Clouds of Joy Summer Camp Application Form

Clouds of Joy Summer Camp Application Form Please check the weeks your child will be 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 Activity Fee of ($200) and ($115) weekly tuition for the last week of camp, which is 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 tuition every week regardless of absences, illness, program withdrawal, center closings and center vacation etc. From June 12, 2017 through August 25, 2017 (Please Note: Center Closed 8/28-9/5)

A sibling discount for the second or third child/same family in our full-time summer program will receive 5% off tuition rate. This discount does not apply for Preschoolers.

______will be attending the 2017 Summer Program at COJ & PJ CDC Child’s Name

______Week 1: the week of 6/12/17

______Week 2: the week of 6/19/17

______Week 3: the week of 6/26/17

______Week 4: the week of 7/3/17 (Center Closed July 3rd & 4th)

______Week 5: the week of 7/10/17

______Week 6: the week of 7/17/17

______Week 7: the week of 7/24/17

______Week 8: the week of 7/31/17

______Week 9: the week of 8/7/17

______Week 10: the week of 8/14/17

______Week 11: the week of 8/21/17

______Entire Summer (Attending all field trips)

______,______Parent/Guardian Signatures Date Signed Clouds of Joy Summer Camp Application Form

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 Clouds of Joy Summer Camp Application Form

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 parent can 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 Clouds of Joy Summer Camp Application Form

Revised 03/17