Preschool Summer Camp

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Weekly theme based Preschool Summer program.

Monday - Thursday 9am-12pm

$200 per session

For ages 3-5, focused on strengthening fine and gross motor skills, letters, sounds, printing, early math skills, classroom expectations, grace and courtesy and more. Limited enrollment.

Email *

Child's First Name *

Child's Last Name *

Preschool Camp Sessions *

July 8-11 Famous Artists

July 15-18 All About Oceans

July 22-25 Outer Space

July 29-August 1 Science Week

August 12-15 Fun in the Sun

Required

Childs DOB *

YYYY

Parent / Guardian Name *

Parent / Guardian Email *

Parent / Guardian Phone Number *

Emergency Contact Name (If parent unavailable) *

Emergency Contact Phone Number *

St. Albert the Great Academy requests parental permission for your child to attend the sessions chosen above.

All students are required to follow any and all policies as stated in the St. Albert the Great Academy handbook. Including, but not limited to, our code of conduct and our health and safety protocols.

In consideration for the making of the arrangements for this activity, I/We hereby release and hold harmless St. Albert the Great Academy and any and all employees of the school from any and all liability for any and all injuries resulting from the activity indicated above.

I have read and agree to the above release and give permission for my child to attend

Required

Authorization of Medical Treatment

Any allergies/special conditions/medications presently taking:
*

By Checking this box I authorize St. Albert the Great and any of its employees to reapply sunscreen and/or bug spray that I will provide to my child, if needed. *

Yes

Required

Name of Family Physician
*

Insurance Company Name and ID Number
*

By checking this box, I authorize a teacher at St. Albert the Great Academy, to assist in unexpected medical, dental, surgical care and hospitalization for the above named minor(s) for the St Albert the Great Academy
*

Yes, I authorize emergency medical treatment of my student(s).

Required

Financial Agreement:

By electronically signing this form, I agree to pay for the above chosen sessions prior to attending.

Please add Legal Guardian First and Last Name Below

Payment Details:

Payment to be submitted to Mrs. Holly Davia via Check, Cash or Venmo. Please Choose one payment option below. A spot will not be secured until payment of $200 per session is received.

Check - Written to Holly Davia, Delivered to 134 Washington Street Auburn, NY 13021

Cash - Delivered to 134 Washington Street Auburn, NY 13021

Venmo - @Holly-Davia (last 4 of phone number 8743)

Required

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