REGISTRATION FORM

Summer Camp Registration Form

Camper Information

Campers Name

Phone

Grade Level

Date of Birth

Month

Day

Year

Please Indicate which session(s) your camper will attend:

1st Session

2nd Session

3rd Session

All 3 Sessions

Does your child have any allergies or conditions we should be aware of? *If Yes, please list below:

Medications (if applicable):

Parent/Guardian Information

First Name

Last Name

Relationship

Phone Number

Email Address

First Name

Last Name

Relationship

Phone Number

Email Address

Lunch Information

Campers have the option to order a camp meal for the week, or bring a packed lunch from home each day. It is important that if you choose to bring a lunch from home that it is sent with the student upon their arrival at camp every morning to avoid any delays in their schedule.

If you choose to purchase a lunch, an email will be sent prior to the start of camp with instructions on how to do so. All lunches will need to be purchased and paid for in advance prior to the week(s) your child will be attending. **Camp lunch orders will be placed in advance, so no last minute orders will be permitted.

For reference, the lunch menu for all three weeks of Summer Camp will be as follows:

Pizza
Hamburger & Chips
Chicken Nuggets, Chips or Apple Sauce
Spaghetti & Garlic Toast

Camp Staff will have a list of each campers lunch option and will ensure that those who choose to bring a lunch from home have it upon arrival each morning.

**Please do not door dash for camp. For questions or concerns with lunches, please contact the school office.

Lunch Options

Extended Camp Care

For families who need their campers to be dropped off early or picked up later than the normal pick up time, (with enough interest) we will be offering care for those students as an add on to camp this year. Please indicate below which, if any, option your family might need.

*If there is not enough interest, families who have chosen this option will be notified in advance and any payments made will be refunded.

Please choose one of the options below:

8am-9am Early Drop Off- $24 per week

3pm-530pm Late Pickup - $48 per week

Both Early Drop Off & Late Pickup - $65 per week

No ECC Needed

Camp Release Forms

I as the parent or guardian of the above named student agree that St. James Episcopal School's Summer Camp Program, its employees, officials, or other personnel, as well as it's affiliated entities shall not be held liable or responsible for and shall be released, indemnified and held harmless by me and my student from and against any and all claims and/or damages of every kind incurred by my student including damage or loss of property, injury or death of another person or persons, whether arising out of or attributed directly or indirectly to camp operations and activities both on school premises.

Signature

Signature field is empty.

Photo/Media Release

I, as the parent/guardian of the above-named camper, give my consent to the taking of photographs and video images of my child for the use of St. James Episcopal School's Summer Camp Program in connection with the publication of promotional, advertising and marketing materials approved by the school. I hereby release and hold St. James Episcopal School harmless from any and all liability there from.

Signature

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Camp Policies

Age Policy:

Campers must be between the age of 3 and 11 to attend summer camp. Three-year-old campers must be fully potty trained and must have completed a PK program prior to attending camp at SJES to be eligible to attend. Questions regarding the age policy for campers may be directed to the school office.

Behavior Policy:

Campers are expected to be on their best behavior and show respect for staff, facilities, and other campers. Rules and expectations will be provided to the campers upon arrival and failure to follow the rules could result in dismissal from the camp without a refund.

Dress Code:

Campers may wear St. James appropriate clothing. No crop tops, short shorts or skirts, and no spaghetti string tops. All dresses and skirts must have biker shorts underneath to promote modesty. Campers should wear comfortable shoes that are appropriate for outdoor activities.

Late Pickup:

Please respect our teachers time by picking up your camper(s) no later than 3:15pm for those that are not utilizing our ECC program and no later than 5:30pm for those that are utilizing the ECC program.

Incontinence:

It is our policy that campers must be toilet trained and must be able to take care of all personal bathroom needs, including wiping, independently. If an accident were to occur, our staff is not allowed to help your child change. If the camper is not able to clean or change themselves, a guardian will be contacted and asked to come assist.

Refund Policy:

Registration fee is due in full no later than May 23rd for your child to be registered. Camp registration must be cancelled on or before registration closes in order to receive a full refund. Any cancellation requests made after the forementioned date, will only receive a partial refund and/or credit.

Snacks/Lunch:

Lunch will be provided daily for campers who have chosen that option, or they may bring a packed lunch from home. They will have a food craft rotation that will provide a snack throughout their day, and a afternoon snack will be provided for those that stay for ECC in the afternoon.

Camp Supplies:

All camp supplies will be provided by the SJES Summer Camp staff. A water bottle, is all that is required to be brought daily by each camper. No backpacks will be allowed. Please make sure to label any outerwear, water bottles, and lunch bags, for those bringing their own lunches, with your child’s name to avoid the loss of any personal property.

Camp Pictures:

Pictures taken during summer camp will be added to a camp WhatsApp group for parents to save if they wish. No names will be used in conjunction with any pictures. They may also be used in advertisements to promote camp during the registration process if a photo release has been signed for your student.

Signature

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Camp Payment Plans

Payment options are available to our families to make Summer Camp fit into everyone's budget. The payment options are as follows:

Registration Prior to March 31st - $150 per week per camper:

One Payment - May

Two Payments - April, May

Three Payments - March, April, May

Registration after March 31st- $175 per

One Payment - May

Two Payments - April, May

All payments will be added to your Family Portal account and may be paid online or in the School Office by cash or check. Please note, your child's registration fee must be paid in full prior to May 23rd to attend Summer Camp. **If you choose to add on ECC to your registration, the cost for that program will be added to your registration fee and billed according to your payment selection.

Please select a payment plan below: