2024 Camp Collegium - Camper Registration Form
2024 Camp Collegium Registration Form:

2024 Camp Collegium Dates- 
Monday, June 24, 2024 - Friday, July 19, 2024. 
There is no camp on Thursday, July 4th and Friday, July 5th.

Camp Collegium offers two registration options:

Full-Time Camp Enrollment (Field Trips Are Included): $900.00 for the 4-week session.
Campers will be registered for 5 days a week for the full 4-week duration of the program. Campers will attend all field trips and be able to participate in any other special activities.

Part-Time Camp Enrollment (Field Trips Are NOT Included): $540.00 for the 4 -week session.
Campers will be registered for 3 days a week (Monday, Wednesday, and Friday) for the full 4-week duration of the program. Campers will not attend on Tuesdays and Thursdays when field trips and special activities take place.

Please pay close attention to the following registration dates and payment deadlines:

Camp Registration: There is a $60.00 non-refundable registration fee that holds your camper's spot. This registration fee MUST be received within 14 days after submitting a completed registration form. Failure to submit your registration fee within 14 days forfeits your camper's spot in the program. Exceptions will not be considered.

Final Camp Balance: Final balances (weekly camp tuition, extended day fees - if applicable) are due by Friday, May 31, 2024. Exceptions will not be considered.

Sibling Discount: 10% camp tuition discount on additional campers from the same family, excluding extended day fees and non-refundable registration fees. Please complete one (1) registration form per camper.

Space is limited and we suggest registering as early as possible. Please complete one registration form per camper.  

Questions? Contact Child Care Director, Ms. LaNae Horsey: LHorsey@ccs.us or (610) 903-1300 ext. 6618.
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Camper First Name *
Camper Last Name *
Age on June 24, 2024 *
2024-2025 Grade Level *
Remember, 2024-2025 is next school year. 
Camper Street Address *
City *
Zip Code *
Camper T-Shirt Size *
Registered campers receive one (1) free camp shirt. Please indicate size below.
Primary Parent/Guardian Name *
Secondary Parent/Guardian Name
Primary Email Address *
Primary Phone Number *
(XXX-XXX-XXXX)
Indicate Primary Phone Type *
For the primary phone number you indicated, please select type from the list below.
Emergency Contact #1 *
Below, please indicate the first and last name of an individual (other than the primary and secondary parent/guardian) authorized to be an emergency contact. This individual will be contacted in the event of an emergency in which a parent/guardian is unavailable.
Emergency Contact #1 Relationship To Camper *
Below, please indicate the relationship between the emergency contact listed above and your camper.
Emergency Contact #1 Primary Phone *
Below, please write the primary phone number for the individual you indicated above. (XXX-XXX-XXXX)
Emergency Contact #2 *
Below, please indicate the first and last name of an individual (other than the primary and secondary parent/guardian) authorized to be an emergency contact. This individual will be contacted in the event of an emergency in which a parent/guardian is unavailable.
Emergency Contact #2 Relationship To Camper *
Below, please indicate the relationship between the emergency contact listed above and your camper.
Emergency Contact #2 Primary Phone *
Below, please write the primary phone number for the individual you indicated above. (XXX-XXX-XXXX)
Emergency Contact #3
Below, please indicate the first and last name of an individual (other than the primary and secondary parent/guardian) authorized to be an emergency contact. This individual will be contacted in the event of an emergency in which a parent/guardian is unavailable.
Emergency Contact #3 Relationship To Camper
Below, please indicate the relationship between the emergency contact listed above and your camper.
Clear selection
Emergency Contact #3 Primary Phone
Below, please write the primary phone number for the individual you indicated above. (XXX-XXX-XXXX)
Authorized Pick Up Contact #1 *
Below, please indicate the first and last name of an individual (other than the primary and secondary parent/guardian) you pre-authorize to pick up your camper.  This individual will be required to show photo identification when picking up your camper. Additionally, you are required to make the Camp Director aware, prior to pick-up time, that the individual will pick up your camper.
Authorized Pick Up Contact #1 Primary Phone *
Below, please write the primary phone number for the individual you indicated above. (XXX-XXX-XXXX)
Authorized Pick Up Contact #2 *
Below, please indicate the first and last name of an individual (other than the primary and secondary parent/guardian) you pre-authorize to pick up your camper.  This individual will be required to show photo identification when picking up your camper. Additionally, you are required to make the Camp Director aware, prior to pick-up time, that the individual will pick up your camper.
Authorized Pick Up Contact #2 Primary Phone *
Below, please write the primary phone number for the individual you indicated above. (XXX-XXX-XXXX)
Authorized Pick Up Contact #3
Below, please indicate the first and last name of an individual (other than the primary and secondary parent/guardian) you pre-authorize to pick up your camper.  This individual will be required to show photo identification when picking up your camper. Additionally, you are required to make the Camp Director aware, prior to pick-up time, that the individual will pick up your camper.
Authorized Pick Up Contact #3 Primary Phone
Below, please write the primary phone number for the individual you indicated above. (XXX-XXX-XXXX)
Non-Authorized Pick Up Contact #1
Below, please indicate the first and last name of any individual that is NOT permitted to pick up your camper under any circumstances. Please also list their relationship to the camper.
Camp Collegium Photo Release *
From time to time, photos of campers "in action" will be taken to be used on our website, on our social media accounts, and by outside publications. This is a great way to recognize the efforts of our campers and to inform the surrounding community about the exciting things happening at Camp Collegium. Please answer "YES" if you will allow us to use your child(ren)'s photos for the above purposes or answer "NO" if you do not want us to use your child(ren)'s photos for the above purposes.
Camp Registration (7:30am-4:30pm) *
.Please select the option below in which you are registering your child.
Required
Weekly Extended Day Registration (4:30pm-6:00pm)
Please select the weeks below in which you are registering your child.  Please select all that apply.
Please total your weekly tuition, applicable extended day fees, and include a $60.00 non-refundable registration fee.  Below, please indicate your payment method.   *
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