Registration Form
Please fill out the form below to complete your registration.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's name and birthday
*
Entering Grade:
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Self Pay or PEP/ UA
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Are you interested in a 1 hr class or full day (4 hr) 2 classes and free break?
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What day of the week are you interested in coming? (M,T,W,T)
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Are you interested in drop off/ stay on campus?
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Does your student have documents for a unique ability? If so, what is it?
*
Are there any medical concerns/conditions/allergies we need to be aware of?
I will read the Student-Family Handbook and support full compliance with its rules, as well as all other written school policies.
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I agree
I understand that the $50 application fee per child, and class tuition fees are non-refundable. A $25 registration fee will also apply. Tuition fees are transferable at Camp Michael's discretion.
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I agree
Camp Michael has my/our authorization to seek medical care for my/our child in the event of serious illness or accident if I/we, the parents, can not be reached.
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I agree
I give my child permission to participate in all school activities and release Camp Michael, its staff, and the host site from liability, except in cases of gross negligence.
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I agree
Please note: Student photos may be used on the Camp Michael website and in promotional materials such as flyers, social media posts, and event programs. By enrolling, you give permission for your child’s images to be used for these purposes.
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I agree
I understand that I am fully responsible for and agree to pay my financial obligations in accordance with the financial agreement policy set forth by Camp Michael. I understand that if I do not meet my financial obligations, my student will be withdrawn from Camp Michael.
*
I agree
Register
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