Clouds of Joy Summer Camp Application Form

Clouds of Joy Summer Camp Application Form

Our program requires Summer Enrollment for 4-6 weeks or 9-10 weeks.Please check the weeks your child willbe attending our program, this will help us plan our program trips accordingly. The fees required are the Registration Fee of $25 (FREE Summer Registration for current students) an One-TimeActivity Fee of ($250) and($115-$125) weekly tuitionfor the last week of camp,whichis due at the time of registration and is non-refundable and non-transferable. First week tuition is due the first week of camp.Weekly payment is due every Friday the week before services are rendered, but a grace period is given until Monday at the close of business at 6:00pm,you will be held accountable to pay tuitionevery week regardless of absences, illness, program withdrawal, center closings and center vacation etc. FromJune 25, 2018through August 23, 2018(Please Note: Center Closed 8/24-9/3)

A sibling discountfor the secondOR third child/same family in our full-timesummer programwill receive 5% offone child’s tuition rate. This discount does not apply for Preschoolers.

______will be attending the 2018 Summer Program at COJ & PJ CDC

Child’s Name

***Choose Your Option***

______$115- 6:30am-4:30pm-Included Breakfast, Lunch, Snack

______$125- 6:30am-6:00pm-Included Breakfast, Lunch, Snack

______Week 1: the week of 6/25/18

______Week 2: the week of 7/2/18(Center Closed July 3rd & 4th)

______Week 3: the week of 7/9/18

______Week 4: the week of 7/16/18

______Week 5: the week of 7/23/18

______Week 6: the week of 7/30/18

______Week 7: the week of 8/6/18

______Week 8: the week of 8/13/18(Center Closed August 17th)

______Week 9: the week of 8/20/18(Center Closed August 24th)

______Entire Summer

______,______

Parent/GuardianSignatures Date Signed

Swimming/Wading Activity Permission

Child’s Name: ______

Respond to the following statements by answering Yes or No:

1. My child can swim ______

If yes, has this child taken swimming lesson? ______How many Years? ______

2. My child has permission to participate in wading activities ______

3. My child has permission to participate in swimming activities ______

(Such as water slides, rope climbing etc.).

I understand that the child will be supervised at all times by Clouds of Joy Staff

Only wading and swimming facilities meeting applicable local standards will be used.

______

Parent/Guardian Signature

______

Parent/Guardian Signature Date Signed

T-Shirt Order Form

Please circle T-shirt size and Quantity below:
X-Small Small Medium Large XL
Sizes: Youth (6-8) Youth (10-12) Youth (14-16) Youth (18-20) Youth (22-24)
Quantity: 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
The parentcan purchase T-shirts for $15.40. Please circle quantity. Money is due at time of registration. T-shirts must be purchase Before your child’s first field trip.
ALL CAMPERS MUST WEAR SUMMER T-SHIRTS DURING THE SUMMER PROGRAM.

Child’s Name: ______

Parent/Guardian Signature: ______

Date: ______

Complete and return to center

Revised 04/18