Close to My Heart 2024 Summer Camp Registration
The Summer Camp Program at Close to My Heart offers a fun, engaging, and stimulating environment for children combined with the convenience and reliability that parents need. We are excited to provide summer-long childcare for children age 2-12 that will keep them happy, busy, and learning all at once! Summer Camp programming provides breakfast, snacks, and lunch, and each child registered will also receive a t-shirt, water bottle, and backpack to use on our various summer field trips!

Our students will be placed in groups/classes based on their age (2-3; 3-5; 5-12). 
Summer Camp will begin Monday, June 10th and run through Friday, August 30th.
The cost for Summer Camp is $48 per child per day (cost includes all meals and field trips).
The deadline to register for Close to My Heart Summer Camp Friday, May 24th.

Please complete the form below to register your child(ren) for our Summer Camp Program.
If you have any questions, contact us at info@closetomyheartpreschool.org or 651-307-1492.
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Child #1 Name *
Child #1 Date of Birth
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Child #1 Shirt Size: *
Child #2 Name - if applicable
Child #2 Date of Birth - if applicable
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Child #2 Shirt Size - if applicable:
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Child #3 Name - if applicable
Child #3 Date of Birth - if applicable
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Child #3 Shirt Size - if applicable:
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Please indicate which days you wish to register your child(ren) .
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Please indicate which week(s) you wish to register your child(ren).
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Required
Parent or Guardian  #1 Name 
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Parent or Guardian #1 Phone Number
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Parent or Guardian #1 Email
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Parent or Guardian #1 Home Address *
Parent or Guardian Name #2  - if applicable
Parent or Guardian #2 Phone Number  - if applicable
Parent or Guardian #2 Email - if applicable
Parent or Guardian #2 Home Address - if applicable
I agree to pay my family's weekly tuition of $48 per child per day each MONDAY for the week or on my child(ren)'s first day of attendance. *
Emergency Contact #1 Name and Relationship to Child
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Emergency Contact #1 Phone Number
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Emergency Contact #1 Email
Emergency Contact #2 Name & Relationship to Child
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Emergency Contact #2 Phone Number
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Emergency Contact #2 Email
Family Physician and Clinic Name and Number
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Family Dentist Name and Number
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In case of an emergency I prefer my child(ren) be taken by ambulance to (name of hospital):
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Please list any significant health problems or allergies:
Please list any medications & dosages:
I authorize the staff of Close to My Heart Preschool to call an ambulance or provide medical care in case of serious illness or injury.
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I authorize the staff of Close to My Heart Preschool to apply sunscreen if assistance is needed.
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I authorize the staff of Close to My Heart Preschool to photograph or video my child for future marketing, social media, and/or school promotional purposes.
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Only the following 3 people are authorized to pick up my child(ren) from Close to My Heart Preschool. Please list name, relationship, and phone number.
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Please let us know if you have any questions here.
Electronic Signature - Please type in your name and today's date.
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