SUMMER DAY CAMP REGISTRATION
SUMMER DAY CAMP REGISTRATION A summer of adventure for kids entering 1st Grade to completion of 7th grade Please mark the weeks that your child will be attending camp & Latchkey
GENERAL INFORMATION
O Week 1 June 20-24
O Week 4 July 11-15
O Week 7 Aug 1-5
O AM Latchkey
O AM Latchkey
O AM Latchkey
O PM Latchkey
O PM Latchkey
O PM Latchkey
O Week 2 June 27-July 1
O Week 5 July 18-22
O Week 8 August 8-12
Home Address:____________________________________________________________________
O AM Latchkey
O AM Latchkey
O AM Latchkey
City:_____________________________________________ Zip: ___________________________
O PM Latchkey
O PM Latchkey
O PM Latchkey
Name of Parents:__________________________________________________________________
O Week 6 July 25-29
O Week 9 August 15-19
(No camp on July 4th)
O AM Latchkey
O AM Latchkey
O AM Latchkey
O PM Latchkey
O PM Latchkey
Name of Child:_______________________________________________________Age: ________
Grade in Fall: _______ DOB:___________ M/F Contact Phone #:___________________________
Email:___________________________________________________________________________
Week 3 July 5-8
O PM Latchkey (please print clearly, we will send regular updates to this address)
In Case of an Emergency, if parent cannot be reached, please contact: Name: _________________________________________ Phone:___________________________
Camp $110/week + latchkey fees AM Latchkey (7am-10am) $30 per week due at the beginning of each week PM Latchkey(3pm-6pm)
T-SHIRT SIZE Child Size:
$30 per week due at the beginning of each week Small (6/8)
Medium (10/12)
Large (14/16)
Week 1 fee is $75 for Royal Oak Families Adult Size:
Small
Medium
Large
Extra-Large
Please make sure you order the proper size. When in doubt, order a larger size! Parents will be charged for any additional shirts that need to be ordered due to an error in size.
Using Wed-Friday plus latchkey Note: All registration forms must have a 50% deposit included for the number of weeks your child will be attending camp, before being accepted into the program. The remaining 50% is paid prior to the first day your child will attend camp. You must register in person. Refund Policy: There is a 50% refund prior to June 20th and NO refunds once camp begins.
SUMMER DAY CAMP REGISTRATION Page 2 RELEASE INFORMATION
Medication: _________________________________________
____Activity Release: The above name child has my permission to attend the Summer Programs
Times Taken:_________________________________________
at The SAL, which is sponsored by The Salvation Army in Royal Oak, MI. They are free to participate in all the outlined activities, as well as, all the offsite activities which are provided to the family each week. It is agreed that I do not hold The Salvation Army responsible for negligence on the part of my child during any aspect of the summer program. I understand that my child is
Allergies:____________________________________________ Swim Level: Beginner
Intermediate
Advanced
protected by The Salvation Army’s insurance coverage, provided the injury occurs between the
List 2-3 Adults that may pick up your child & their relationship:
regular hours of the program and that The Salvation Army or an outside organization is liable for
____________________________________________________
the negligence. ____Photo Release: In the event that The SAL would wish to use a photo of my child in a
____________________________________________________
publication & websites, my permission is granted.
____________________________________________________
____ Health Release: In the event that a parent or the emergency contact cannot be reached, The
Other information that will help your child have a fantastic summer! _____________________________________________
SAL Community Center has my permission to secure emergency medical treatment for the above named child. NON-EMERGENCY treatment is not included in this release. Initial the above to which you agree and sign here Parent: ___________________________________________ Date:_______________________
_____________________________________________________ FOR OFFICE USE ONLY Deposit Paid Date:______________ Amnt. Pd._____________
CAMPER AGREEMENT I promise to do my best to make good choices while I am a camper at The SAL. I will obey the rules and respect all other campers and leaders. I understand that if I break the rules
Receipt #________________
Balance Due______________
Check #_________________
or show disrespect to others, my participation in the day camp could be terminated. I
Latchkey fees:_____________
sign this agreement on my honor.
Final Pmnt Date______________
Amnt. Pd._____________
Camper Signature:________________________________________________________
Receipt #____________________
Check #_______________
GENERAL INFORMATION
O Week 1 June 20-24
O Week 4 July 11-15
O Week 7 Aug 1-5
O AM Latchkey
O AM Latchkey
O AM Latchkey
O PM Latchkey
O PM Latchkey
O PM Latchkey
O Week 2 June 27-July 1
O Week 5 July 18-22
O Week 8 August 8-12
Home Address:____________________________________________________________________
O AM Latchkey
O AM Latchkey
O AM Latchkey
City:_____________________________________________ Zip: ___________________________
O PM Latchkey
O PM Latchkey
O PM Latchkey
Name of Parents:__________________________________________________________________
O Week 6 July 25-29
O Week 9 August 15-19
(No camp on July 4th)
O AM Latchkey
O AM Latchkey
O AM Latchkey
O PM Latchkey
O PM Latchkey
Name of Child:_______________________________________________________Age: ________
Grade in Fall: _______ DOB:___________ M/F Contact Phone #:___________________________
Email:___________________________________________________________________________
Week 3 July 5-8
O PM Latchkey (please print clearly, we will send regular updates to this address)
In Case of an Emergency, if parent cannot be reached, please contact: Name: _________________________________________ Phone:___________________________
Camp $110/week + latchkey fees AM Latchkey (7am-10am) $30 per week due at the beginning of each week PM Latchkey(3pm-6pm)
T-SHIRT SIZE Child Size:
$30 per week due at the beginning of each week Small (6/8)
Medium (10/12)
Large (14/16)
Week 1 fee is $75 for Royal Oak Families Adult Size:
Small
Medium
Large
Extra-Large
Please make sure you order the proper size. When in doubt, order a larger size! Parents will be charged for any additional shirts that need to be ordered due to an error in size.
Using Wed-Friday plus latchkey Note: All registration forms must have a 50% deposit included for the number of weeks your child will be attending camp, before being accepted into the program. The remaining 50% is paid prior to the first day your child will attend camp. You must register in person. Refund Policy: There is a 50% refund prior to June 20th and NO refunds once camp begins.
SUMMER DAY CAMP REGISTRATION Page 2 RELEASE INFORMATION
Medication: _________________________________________
____Activity Release: The above name child has my permission to attend the Summer Programs
Times Taken:_________________________________________
at The SAL, which is sponsored by The Salvation Army in Royal Oak, MI. They are free to participate in all the outlined activities, as well as, all the offsite activities which are provided to the family each week. It is agreed that I do not hold The Salvation Army responsible for negligence on the part of my child during any aspect of the summer program. I understand that my child is
Allergies:____________________________________________ Swim Level: Beginner
Intermediate
Advanced
protected by The Salvation Army’s insurance coverage, provided the injury occurs between the
List 2-3 Adults that may pick up your child & their relationship:
regular hours of the program and that The Salvation Army or an outside organization is liable for
____________________________________________________
the negligence. ____Photo Release: In the event that The SAL would wish to use a photo of my child in a
____________________________________________________
publication & websites, my permission is granted.
____________________________________________________
____ Health Release: In the event that a parent or the emergency contact cannot be reached, The
Other information that will help your child have a fantastic summer! _____________________________________________
SAL Community Center has my permission to secure emergency medical treatment for the above named child. NON-EMERGENCY treatment is not included in this release. Initial the above to which you agree and sign here Parent: ___________________________________________ Date:_______________________
_____________________________________________________ FOR OFFICE USE ONLY Deposit Paid Date:______________ Amnt. Pd._____________
CAMPER AGREEMENT I promise to do my best to make good choices while I am a camper at The SAL. I will obey the rules and respect all other campers and leaders. I understand that if I break the rules
Receipt #________________
Balance Due______________
Check #_________________
or show disrespect to others, my participation in the day camp could be terminated. I
Latchkey fees:_____________
sign this agreement on my honor.
Final Pmnt Date______________
Amnt. Pd._____________
Camper Signature:________________________________________________________
Receipt #____________________
Check #_______________
