2024 The Glen Montessori International Summer Camp

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

NON GLEN STUDENT - Use this form only if your child is not enrolled in The Glen's school programs. One Form per child.

Email *

Date of this Registration: *

YYYY

Child's Name: (one form per child) *

Date of birth: *

YYYY

Please list the name of the Glen family referring you to our Summer Camp? *

My child will be enrolled as an: *

Investigator ( Age 3 ) Birthdate by June 1, 2024

Adventurer ( Age 4 ) Birthdate by June 1, 2024

Trailblazer ( Age 5 ) Birthdate by June 1, 2024

Pathfinder ( Age 6-12 ) Birthdate by June 1, 2024

Is this registration: *

First and only registration submitted for this child.

An addition or correction to a prior registration submitted and should supersede the prior registrations submitted. Please indicate what is being changed in next section.

Please specify below, exactly what is being changed within this submission. (Please DO NOT mark weeks on the chart you have already scheduled prior. You may run the risk of being double charged.) ONLY mark weeks you are ADDING and specify below what you are DELETING:

Since your child is new to The Glen and not in our system, we will need the following:

1. A meeting with a staff member for an introduction and to get to know your child. (We will contact you to arrange the meeting BEFORE the start of Summer Camp.)

2. Emergency Contact Form print and complete

3. Sunscreen Authorization Form print and complete

4. Field Trip Permission Form print and complete

Please fill out the forms above and send in with your payment, AFTER your meeting.

Child's Address: *

Parent/Guardian Names, Cell Phone Numbers, and Email Addresses: *

Name Two (2) Emergency Contacts (other than parents mentioned above) to which child may be released - include their phone numbers and relationship to child: (Photo ID will be Required at time of pick up.) *

Include any allergies or health restrictions your child may have: *

Will the above require medication to be kept in school building? (If Yes, an Action Plan MUST be completed and submitted to front office, asap.) *

Yes

I understand that I will apply sunscreen on my child every morning before drop off, and I am also giving permission to The Glen staff to re-apply sunscreen on my child after lunchtime. *

Yes, I agree with the above statement.

Person filling out this form and relationship to child. *

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Glen Montessori School. Report Abuse

Forms