Preschool Summer Camp Enrollment Form

Summer Camp 2024

North Bend, WA 98045
Summer Camp Schedule
Monday thru Thursday : 9am-12pm - $325

After Camp Enrichment: 12pm-3pm - $175

June 17th-20th: Welcome to Small World Summer Kick-off Party Camp
June 24th-27th: Grandma Tami's Cooking Camp July 1st-3rd: 4th of July Camp (*3 day rate for this camp)
July 8th-11th: Dino Discovery Camp July 15th -18th: Magic of Disney Camp (*MAGIC OF DISNEY CAMP IS SOLD OUT). July 22nd-25th: The Art of Science Camp July 29th-August 1st: Sports Camp (featuring local youth athletes)
August 5th -8th: A Pirate Adventure for Lads and Lasses Camp *(PIRATE CAMP IS SOLD OUT)
August 12th-15th: Little Builders Construction Camp. *( only 2 spots left in Little Builders Construction Camp) August 19th -22nd : End of Summer Water Party Camp (*END OF SUMMER WATER PARTY CAMP IS SOLD OUT)

(PLEASE SELECT CAMPS YOU WOULD LIKE YOUR CHILD TO ATTEND AT THE BOTTOM OF THIS REGISTRATION FORM)
Camper Information
Camper Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Relation*
Phone Number*
Email*
example@example.com
Emergency Contact Information
Name*

First NameLast Name
Relation*
Phone Number*
Summer Camp Release Information and Notes
* After submission of your registration form you will receive a pdf copy of your receipt along with a pdf copy of the summer camp release form that will need to be completed and returned with your camper on the first day of each summer camp.

Please note - your receipt and summer camp release form will be delivered to the email address provided on the summer camp registration form.

* Summer Camp release forms will also be available at Small World Preschool on the first day of each camp for your convenience.

* Must attend summer camp to be eligible for extended day enrichment program.

* Summer Camp registration fees are non-refundable.

* Summer Camp registration fees are non-transferable unless approved by the Small World Preschool summer camp director.

* For any questions at all please email billing@smallworld-preschool.com
Parent/Guardian Signature*

Clear

Summer Camps - Please select summer camps and after camp enrichment programs that you would like your child to attend.

July 29th-August 1st: Sports Camp (featuring local youth athletes) Enrichment Extend summer camp experience from 12pm - 3pm

$175.00

August 5th-8th: A Pirate Adventure for Lads and Lasses Camp Enrichment Extend summer camp experience from 12pm - 3pm ****Please Note that Pirate Camp is sold out. This payment link is for campers who have signed up for Pirate day camp from 9am-12pm and want to extend the Pirate day camp until 3 p.m.Extend summer camp experience from 12pm - 3pm

$175.00

August 12th-15th: Little Builders Construction Camp9am-12pm

$325.00

August 12th-15th: Little Builders Construction Camp EnrichmentExtend summer camp experience from 12pm - 3pm

$175.00

August 19th-22nd: End of Summer Water Party Camp Enrichment Extend summer camp experience from 12pm - 3pm ****Please Note that End of Summer Water Party Camp is sold out. This payment link is for campers who have signed up for End of Summer Water Party day camp from 9am-12pm and want to extend the End of Summer Water Party day camp until 3 p.m.Extend summer camp experience from 12pm - 3pm

$175.00

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Summer Camp 2024

Summer Camp Schedule

Camper Information

Parent/Guardian Information

Emergency Contact Information

Summer Camp Release Information and Notes