Summer Camp 2026

Form
Summer Camp Enrollment

Support The Mode
Please submit one form for each child you are enrolling in our summer program.
PROGRAM DETAILS
- Program dates: June 29th-July 30th
- Prgram hours: 8am-4pm
- Monday-Thursday
- Grades Served :Students entering 1st grade through 4th grade in fall of 2026.
100% Free for all families!

• Literacy and math instruction
• Daily music, art and dance classes
• Attendance incentive trip
• End of Summer Showcase
Name

First NameLast Name
Parent or Guardian Email Address
example@example.com
Parent or Guardian Number
Child’s Name

First NameLast Name
What grade level will your child be entering this upcoming school year (2026-27)?*
School attended for 2025-2026 school year (this past school year)If multiple, please write the school where they ended this past school year. Summer Program students MUST attend school in Wayne, Macomb, or Oakland counties.
Please share the ZIP code of the school your child attends. If multiple, please write the ZIP code where they ended the year.
What is your child's racial and/or ethnic identity?*
What is your child’s gender?
Does your child have a special education plan, individual education plan (IEP), or 504 plan as a part of their school’s education?
At school, is your family eligible to receive free lunch?*
Students who register for Summer Discovery programming must commit to attending programming throughout the summer. Summer Discovery is not a drop-in program, and it’s important for students to attend daily to receive the full benefits of the program. Will your student be able to attend at least 80% of the summer program days? Our program is 20 days, so this would mean attending 16 days.
Please note: Along with assessments, your child will be asked to complete a post-survey after the program so that we can evaluate any program-related successes and challenges this year in order to continue to improve Summer Discovery to best serve all students and families. No further action is required to provide consent for your child to participate. If you would prefer that your child not participate, please notify SITE EMAIL ADDRESS confirming you would like to opt-out of student surveys.

By submitting this enrollment application, I, the parent/guardian, consent to be contacted by Summer Discovery administration and/or service providers.
Should be Empty:

Form

Summer Camp Enrollment