2019 Summer Spanish Immersion

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Welcome to Summer Spanish Immersion! Camp will be held from 8:00AM to 2:00PM Monday-Friday starting July 15th through July 19th at Noble Crossing Elementary. Come have some fun while learning all about the language and cultures that speak Spanish!

Payments can be made out to Noblesville Schools with the memo as Summer Spanish Immersion
The cost for the week is $100
A daily snack will be provided.

Student Name

Student(s) Name *

School your student will be attending next year: *

Grade level of your Child (2019-2020 year) *

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

Parent/Guardian Information

Parent/Guardian First and Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address

Emergency Contact

The following individuals have my permission to be contacted if I am not reachable and may pick up my child if needed:

First & Last Name of Emergency Contact *

Relationship of Emergency Contact to student

Phone Number of Emergency Contact (home, cell, work)

Any other information to add about Emergency Contact:

Health Information

Medical Problems (ie. Allergies, asthma, etc., documentation required)

Medications Taken at School

Additional Information

Agreements and Permissions

I understand that I must agree to the following enrollment terms (check each box in order to continue with the enrollment process): *

I understand that once the registration window closes I will still be charged for the days I enrolled my child. (Registration closes May 31st) When you register for camp, you are reserving time, space, staffing and provisions, whether or not your child attends. By signing below, I agree to pay for the week(s) indicated above (regardless of attendance) and all other SSI enrollment terms as stated in my original registration materials.

Pick-up is at 2:00PM, I agree to pick up my student at this time everyday

I agree to adhere to Noblesville Schools policies/procedures and the guidelines established by Noblesville Schools.

I give permission for SSI and my child's school to share educational and other information regarding my child.

I agree to pay any costs to collect delinquent fees (i.e. collection agency fees, court fees, attorney fees).

In the event of an emergency, I give permission to SSI to secure emergency medical treatment for my child.

In case of an emergency, I give permission for my child to be transported to and receive medical care.

I agree to pay any fee(s) related to medical services and transportation to medical services.

Required

I certify that I am the parent or legal guardian of the child listed above, and I have the legal authority to make the representations and grant the authorizations contained herein. I also understand and agree to the financial obligations and enrollment terms as outlined above. *

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