Summer Activities 2020

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Please fill out a separate registration form for each child that will attend OLG's summer activities.

Email *

Child's Name *

1) Parent or Guardian ( Contact First) *

Home Address *

Name & Cell Phone (Call 1st) *

Name & Cell Phone (Call 2nd) *

1) Parent or Guardian ( Contact 2nd) *

Parent or Guardian Employer & Number *

Emergency Information

1) Name of person authorized to take your child from the school facility. First & Last Name and phone number. *

2) Name of person authorized to take your child from the school facility. First & Last Name and Phone Number *

3) Name of person authorized to take your child from the school facility. First & Last Name and Phone Number

4) Name of person authorized to take your child from the school facility. First & Last Name and Phone Number

Medical problems, allergies or medication usage must be indicated for any child(ren) participating in the summer camp program. A medical release form is written below and will be used in case of emergencies. It is extremely important that this form be completed for each child participating in the summer camp program. Or type N/A* *

IEP/504 or STEP/MAP * Please fill in this field. If it does not apply to your student, type "N/A" *

Additional considerations for student

Registration Fee *

1 Child ($15)

2 Children ($25)

3 Children ($35)

4 Children ($45)

Student's Name (First & Last Name) *

Fall 2020 Grade *

Kinder (OLG Students must have completed the TK program)

Summer Morning Care July 6-31 (7:30-9am) *

Morning Care Full time ($100)

Weekly Morning Care ($35)

No Morning Care Required

If weekly, which weeks will you child attend morning care? *

My child will attend all 4 weeks.

Week 1

Week 2

Week 3

Week 4

My child will NOT attend morning care.

Required

Summer School Selection July 6-31 (9am-12pm) *

Full Program July 6-31 ($420)

2nd Child Full Program ($390)

3rd Child Full Program ($360)

Weekly ($135)

No Summer School Program is required

If weekly, which weeks will you child attend summer school? *

My child will attend all 4 weeks.

Week 1

Week 2

Week 3

Week 4

My child will not attend summer school.

Required

Summer Camp July 6-31 12:00pm-5:00pm *

My child will not attend summer camp

Full Program (4 Weeks) $450 for the first child

Full Program (4 Weeks) $420 for the 2nd child

Full Program (4 Weeks) $390 for the 3rd child

Weekly Program $135/per child

If weekly, which weeks will you child attend summer camp? *

My child will not attend summer camp.

Full Program- All 4 weeks

Week 1

Week 2

Week 3

Week 4

Required

Due to construction on school grounds, we may need to walk for recess to Friendship Park. All students need permission to walk off campus. Please sign below *

Date (MM/DD/YYYY) *

YYYY

T-Shirt Size Summer Camp ONLY *

My child is not attending summer camp (12-5pm).

Adult XS

Adult S

Adult M

Adult L

Adult XL

To Whom It May Concern: I/We give permission for any emergency medical care for our child who is enrolled in Our Lady of Guadalupe Summer Camp Program. *

Yes

Parent's Full Name *

Date (MM/DD/YYYY) *

YYYY

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