Literacy & Math Summer Camp

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Please Apply for a Spot In the Literacy & Math Camp: July 5th-August 12th 9am-12pm in Downtown Albemarle
Monday-Thursday, Weekly
*Opportunity to stay all day for afternoon STEM Camp will be available.

Email *

Student Name *

Student Rising Grade Level *

Required

Student Age (as of July 5th, 2022) *

Other:

Required

Parent's Names & Cell Numbers *

Mailing Address *

Parent's Email Address *

School Child Attended (Academic Year 21-22) *

School Planning to Attend (Academic Year 22-23) *

Allergies and/or Other Important Medical Information *

Areas of Challenge for Your Child (reading, mathematics, etc.) *

Does Your Child Currently Have an IEP? *

Yes

Do you provide Pfeiffer University, Scholars Academy for the Gifted, and Dr. Laura Lowder and teaching staff, permission to take and share photos and/or video of your child's engagement in camp and/or your child's products from learning? *

Yes

If accepted for enrollment, do you agree to ensure your child's attendance at all six weeks of the camp, letting the director know prior to any absences due to sickness that may arise? *

Yes

Camp Costs: Please check the boxes below to indicate your understanding of the costs for attendance at the literacy and math camp and your willingness to submit payment in full, by May 1st, 2022. *

$50 application fee (to be billed within a few days of submission of this application (refunded if not accepted into the camp).

$125/week

Campers will bring a packed lunch w/ water bottle if staying for the afternoon STEM Camp

Required

Do you wish to be considered for a partial or full scholarship to cover a portion of the camp fees? *

Yes

Maybe

Would you like to register for the full-day opportunity to stay for the afternoon STEM Camp? *

Yes

Maybe

Permission to Go On a Midday Walk In Downtown Albemarle-Campers staying for lunch and the afternoon STEM Camp may be led on a midday walk in downtown Albemarle. Do you give permission for your child to go on these walks, when an option? *

Yes

Release of Responsibility: Do you understand that children's activities are monitored and facilitated by camp staff so as to avoid accidents or injury and that any accident, injuries, or illness (including COVID exposures) acquired while at camp are a possible risk for participants. Do you agree to hold Pfeiffer University, Scholars Academy for the Gifted, and camp staff harmless in the event that such may occur? *

Yes

A copy of your responses will be emailed to the address you provided.

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