Gateway Regional Jr. Explorer and Explorer Summer Camp Registration Form

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Gateway Regional School District is proud to host two summer camps: The Gateway Jr. Explorer Summer Camp and the Gateway Explorer Summer Camp. Each will be a 5 week exciting adventure full of fun!

Note: A separate form must be filled out for each camper.

Email *

Gateway Jr. Explorer and Explorer Summer Camps

JR. EXPLORER:

Open to students who will be in grades K-4 in the 2023-24 school year
Open to both Littleville and Chester Jr. Explorers
Held at Littleville

Explorers:

Open to students who will be in grades 5-10 in the 2023-24 school year
Held at Gateway Regional Middle School

Parent/Guardian *

Parent/Guardian email *

Parent/guardian phone numbers *

List 2 emergency contacts *

I, parent/guardian of the child listed above, do hereby release the Gateway Regional School District and it's agent's as well as employees from any liabilities while my child participates in the Jr. Explorers/Explorers summer camp.

Yes

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Student's First Name *

Student's Last Name *

Camp that your child will be attending: *

Jr. Explorers

Explorers

Grade that your child will be entering in the 2023-24 school year: *

Photo Permission *

You may use my child's photo for the school website, marketing materials, etc.

You may NOT use my child's photo

What type of transportation home will your camper use? *

My child will take the bus

I will transport my child to and from camp each day

Other:

Does your child have allergies? If so note them here

Are there any other medical issues that you need to make us aware of?

Permission to apply sunscreen and bug repellant, what appropriate: *

Yes, I give permission for the summer camp staff to apply sunscreen and/or bug repellant

No, I do not give permission for the summer camp staff to apply sunscreen and/or bug repellant

My child and I have read and agree to the Gateway Regional School District Summer Camp Behavior Guidelines and Discipline Procedures below:

GRSD Summer Camp Behavior Guidelines and Discipline Procedures

Yes

I give permission for my child to attend all off campus fieldtrips that are offered during summer camp. *

Yes

I understand that my child must bring a packed lunch from home on field trip days. *

Yes

I understand, my student in the Explorer summer camp is expected to attend regularly and all 5 weeks (unless notice has been given to the camp coordinator) and that this year's camp is NOT a weekly drop-in camp. *

Yes

Please list any pre planned vacation(s) that you have scheduled during the 5 week camp session: attending Monday, Tuesday, Wednesday

Please mark the swimming ability of your child *

Always needs a swimming device in the water

Can swim, but not very well

Can swim with no assistance needed, but in shallow water only

Can swim in any depth of water safely

address for bus transportation

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