HRS Summer Camp Registration Form

2026 Summer Camp Registration Form

These forms are required for your student to attend camp.
Camper's Information
Member ID
Student Name*
Nickname (if applicable)
Date of Birth

MonthDayYear
Date
Age (in Summer 2026)
NOTE: Children need to have completed Kindergarten before they are eligible to participate in traditional day camp.
What school does your student attend?*
Grade in 2026/27 (Note: 2nd Grade Almost Full!)*
Camp Registering For?*
T-Shirt Size
Non-SwimmerBeginner Swimmer (can swim on front 20ft without flotation)Advanced Swimmer (can pass swim test)My child will only participate in the MS Jayhawks Hoops Camp.
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.

Emergency Contacts/Authorized Pickup

Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Emergency Contacts

Emergency Contact #1
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child*
Emergency Contact #2
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Phone Number*
Format: (000) 000-0000.
Secondary Phone Number
Format: (000) 000-0000.
Relationship to Child*

My Products*

Full 4-Week Camp

June 15-July 10, 2026 (No Camp Juneteenth or July 3rd)

$3,350.00

Week 1

June 15-June 18, 2026 (No Camp Juneteenth)

$745.00

Week 2

June 22-June 26, 2026

$930.00

Week 3

June 29-July 2 (No Camp July 3rd)

$745.00

Week 4

July 6-July 10

$930.00

MS Jayhawks Hoops Camp (Boys)

June 15-June 26 (No Camp June 19)

$500.00

MS Jayhawks Hoops Camp (Girls)

June 29-July 10 (No Camp July 3)

$500.00

Total

$0.00

Head-Royce School has permission to secure emergency transportation for my child in the event of an illness or injury which requires emergency treatment. The emergency transportation service will determine the facility to which my child will be transported.*
Type first and last name above to consent
This form, after being completed and signed by the parent/guardian, must be reviewed for completeness and signed by the administrator/designee prior to the child receiving care. After the child is attending the program the administrator shall have the parent/guardian review and initial the form when any changes/updates are made and at least annually. *
Type first and last name above to consent
Sign Document*
Type First and Last name
Date Signed*

MonthDayYear
Should be Empty:

2026 Summer Camp Registration Form