Summit Academy Summer Camp
Summit Academy Preschool and Enrichment is offering a fun Summer Camp to kids entering preschool, kindergarten or first grade for the 2021-2022 school year!  

Summer Camp will be a great introduction to preschool and/or kindergarten!

Staff will provide fun meaningful activities that will engage the students and introduce them to school.  

Great opportunity for students who are hesitant to enter preschool/kindergarten to come have fun and make new friends!

Summer Camp Time:
9:00AM-12:30PM

Morning snack will be provided.

Students are asked to bring a sack lunch from home for lunch.  Also, please apply sunscreen every morning on your student. Students will be given a Summer Camp water bottle on the first day of camp, please wash and return the water bottles daily.

Summer Camp will run Monday-Thursday.
-Please note, Monday, July 5 Camp will be closed in Observance of Independence Day.

Summer camp will be held at the Summit Academy Draper and Independence Campus.  Students from the Independence, Bluffdale and Draper Campuses are welcome to sign up at either campus.

Each camp session will run for one week, you can sign up for one camp session or all six sessions!

There is a $30.00 registration fee that is non-refundable.  Registration fee includes one Summit Academy Summer Camp T-Shirt and Water Bottle.  


Camp tuition is due every Monday.

We are excited to add this addition to the Summit Academy Preschool and Enrichment Program!


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Email *
Child's First Name *
Child's Last Name *
Child's Birthdate *
MM
/
DD
/
YYYY
Gender *
Parent/Guardian Information
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email *
Parent/Guardian Additional Phone Number
Street Address *
City *
Zip Code *
Emergency Contact Information
(Other than above parent contact)

 I give permission for the following people to pick up my child from school.
#1 Emergency Contact (First Name) *
#1 Emergency Contact (Last Name) *
#1 Emergency Contact (Phone Number) *
#1 Emergency Contact
Additional Phone Number
#2 Emergency Contact *
First Name
#2 Emergency Contact *
Last Name
#2 Emergency Contact *
Phone Number
#2 Emergency Contact
Additional Phone Number
Additional Person who can pick up your child?
Additional Person who can pick up your child?
Does your child have any known allergies? *
If yes, please provide emergency treatment instructions
Does your child have any special physical or mental needs? *
If yes, please contact the Coordinator regarding these needs.
Do you or a family member work for Summit Academy? If Yes, Which campus and Name of the Employee. *
Will your child be attending Summit Academy for the 2021-2022 School year? Which Campus? Preschool, Kindergarten or First Grade? *
Where did you hear about Summit Academy Summer Camp? *
Is your child entering Preschool or Kindergarten at Summit Academy?
Clear selection
Summer Camp Options at the Independence Campus: (Choose all that apply) *
Required
Summer Camp Options at the Draper Campus: (Choose all that apply) *
Required
T-Shirt Logo
Shirt Size (Youth)... Pick one *
Pick one color:... Pick One *
Final Step to complete your Summer Camp application
1. Review and sign the Consent/Waiver & Agreements forms:

https://drive.google.com/file/d/1uUfFmlZOpAx6b2znyVMNmy6R7TtG8huj/view?usp=sharing

2. Copy of Students Immunization Record or Exemption Form emailed preschool@summitacademyschools.org

3. $30.00  Registration fee submitted online at  https://secureinstantpayments.com/sip/?ID=16007

4. Review and Sign Summit Academy Media consent form:

https://4.files.edl.io/2194/12/07/20/212847-a1bbe5a6-6053-4468-b430-a75151db56b8.pdf

5. Independence Campus ONLY: Walking Field Trip Permission form:

https://drive.google.com/file/d/1KP745IdzBjssdSJ7AxV6bcrGYWIvqgZ1/view?usp=sharing



 Forms can also be submitted along with a $30.00 registration fee to the elementary office at:
                     
                       Summit Academy Draper Campus,
                  1285 East 13200 South, Draper, UT 84020
                                          OR
                      Summit Academy Independence Campus,
            15327 South Noell Nelson Dr, Bluffdale, UT 84065
                                          OR
                       Summit Academy Bluffdale Campus,
                 1940 West 14400 South, Bluffdale ,UT  84065

IF YOUR CHILD IS ENROLLED IN THE SUMMIT ACADEMY PRESCHOOL/ENRICHMENT PROGRAM FOR THE 2021-2022 SCHOOL YEAR AND YOU HAVE ALREADY SUBMITTED THE CONSENT, AGREEMENT, IMMUNIZATION AND MEDIA CONSENT... YOU DO NOT NEED TO COMPLETE THE FORMS AGAIN, WE ALREADY HAVE THEM ON FILE.

If you have any questions please call or email Amber May
801-638-3399
preschool@summitacademyschools.org



ENROLLMENT NOT COMPLETE UNTIL ALL ABOVE ITEMS ARE RECEIVED.
* Tuition is due by Monday of each Summer Camp Session.  Tuition can be paid online at: https://secureinstantpayments.com?Event=1909, a late fee of $5.00 per day is then applied after Wednesday.  In the event that any balance is not paid as agreed, the undersigned agrees to pay a collection fee equal to 40% of the unpaid balance.  In the event of a collection action or lawsuit is commenced, the undersigned further agrees to pay cost, services charges, court cost and reasonable attorney's fees.
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