2024 Summer Childcare Camp Registration
Welcome to step 1 of 2 for our online registration!

Complete this summer childcare camp registration form to register your child to our camp. Online registration is available beginning on March 1, 2024 at 9:00am. You'll receive a confirmation message and further information via email from Chelsey Dornbos- cdornbos@jpsonline.org.

This does not guarantee a placement. Completed paperwork and a registration fee is required.

Please fill out a separate form for each child registering.

Sign in to Google to save your progress. Learn more
Email *
Student's Name (First and Last) *
Student's Current Age *
Student's Current Grade (2023/2024):
*Kindergarten and 1st Grade is full- please email cdornbos@jpsonline.org directly to be placed on a waitlist.*
 *
Enrollment is limited to students who are entering into 6th grade for the 2023/2024 school year.
What Jenison Elementary School does/will your child attend? *
Required
Does the student have allergies? *
If yes, please specify them below:
Will your child need to take any medication during our care?(if so, please contact ssmith@jpsonline.org to coordinate further medication information). *
If yes, add specifications below:
Student's Guardian Name (First and Last) *
Guardian's phone *
Guardian's relationship with the student *
Full Time or Part Time (4 Day Minimum)
Clear selection
Teacher student ratio in the summer camp program is 1:15. Student are expected to be able to function within this ratio without needed assistance. If your student is unable to function in this ratio- your placement may be at risk. 
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of JPS. Report Abuse
Google Forms