2018 summer camp enrollment form
CHRIST THE LIFE SUMMER CAMP
3031 Summit Ave., Waukesha, WI 53188-2660 (262) 547-7315
2018 SUMMER CAMP ENROLLMENT FORM Instructions: The parent / guardian shall complete this form and submit it to the center prior to the child’s first day of attendance. Information on this form shall be kept current.
Child’s Information: Child’s Name: ____________________________________________ last
first
Male
Female
middle
Name to be used at school: ________________________
Student’s Birthdate: ______/___/_____
Please tell us some activities your child enjoys:
Mother’s Information:
Father’s Information: (Write ‘same’ where applicable if your family lives together at the address listed under Mother’s information.)
Mother’s Name: ___________________________
Father’s Name: ________________________
Address: ________________________________
Address: _____________________________
________________________________________
_____________________________________
Home Phone: ____________________________
Home Phone: _________________________
Work Phone: _______________________
Work Phone: ________________
Cell Phone: _________________________
Cell Phone: _________________________
Best time to call you: _____________________
Best time to call you: _____________________
E-Mail Address: ___________________________
E-Mail Address: _______________________
A non-refundable registration fee of $40 is due prior to starting Summer Camp.* Child lives with: (circle one) both parents
mother
father
mother & father alternately
Who is responsible for the school bills?
Both Parents
other guardian: ________________
Father Only
Mother Only
Please Provide: Summer Tote Towel Swimsuit Aqua Socks Hat/Sunglasses Sunscreen Permission Slip for Sunscreen/Bug Spray Chapter Book (older children only) Rain Boots
Parent or Guardian signature is required at the bottom of this page for enrollment. I understand, that with this registration form, I am registering my child at Christ The Life Lutheran Preschool and Summer Camp for the 2018 Summer Camp Program. A $40 non-refundable registration fee is included with this enrollment form. Please make checks payable to Christ The Life. Parent or Guardian Signature: __________________________________________ Date: ____/____/_____ *Cost of Field Trips are included in registration fee.
3031 Summit Ave., Waukesha, WI 53188-2660 (262) 547-7315
2018 SUMMER CAMP ENROLLMENT FORM Instructions: The parent / guardian shall complete this form and submit it to the center prior to the child’s first day of attendance. Information on this form shall be kept current.
Child’s Information: Child’s Name: ____________________________________________ last
first
Male
Female
middle
Name to be used at school: ________________________
Student’s Birthdate: ______/___/_____
Please tell us some activities your child enjoys:
Mother’s Information:
Father’s Information: (Write ‘same’ where applicable if your family lives together at the address listed under Mother’s information.)
Mother’s Name: ___________________________
Father’s Name: ________________________
Address: ________________________________
Address: _____________________________
________________________________________
_____________________________________
Home Phone: ____________________________
Home Phone: _________________________
Work Phone: _______________________
Work Phone: ________________
Cell Phone: _________________________
Cell Phone: _________________________
Best time to call you: _____________________
Best time to call you: _____________________
E-Mail Address: ___________________________
E-Mail Address: _______________________
A non-refundable registration fee of $40 is due prior to starting Summer Camp.* Child lives with: (circle one) both parents
mother
father
mother & father alternately
Who is responsible for the school bills?
Both Parents
other guardian: ________________
Father Only
Mother Only
Please Provide: Summer Tote Towel Swimsuit Aqua Socks Hat/Sunglasses Sunscreen Permission Slip for Sunscreen/Bug Spray Chapter Book (older children only) Rain Boots
Parent or Guardian signature is required at the bottom of this page for enrollment. I understand, that with this registration form, I am registering my child at Christ The Life Lutheran Preschool and Summer Camp for the 2018 Summer Camp Program. A $40 non-refundable registration fee is included with this enrollment form. Please make checks payable to Christ The Life. Parent or Guardian Signature: __________________________________________ Date: ____/____/_____ *Cost of Field Trips are included in registration fee.
