2023 Summer Camp 2023 IA Summer Camp Application This form is broken into four main sections: Camper & Parent information, Sumer Camp Session 1, Summer Camp Session 2, and Policies. If you do not wish to sign up your camper for Summer Camp Session 1, you can skip down to the Summer Camp Session 2 section. Everyone is required to fill out the Camper & Parent Information section and the Policies section of this form. Camper's name you wish to enroll(Required) First Last Camper's Birthday(Required) MM slash DD slash YYYY Classroom/Program Camper is currently enrolled in Any known allergies of the Camper? Parent/Guardian Name(Required) First Last Parent'Guardian Phone Number(Required) Parent/Guardian Email(Required) Summer Camp Session 1: H20 (06/20-07/14) * Please note that Campers are not guaranteed to stay in the same classroom or be with the same teachers as during the school year Summer Camp Programs Please select the Session 1 (06/20-07/14) Summer Camp program you are interested in: Tree Room 5 day (M-F) (8:30am-3pm) Tree Room 3 day (MTW) (8:30am-12:30pm) Tree Room 2 day (ThF) (8:30am-12:30pm) Inde Nature School Age 5 day (M-F) (8:30am-3pm) Inde Nature School Age 3 day (MTW) (8:30am-12:30pm) Inde Nature School Age 2 day (ThF) (8:30am-12:30pm) Inde Nature Morning Explorers 5 day (M-F) (8:30am-12:30pm) Inde Nature Morning Explorers 3 day (MTW) (8:30am-12:30pm) Inde Nature Morning Explorers 2 day (ThF) (8:30am-12:30pm) Inde Nature Afternoon Explorers 5 day (M-F) (12:45pm-4:45pm) Inde Nature Afternoon Explorers 3 day (MTW) (12:45pm-4:45pm) Inde Nature Afternoon Explorers 2 day (ThF) (12:45pm-4:45pm) If you need an extension to 3pm for a half-day program that ends at 12:30pm, please select below: Tree Room 3 day extension (MTW 12:30pm-3pm) Tree Room 2 day extension (ThF 12:30pm-3pm) Inde Nature School Age 3 day extension (MTW 12:30pm-3pm) Inde Nature School Age 2 day extension (ThF 12:30pm-3pm) If you need Early Care or Aftercare, please select below: 5 day Early Care & After Care (M-F) (7am-8:15am, 3pm-6pm) Early Care 5 day (M-F) (7am-8:15am) Early Care 3 day (MTW) (7am-8:15am) Early Care 2 day (ThF) (7am-8:15am) After Care 5 day (M-F) (3pm-6pm) After Care 3 day (MTW) (3pm-6pm) After Care 2 day (ThF) (3pm-6pm) Summer Camp Session 2: Adventure (07/17-08/11) * Please note that Campers are not guaranteed to stay in the same classroom or be with the same teachers as during the school year, or from Summer Camp Session 1 Summer Camp Programs Please select the Session 2 (07/17-08/11) Summer Camp program you are interested in: Tree Room 5 day (M-F) (8:30am-3pm) Tree Room 3 day (MTW) (8:30am-12:30pm) Tree Room 2 day (ThF) (8:30am-12:30pm) Inde Nature School Age 5 day (M-F) (8:30am-3pm) Inde Nature School Age 3 day (MTW) (8:30am-12:30pm) Inde Nature School Age 2 day (ThF) (8:30am-12:30pm) Inde Nature Morning Explorers 5 day (M-F) (8:30am-12:30pm) Inde Nature Morning Explorers 3 day (MTW) (8:30am-12:30pm) Inde Nature Morning Explorers 2 day (ThF) (8:30am-12:30pm) Inde Nature Afternoon Explorers 5 day (M-F) (12:45pm-4:45pm) Inde Nature Afternoon Explorers 3 day (MTW) (12:45pm-4:45pm) Inde Nature Afternoon Explorers 2 day (ThF) (12:45pm-4:45pm) If you need an extension to 3pm for a half-day program that ends at 12:30pm, please select below: Tree Room 3 day extension (MTW 12:30pm-3pm) Tree Room 2 day extension (ThF 12:30pm-3pm) Inde Nature School Age 3 day extension (MTW 12:30pm-3pm) Inde Nature School Age 2 day extension (ThF 12:30pm-3pm) If you need Early Care or Aftercare, please select below: 5 day Early Care & After Care (M-F) (7am-8:15am, 3pm-6pm) Early Care 5 day (M-F) (7am-8:15am) Early Care 3 day (MTW) (7am-8:15am) Early Care 2 day (ThF) (7am-8:15am) After Care 5 day (M-F) (3pm-6pm) After Care 3 day (MTW) (3pm-6pm) After Care 2 day (ThF) (3pm-6pm) IA Policies Please read through the below and sign via the electronic signature at the bottom. Withdraw Policy(Required) Summer Session 1: If you Withdraw on or after June 1, 2023 payment for the enrolled program is due in full. Summer Session 2: If you Withdraw on or after July 1, 2023 payment for the enrolled program is due in full. I understand and agree to the above Withdraw policy Payment Due Dates Please note that payment for Summer Session 1 is due in full on June 1, 2023 and payment for Summer Session 2 is due in full on July 1, 2023. I understand both due dates for Summer Camp payments Summer Camp Deposit * This deposit will be used towards your first payment for Summer Camp Price: Credit Card(Required) Cardholder Name Card Details The below is an electronic signature. By typing your name and the date, you agree that you have read all above information.(Required) I agree Name(Required) First Last Date(Required) MM slash DD slash YYYY
