ECC Summer Camp Registration 2025

Early Childhood Summer Camp Registration

Ages: 3 1/2 yrs to incoming 1st grade; Dates: June 23 through August 15, 2025. No camp on July 4th.
Daily Schedule:

Drop off 8:30 - 8:45 am

Pick up 2:30 -2:45 pm
Child's Name*

First NameLast Name
Child's Date of Birth*
month/day/year
Is Child currently enrolled at Highland Hall Waldorf School?*

Yes, my child is a current enrolled HHWS student.Yes, my child will be starting in the Fall and is fully enrolled, and I need to schedule an interview with the Summer Program Director.No, but I have completed an interview with the Summer Program Director.No, I need to schedule an interview with the Summer Program Director.
Non-Highland Hall students are subject to acceptance by the Program Director prior to enrolling. Our Program Director will contact you for an interview.
Parent or Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
How did you hear about our camp?

Currently enrolled familyToured HH during the yearHighland Hall May FaireGoogleInstagramFacebookKids Out n About OnlineHighland Hall WebsiteOther
Refund Policy:

Most of our staff is hired and supplies are ordered and paid for by May. When a family cancels or changes, it costs the school. With this in mind, we have created a refund policy that takes into consideration both the needs of our families and the needs of our school.

Should you withdraw your child from the Program prior to April 30th, then you will receive your deposit or full tuition less a $25.00 administrative fee for each child per week.

After April 30th, the following policies will apply:
50% refund until May 31st
No refunds on or after June 1st.
I have read the Refund Policy and understand its terms and accept its conditions.

Yes
Session 1 - June 23 - 27
Week 1 Aftercare add on
Week 1 Selected
Waitlist Session 1

Please add me to the Waitlist for Session 1
Session 2 - June 30 - July 3
Week 2 Aftercare add on
Week 2 Selected
Waitlist Session 2

Please add me to the Waitlist for Session 2
Session 3 - July 7 - July 11
Week 3 Selected
Waitlist Session 3

Please add me to the Waitlist for Session 3
Session 4 - July 14 - July 18
Session 5 - July 21 - July 25
Week 4 Selected
Week 5 Selected
Session 6 - July 28- August 1
Week 6 Selected
Session 7 - Aug 4- August 8
Week 7 Selected
Week 8 Selected
Session 8 - Aug 11- August 15
COUPON CODE
Aftercare calculation
Registration Date

MonthDayYear
Date
TOTAL Registration Fees
discounts
TOTAL Registration Fees minus discounts
Internal Admin Notes (hidden)

Summer camp payment

USDECC Camp: Registration fees

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

HIGHLAND HALL WALDORF SCHOOL SUMMER PROGRAM POLICIES

By submitting this form, we parent(s) of {childsName}, a minor, read and agree to each of the following:

PAYMENTS   All Program fees are due one week prior to attendance. All balances not paid in full one week prior to attendance will be subject to a $25 per child late fee and possible loss of child's space in the program. Returned checks will be subject to an additional charge.

REFUNDS There will be NO refunds given for any missed days and parents are financially responsible for all the days that the camper has been registered to attend camp. All refund requests must be put in writing and received prior to June 1.

ABSENCES   Parents are requested to notify Program staff by phone, no later than 8:45 AM on any day in which their child will not be attending. There are no refunds or make-up days provided for any missed days.

MEDIA   I understand that it is not appropriate for my child to bring electronics with them and that any electronics brought to school will be held by the Program Director and/or staff and returned to the parents, rather than the chld.

PHOTO RELEASE/ACTIVITY RELEASE   I give Highland Hall Waldorf School permission to use photographs and images of my child(ren) in its promotional, marketing and publicity efforts. I understand that the images may be used in publications, print ads, electronic media, mailings or other forms of dissemination. In addition, my child has my permission to participate in all activities that are part of Highland Hall Summer Program including sports, crafts projects, gardening, and other active play experiences typical in a childcare program. In case of an accident, Highland Hall Waldorf School assumes no financial responsibility beyond the secondary insurance coverage.

DISCIPLINE PROCEDURES   I understand that the discipline methods used with my child may include warnings, time outs, denial of privileges and logical consequences. Serious disobedient, disruptive or disorderly behavior may result in expulsion from the Program without refund.

PARTICIPATION CANCELLED BY THE PROGRAM I/we understand that the Program retains the right to determine whether or not any child's continued participation is in the best interest of the child or the Program. The Program cannot anticipate or list all the possible reasons why it may be necessary to terminate participation, but these include behavioral problems and disruption by the child, the child's parents or guardians or others. The Program retains the exclusive right and the sole discretion to determine what procedures to follow and to decide what reasons justify termination of participation in the Program. The Program may, therefore, terminate enrollment at any time for any reason.

PERSONAL BELONGINGS Highland Hall Waldorf School is not responsible for articles of clothing, valuables, and belongings that are lost or damaged whether by fire, theft, natural disaster or other occurrence. Please label personal belongings. Please do not bring valuables to school, including electronics.

SIGN-IN/SIGN-OUT   I understand and agree that in the event my child is not picked up by conclusion of the program, I will be charged $1.00 per minute, payable to the Program staff upon my arrival. I further understand Highland Hall Waldorf School will immediately make every attempt to contact me or other persons authorized by me to take my child from the facility. Lastly, I understand and agree that if my child is not picked up by the designated time, that my child and I may be dismissed from Highland Hall Waldorf School Summer Program, and no refund will be provided.
Parent Typed Signature consenting to above:*
(Parent or legal guardian)

AUTHORIZED ADULTS FOR PICKING UP FROM PROGRAM

Please provide the name(s) of all authorized persons to take your child from the Program. Unless you provide written authorization beforehand, your child will not be able to leave the school with anyone else. Please also include those who are authorized to pick up your child in the event of an emergency. Be sure to include yourself as well as your child’s other parent and/or additional spouses. NOTE: Picture I.D.s MAY BE REQUIRED prior to the chld’s release.
Authorized Person #1

First NameLast Name
Person #1's Relationship to Child
Phone Number Person #1

Area CodePhone Number
Authorized Person #2

First NameLast Name
Person #2's Relationship to Child
Phone Number Person #2

Area CodePhone Number
Authorized Person #3

First NameLast Name
Person #3's Relationship to Child
Phone Number Person #3

Area CodePhone Number

EMERGENCY CONTACT INFORMATION and CONSENT TO TREAT

{childsName}, DOB {childsDate}

Parent Contact: {parentOr},{phoneNumber},{email}

Home Address: {homeAddress}
Emergency Contact if parent is not reachable

First NameLast Name
Emergency Contact Phone number

Area CodePhone Number
Name of child's physician

First NameLast Name
Phone Number of Child's Physician

Area CodePhone Number
Name of Medical Insurance carrier
Policy number medical insurance
HIGHLAND HALL SUMMER CAMP CONSENT TO TREAT

I give Highland Hall Waldorf School pemrission to SEEK EMERGENCY MEDICAL attention for my minor child if they are unable to contact me. I agree that Highland Hall Waldorf School and its designated leaders are not legally liable for any claim from any consent given in good faith in connection with such diagnosis or advised treatment. This authorization and consent to treatment of minor is given to HIghland Hall in conjunction with any authorized program event. My child has my approval to participate in Highland Hall Waldorf School activities. In case of sickness or accident, Highland Hall Waldorf School has my authorization to secure at my expense such medical attention as deemed necessary if unable to communicate with me immediately.
Parent Typed signature consenting to above
WAIVER: I assume all risks and hazards incidental to the conduct of the Highland Hall Waldorf School, and transportation to and from the Camp. I further release, absolve, indemnify and hold harmless Highland Hall WAldorf School, its directors, officers, employees and agents from any injuries my child may sustain as a participant in Camp. All participants are involved at their own risk. I further expressly agree tha this waiver is intended to be as broad and inclusive as is permitted by the law of the State of California and if any portion is held invalid, it is agreed that the balance shall continue in full legal force and effect.

I have read and voluntarily sign this relase, waive and poicies in its entirety and further agree that no oral representations, statements or inducement apart from the foregoing wirtten agreement have been made. Furthermore, I have read understand and authroize the registration of my child in the Highland Hall Summer Camp.
Parent typed signature consenting to the above WAIVER
Parent Signature for the Consent to Medical Emergency Treatment and Waiver, above.

Clear
Internal Admin Notes

HEALTH AND MEDICAL INFORMATION
List any Disability or Chronic Recurring Illness.
Any specific limitations on physical activities?
Please list all potential allergies and how they are treated. Please include dietary restrictions.
Medications currently taking (provide Name, Dosage and Reason for)
Any history of lost consciousness, convulsions, concussion, epilepsy or diabetes? If yes, please explain.
Please describe history of social and emotional needs so that Camp Staff may best support your child.
Please explain any conditions not already listed above that may effect participation in camp activities or handling of any medical conditions.
Should be Empty:

Early Childhood Summer Camp Registration