Heritage Harbor Summer Camp, K-6th
Event Dates: June 19-August 25, 8:00am - 5:00pm (Closed Tuesday, July 4th, Independence Day)
Registration Fee: $75 - Non-Refundable and Due By June 1, or $100 after June 1st.
   -- includes Camp T-shirt  
Tuition: $70/day, field trips are an additional cost (prices listed below)
   -- 4 Field Trip Thursdays are planned.
   -- Childcare is NOT provided on campus for Heritage Harbor Field Trip Thursdays.
**Fill out 1 Registration for each Student**
    

Questions? Please call (949) 598-9166 or email kvelasquez@heritagechristianschool.com
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Email *
PAYMENT INFORMATION
-- No Refunds/Credits given for missed dates.
-- No Date Transfers for no shows.
-- No Drop-ins will be accepted.
-- Late Pick-ups after 5:30pm will be charged $15 for every 15-minute interval or portion thereof.
-- CURRENT HCS STUDENTS will be invoiced through FACTS and payment must be made by due date.
-- NEW FALL STUDENTS can be invoiced through FACTS provided parent has completed account setup, and payment must be made by due date.
-- NON-HCS STUDENTS and those not yet set up in FACTS can make payments per the following:
       -- By check to Heritage Christian School and dropped off at the school office by due date.
       -- By credit card or ACH to be automatically debited per Authorization to be on file in the Finance Office.
              -- There is a 3% transaction fee added to all credit card purchases.
Parent/Guardian Name *
Parent/Guardian Cell Phone *
Parent/Guardian Email *
Student Name (please fill out one form for each student) *
Student Grade in Fall 2022-23 School Year *
Medical/Allergy Information (list any information that Staff needs to know beyond a Yes or No in the Additional Medical Information section below) *
Yes
No
Can Staff administer Tylenol, Ibuprofen or Benadryl as needed?
Does student need Staff to administer Prescription medication?
Does student have Life Threatening Medical Condition or Allergy?
Additional Medical Information for above questions
List Emergency Contacts and those Authorized to Pick Up your student during the summer, including the best phone number(s) to reach them. *
Camp T-Shirt (t-shirt required for all Field Trips)
S
M
L
XL
YOUTH
ADULT
Field Trip Thursdays (**Make Selections here if student is attending Field Trips ONLY**)   --   If student is attending Summer Camp other days of the week, then field trips are included and you do not have to select anything here!
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What days will student attend? (Closed Tuesday, July 4th, Independence Day)
Monday
Tuesday
Wednesday
Thursday
Friday
Week 1 (June 20-24)
Week 2 (June 27 - July 1)
Week 3 (July 5-8)
Week 4 (July 11-15)
Week 5 (July 18-22)
Week 6 (July 25-29)
Week 7 (August 1-5)
Week 8 (August 8-12)
Week 9 (August 15-19)
Week 10 (August 22-26)
Payment Authorization (must check all that apply, billed through FACTS or by credit card/ACH on file)
Parent/Guardian Signature (required) *
Once you have submitted this form,  please click the Additional Forms button and fill out the forms that are pertinent to your child, sign and email them to ljohnson@heritagechristianschool.com or give them to Heritage Harbor staff when dropping your child off at Summer Camp. Those enrolled at HCS will be billed through FACTS for any Summer Camp payments including Registration. If you have any additional questions, please note them below and we will get back to you right away.
A copy of your responses will be emailed to the address you provided.
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