Aid to my child. First Aid will be administered to minor scrapes and bumps. This includes antiseptic creams and Band-Aids on scrapes, ice on bumps, and bandages and slings on sprains.

I have read and agree to the terms above.
Emergency Medical and Transportation Release*

I agree
Handbook Agreement
I have read and agree to all policies and procedures mentioned in the Parent Handbook which is available on the Faith Montessori website. www.faithmontessori.org/handbook
Handbook Agreement*

I agree
Enrollment Agreement
Students must be 3 years old & potty trained to enroll.
Enrollment Agreement*

I agree
Summer Camp Week Selection

Camp Times: 9am-1pm
Week 1: May 18-21

Yes, I would like my child to attend May 18-21
Week 2: June 15-18

Yes, I would like my child to attend June 15-18
Week 3: July 13-17 (Ages 7 and below ONLY)

Yes, I would like my child to attend July 13-25
Week 4: July 20-23 (Ages 7 and below ONLY)

Yes, I would like my child to attend July 20-23
Tuition Agreement
Tuition Policy

Each camp week is $200. Enrollment fee is $25 (This enrollment fee is wavied if you are a currently enrolled FAITH student.)

A student is officially enrolled in the Summer Camp program when Faith Montessori has received both payment and this completed Student Contract. Enrollment in all programs is binding. Parents are responsible for paying tuition. An invoice will be emailed to you within a week of receipt of this contract. A 3% processing fee is automatically included in your invoice. If you wish to avoid the processing fee you will need to pay by check.

There is no credit given for absences (such as, but not limited to: illness, death in the family, vacations). There are no tuition refunds for co-op closings.

Withdrawal

A withdrawal of your child does not relieve the financial responsibility of Summer Camp tuition. Summer Camp tuition is non-refundable.
I have read and agree to the tuition agreement.*

I agree
Name of person signing & financially responsible*

First NameLast Name
Signature*
Should be Empty:

2026 Summer Camp Student Contract (Primary-Upper Elementary)

Emergency Contacts

Pick-Up Authorizations

Health & Allergy Information

Photography Permission

Release of Liability

Emergency Medical and Transportation Release

Handbook Agreement

Enrollment Agreement

Summer Camp Week Selection

Tuition Agreement