• BWS & YMF Summer Experience

    Join us at the BWS & YMF Summer Experience! This exciting opportunity is for students who have completed 1st through 11th grades (classes will be split into age appropriate groups) to reduce "summer slide" through literacy & character development, financial education, team building, life skills, and have a lot of fun along the way. Summer camp meets from June 8th to July 16th, Monday through Thursday from 9:00 AM to 3:00 PM at 1356 Jefferson Ave SE, Grand Rapids, MI 49507. A registration fee of $150 per child applies (limited scholarships available). We invite parents to fill out the registration form completely, and if any section does not apply, simply write “N/A.” For questions or additional information, please contact our Program Director at chamille@betterwsinc.com.
  • Student Information

  • Date of Birth*
     - -
  • Gender
  • Transportation to and from Program*
  • Student Race/Ethnicity (Check all that apply)*
  • Parent/Guardian Information

  • Format: (000) 000-0000.
  • Authorized to Pickup*
  • Format: (000) 000-0000.
  • Authorized to Pickup
  • Medical Information

    Please complete this section in it's entirety to ensure your child's safety in the event of an emergency. If your student needs medications distributed during the course of day camp, please email chamille@betterwsinc.com to receive a medication authorization form.
  • Medical Conditions/Allergies/Disabilities or Special Instructions (“check” conditions that apply or check “None”)*
  • Emergency Contacts & Authorized Pickups

    Please list any individual authorized to pickup your student. These individuals will also be contacted in the event of an emergency where we are unable to reach the guardians. Authorized pickups must be 18 years of age or older and should be prepared to present photo ID when picking up students.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Acknowledgements

    Please read the statements below and check the box next to each statement.
  • Emergency Medical Treatment: I give permission to the program staff (licensed by the State of Michigan) to secure emergency medical and/or surgical treatment for the above.*
  • Family Handbook: I have received a copy of the Family Handbook. I agree to the program’s policies.*
  • Playground Equipment Recognition. The program utilizes the playground equipment available at our sites. I understand the equipment students use may not comply with licensing standards.*
  • Immunization Records. My Child’s immunization records are up-to-date. The immunization record or appropriate waiver is on file with the school. My child is in good health  with activity restrictions noted.*
  • Contact Information. I agree to contact the program leadership at my site if my contact information changes.*
  • Field Trip. I hereby give my permission for my student to attend field trips. I understand that information will be provided prior to every field trip. I agree to accept all medical  responsibility in case of emergency due to accident or illness.*
  • Topical Application Waiver. I give permission to the program staff to provide my child with insect repellant, sunscreen, and Neosporin wound cleanser when appropriate. I  understand that specific product information is available upon my request from the program leadership team.*
  • Program Enrollment. I understand that enrollment in this program is voluntary. In order to assure that each student makes the desired progress for academic success, I understand  regular attendance is expected.*
  • Signatures

    By signing my student up, I authorize this program to collect and use data about my child for the purposes of program development, safety, and improving educational outcomes.  I understand that this data will be kept confidential, stored securely, and used by authorized personnel within the organization, and shared with Michigan Department of Lifelong  Education, Advancement, and Potential (MiLEAP) 32n OST Grants Program and state evaluation partners.
  • Date*
     - -
  • Photo & Video Release

  • By acknowledging and signing below, I hereby grant Better Wiser Stronger (BWS) and Young Money Finances (YMF) the absolute right and permission to use photographic portraits, pictures, digital images or videotapes of my child, or in which my child may be included in whole or part, or reproductions thereof in color or otherwise for any lawful purpose whatsoever, including but not limited to use in any publication or on the BWS & YMF websites, without payment or any other consideration. I hereby waive any right that I may have to inspect and/or approve the finished product or the copy that may be used in connection therewith, wherein my child’s likeness appears, or the use to which it may be applied.*
  • Camp Payment Options*

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          Full Camp Fee
          $150.00$150.00
            
          Camp Deposit

          You may choose to make a partial payment at this time to reserve your student’s space. The full remaining balance is due no later than May 29th. Any student with an outstanding balance after this date will not be eligible to attend camp.

          $25.00$25.00
            
          Scholarship Request

          Due to financial need or hardship, I am requesting a scholarship for my student. I understand that requesting a scholarship does not automatically guarantee financial waiver of camp fees. I also understand that additional information may be required to complete my scholarship application. A deposit of $25 may be required to reserve your child's spot in camp.

          Free$ Free
            
          Total
          $0.00$0.00
        • Payment Methods

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