Summer Camp Enrollment Form

Summer Discovery Program 2026

Our Summer Discovery program offer students the opportunity to explore their interests, engage in their communities, and discover their potential through robust enrichment and academic programming. This summer learning program is free for families and provides fun learning experiences to support the whole child in their educational journey and life beyond the classroom. Please submit an application for each child you are enrolling in our summer program.
Summer Program Details

Located; 26640 Van Dyke, Center Line, MI 48015
Program Dates: June 22- July 24, 2026

Program Hours: 9am-4pm

Grades Served: Students enter first grade through 8th grade in the fall of 2026

100% FREE for families!

-Literacy and math instruction

-Daily music, art, and crafts

-Attendence incentives

-Field trips
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Child's primary language*
Is Your child an English learner or English as a second language student?*

YesNoNot Sure
Race/Ethnicity*
Current Grade*
Grade Fall 2026*
Name of School*
Please share the Zip code of the school your attends.*
Does your child receive:*

Free lunchReduced LunchNone
Did your child attend Summer Discovery Program (2025)*

YesNo
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
MEDICAL INFORMATION
Physician Name

First NameLast Name
Phone Number

Area CodePhone Number
Medical Concerns*
Does your child have a special education plan, IEP or 504 Plan as apart of their school education*
Academic Concerns*
Anything you would like us to know about your child
The following question is suggested (but not required) in order to emphasize the importance of attendance in the Summer Discovery program.

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 recieve the full benefits of the program. Will your student be able to attend at least 70% of the summer program days?
For example, If a program is 20 days, a student would be expected to attend 14 or more of those days (70% attendance).
If a program is 25 days, a student would be expected to attend 18 or more of those days (70% attendance).
Please choose a response:

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

Summer Discovery Program 2026

Summer Program Details

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION