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Preschool Summer Camp Application

June 22nd - August 28th

*Closed July 3rd in observance of Independence Day*

Year: 2026

Please complete the form below. Required fields marked with an asterisk *

Child's Last Name:*

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Child's First Name:*

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Age:*

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Date of Birth:*

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Street Address:*

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City:*

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Zip/Postal:*

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Phone:*

Number Required

Parent Information

Mother/Guardian Last Name:*

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Mother/Guardian First Name:*

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Phone:*

Number Required

Email:*

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Father/Guardian First Name:*

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Father/Guardian Last Name:*

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Phone:*

Number Required

Email:*

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Preschool Summer Camp Fees

Schedule	Descriptions	Time	Amount
Full 5 days w/ Daycare	Full 5 Days with Daycare (M-F)	7:30 am - 4:30 pm	$1,015 per month
Full 5 Days	5 Days (M-F)	9:00 am - 2:30 pm	$ 940 per month

Payment

Please Select Payment Option:*

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$1,015.00 - Full Day 5 Days with Daycare (M-F) 7:30am - 4:30pm per MONTH.

$940.00 - Half Day 5 Days (M-F) 9:00am - 2:30pm per MONTH.

Registration Fee:*

Answer required for "Registration Fee:"

$75.00 - One time Registration Fee

$0.00 - Returning Camper. Already paid.

Note:

There is a transaction fee of 4% + $.35 per transaction.
Tuition is paid twice over summer.
- July 1st and August 1st
If your child is TK or Kindergarten eligible, sign-up for the elementary summer camp program.
A thirty (30) day written notice of withdrawal is required, if not attending following month.

Answer required for "Terms of Service:"

I agree to the Terms of Service.

Signature*

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Confirmation Email

Confirmation Email *

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