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  • 2026 HCTP Summer Camp Application Form

  • 1. Student Information

    (Please submit only one application form per child. If you are registering more than one child, please submit a separate application form for each. If you have already submitted a form, there is no need to submit another.)
  • Sex*
  • Has your child attended an HCTP program before?*
  • Current Grade in School*

  • 2. Parent/Guardian and Emergency Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Can we use the above phone number to send text?*

  • The email fields must match.

  • 3. Additional Information

  • a) Medical or Special Needs
  • Does your child have an IEP?*

  • b) Pickup Arrangements 

  • Will your child be picked up at the end of each camp day by 3:00 pm either by yourself, the emergency contact or an additional authorized person listed below?*
  • Rows
  • If offered, will your child stay at the camp beyond 3pm and be picked by 5pm?*
  • c) Deposit & Attendance
  • d) Enrollment process and Lottery 

  • e) Schedule and Due dates 

    Please note the following important dates: 

    1. Application deadline May 29 (Friday)-June 19 (Friday)
    2. Acceptance email sent to parents  June 23 (Monday)  
    3. Parents' confirmation to enroll    June 24 (Wednesday) 
    4. Deposit due June 27 (Saturday)

  • f) Cancellation & Refund Schedule 

  • g) Laptop 
  • Each student must bring their own laptop (no Chromebooks, no school-provided devices and no iPad). Will your child be able to bring one ?

  • 4. Authorization and Release

  • I, as the legal guardian of the student(s) named above, give him(them) permission to attend HCTP programs and participate in any related activities. I assume all risks and hazards incidental to the programs and transportation (if any), and do further hereby release, absolve and hold harmless HCTP and Hanaim Church and its trustees, officers, directors, teachers, volunteers, staff in case of any incidents or injuries that may occur in relation to the camp and the students above. In the event of an emergency and all the guardians are not available, I give permission for the director or medical coordinator to give authorization for medical treatment. I hereby consent to the participation in interviews, the use of quotes, and the taking of photographs, movies or videos of the student(s) registered above for publicity purposes. I understand that HCTP reserves the right to cancel or change its courses, programs, services, or schedule due to lack of enrollment or other necessary reasons.

    By e-signing below, I confirm my agreement to the above terms and certify that all information provided in this application is true and accurate. 

  • Date*
     - -
  • Should be Empty: