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Summer Camp - Parent-Child Registration

Morgan Branson
March 4, 2022
Blog

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Summer Camp 2022 Registration - PARENT-CHILD

Register by 5/2 for an early bird discount!

Use this form to register for Parent-Child Camps.

One form per camper.

"*" indicates required fields

Step 1: Parent(s) & Emergency Contact(s)

Required: Primary Parent
Optional: Second Parent + up to 2 Emergency Contacts

Primary Parent

Name:*

Name of parent completing this registration.
NOTE: Camp registration and payment confirmations, as well as any follow-up communications or reminders will be sent to this email address, only.

First Last

Relationship:*

Email:*

Enter Email Confirm Email

Phone:*

Address:*

Street Address City State ZIP Code

Add second parent's information?*

Yes

Second Parent's Information

Name:

First Last

Relationship:

Email:

Enter Email Confirm Email

Phone:

Address:

Street Address City State ZIP Code

Add emergency contact(s)?*

Yes

Emergency Contact 1

Name:*

First Last

Relationship:*

Email:

Enter Email Confirm Email

Phone:

Address:

Street Address City State ZIP Code

Add another emergency contact? 2

Yes

Emergency Contact 2

Name:

First Last

Relationship:

Email:

Enter Email Confirm Email

Phone:

Address:

Street Address City State ZIP Code

Step 2: Camper Details

Camper Name:*

First Last

Date of Birth:*

MM slash DD slash YYYY

Choose Parent-Child sessions for this camper:

Parent-Child camps are for children age 18 months - 4 years, along with a parent, grandparent or other loving caregiver.
Choose Monday OR Wednesday; Registration is for all 5 weeks
Early Bird Price: $240 per 5-week camp if registered by 5/2
$265 per camp if registering after 5/2
$100 for each additional sibling (age 1-4) enrolling in the same camp
Babes in arms welcome free of charge (below age 1)

5 Mondays: June 20, 27, July 11, 18, 25

5 Wednesdays: June 22, 29, July 13, 20, 27

Camper's T-Shirt Size*

Each camper will receive a camp t-shirt at no extra cost!
Note: one t-shirt per camper, not per camp.
T-shirt size choice not guaranteed if registering after 5/24.

Youth XS

Youth S

Youth M

Youth L

Youth XL

Adult S

Adult M

Adult L

Adult XL

Known Allergies:*

Current prescription medications:

Known medical issues:

Special Dietary Needs or Restrictions:*

Please list the full name of all adults who are authorized to pick up this child from summer camp:*

Be sure to include each of these individuals as an emergency contact above so we are able to reach them, if needed.

Add a sibling to this registration

Sibling registration (12 months - 4 years) only $25 per session.
Babes in arms (less than 12 months) are welcome to attend at no cost.

Yes - less than 12 months old

Yes - 12 months - 4 years

Hidden

Parent-Child Sibling

Sibling Name:

First Last

Sibling Date of Birth:

MM slash DD slash YYYY

Sibling Known Allergies:

Sibling Special Dietary Needs or Restrictions:

Final Step: Camp Costs & Payment Options

Camps must be paid in full by 5/2 to receive the early bird discount.
If registering on 5/2, you must pay via Paypal to receive the early bird discount.
Camps must be paid in full prior to its start date in order for a child to attend.
After hitting submit, you will see the PayPal payment screen and can pay via PayPal.
If choosing to pay by Check/Cash, please remit to the school office.
Early withdrawal fees will apply.

Note:

Do you have a question or request for the teacher or the office? Include that here, drop Laine Ambrose an email at la******@da************.org , give her a call at 847-526-1372, or stop by the office.

42308

Morgan Branson

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About Our School

Da Vinci Waldorf School is an independent private school in Lake County, IL that provides a holistic and experiential education to prepare your child to think independently in their academic life & beyond.

150 W Bonner Rd, Wauconda, IL 60084

Summer Camp 2022 Registration - PARENT-CHILD

Register by 5/2 for an early bird discount!

Use this form to register for Parent-Child Camps.

Step 1: Parent(s) & Emergency Contact(s)

Primary Parent

Second Parent's Information

Emergency Contact 1

Emergency Contact 2

Step 2: Camper Details

Parent-Child Sibling

Final Step: Camp Costs & Payment Options

Morgan Branson

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