Summer @ Macedonia Registration Form

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Join us for an engaging and enriching summer at Macedonia, where we combine academic growth with exciting experiences! Designed for Kindergarten through 5th-grade students, our camp provides a dynamic environment that nurtures literacy, writing, and overall academic skills while incorporating hands-on learning, creativity, and outdoor adventures.

Child Name *

Gender *

Male

Female

Age *

School *

Grade *

Parent/Guardian 1 Name *

Parent/Guardian Email *

Phone Number *

Home Address *

City and Zip Code *

I acknowledge that I will check my email daily for announcements and updates. *

Yes

Parent/Guardian 2 Name *

Parent/Guardian 2 Phone Number *

Persons Authorized to Pick Up Child *

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship to Child *

Specify any of your child's health problems, if none put N/A. *

List any of your child's allergies, if none put N/A. *

Is your child on any medication? *

Yes

If yes, please specify.

Can your child swim? *

Yes

I acknowledge that I will pay the $35 weekly fee every Monday. (CashApp or Cash) *

Yes

I acknowledge that the student must be in attendance at least three days a week, if unable to attend a day I will give at least a 24 hour notice to the director. *

Yes

I acknowledge that start time is at 9am, and if late there will be a $15 penalty fee. *

Yes

I acknowledge that student pickup from the center is at 5pm. *

Yes

I consent to Macedonia Family Resource Center using and sharing your child's photos on social media/our website. *

Yes

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