Girls Inc of Chicago - 2026 K-5th Strong, Smart, & Bold Summer Camp Interest Form Application

1

New Attendance & Fee Policy

While Girls Inc. of Chicago’s Strong, Smart, & Bold Summer Camp remains completely free, a refundable deposit and attendance policy are in place to ensure our high-quality resources are used responsibly.

Each camp placement represents a meaningful investment in our girls, and attendance directly impacts the experience for all participants.

If your child is selected:
• A refundable deposit of $150 per child or $200 per family (siblings) is required
• Deposit deadline: Friday, May 29, 2026 (adjust if needed)
• Deposits are refunded at the end of the session if attendance expectations are met
Attendance Expectations:
• Unexcused absence: $50 per day
• Missed field trip without notice: $50 per trip
• Late pickup after 4:15 PM: $10 per minute
• Late drop-off after 10:00 AM without notice: $10 per incident
• Weekly attendance under 75%: $50 per week
• Excessive absences may result in removal from the program
By continuing, you acknowledge and agree to these terms.

2

Would you like to still proceed with this Summer Camp application after reviewing the new attendance policy? (You will not be asked to submit any payments or card information for applying on this form.)

YESNO

3

Which summer session are you applying for?* This field is required.You are only allowed to select one session.

Session I: June 15 – July 9

Session II: July 20 – August 13, 2026

4

If your first choice session is full, are you open to your child being placed in the alternate session?* This field is required.

YESNO

5

Session placement is not guaranteed and is based on availability and program capacity.

6

This form will close on Thursday, April 30, 2026.

After submitting your interest form, we will send an email notifying parents of their child's selection status by Thursday, May 1, 2025. If selected, parents must attend the mandatory virtual orientation to secure their child's spot. The date will be shared upon acceptance.

In addition, selected families must submit a refundable deposit by Friday, May 29th, 2026. All selected girls are expected to fully participate in their selected Summer Camp session for all 4 weeks. Camp is Monday through Thursday, 9:00 AM – 4:00 PM. If you are unsure whether your submission was received, please email community@girlsincofchicago.org to confirm.

7

Child Name (First, Last)* This field is required.

8

Child Date of birth* This field is required.

Date

9

Child Age* This field is required.

10

Address (including City, State, and Zip)* This field is required.

11

Home Phone* This field is required.

12

School name* This field is required.

13

Current Grade: When selecting your child's grade, choose the grade they completed during the 2025–2026 academic year, not the grade they will be entering in the fall.* This field is required.

K

1st

2nd

3rd

4th

5th

14

Race & Ethnicity* This field is required.

Asian American or Pacific Islander American

Hispanic, Latino, or Latin American

Middle Eastern or North African

Multiracial/multiple heritage

Black or African American

White

Native American or Alaska Native

15

Primary Language(s) spoken at home* This field is required.

English

Spanish

17

Parent/Guardian Name* This field is required.

18

Parent/Gaurdian Email* This field is required.

19

Parent/ Gaurdian phone* This field is required.

20

Relationship* This field is required.

Custodial Parent

Non-custodial Parent

Guardian

Foster Parent

21

Lives with child?* This field is required.

Yes

No

22

Emergency Contact Name* This field is required.

23

Emergencey Contact Number* This field is required.

24

Approximate annual Income* This field is required.

Less than $10,000

$10,000-$20,000

$20,000-$30,000

$30,000-$50,000

More than $50,000

25

Is your child eligible for free or reduced school lunch?* This field is required.

Free Lunch

Reduced Lunch

Neither

26

Has your child done a Summer Camp program with us before?

YESNO

27

Is there a parent or guardian actively serving in the Military?* This field is required.

Yes

No

28

Is your child an Oakwood Shores resident?* This field is required.

Yes

No

29

How many people live in your household, including the child?* This field is required.

31

Does your girl have any allergies?* This field is required.

32

Does your girl have any dietary restrictions? (Vegan, vegitarian, pescatarian, no dairy etc...) * This field is required.

33

Does your girl have any medical conditions or physical limitations we should be aware of?* This field is required.

34

Does your child have any sensory needs, accommodations, or supports we should be aware of to ensure a positive camp experience?* This field is required.

35

I give permission for my child to participate in Girls Inc. of Chicago programs and to be transported, by licensed School Bus, and/or walk to and from these activities and field trips. * This field is required.

Yes

No

36

Do you give permission for images in print and electronic form or videos taken of your girl during program to be used for public relations purposes in newsletters, brochures, annual reports and for publicity on our website, social media, radio, television, newspapers and by our community partners?* This field is required.

Only for images and likenesses captured during Summer Camp.

For images and likenesses captured during all Girls Inc. Programming.

37

I permit my student to participate in surveys and other pre- and post-assessments conducted by Girls Inc. of Chicago. I understand that during all Girls Inc. programming, girls are expected to adhere to the Girls Inc. Code of Conduct (copies are available upon request). I also acknowledge that Girls Inc. of Chicago and its partners are not responsible for any lost or stolen property..* This field is required.

Yes

No

38

Signature

39

Date* This field is required.

Date

40

Questions/Comments/Concerns