Child Care Registration Form
Spindrift School of Performing Arts
Before and Aftercare is offered only to the camps listed below. Cost is $10 per hour. There is a 15 minute grace period for drop off and pick up before a child is taken to childcare. Portions of the first :30 minutes will be charged as a half hour. After :30 min, the full hour is charged. Sign out is required. Students will not be released to anyone not on the list below. Please include yourself, spouse, any relatives and friends that might be called upon.
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Email *
NOTE FOR PM ONE WEEK CAMPS
If you are only enrolled in a one week camp from 1pm to 4pm, there is NO before care. After care is available til 6pm but students must be brought at 1pm.
Child Name *
Name of Camp *
Required
Birth date *
MM
/
DD
/
YYYY
Gender *
Before & After Care needs. Please give your best guess for staffing purposes. You are only charged for hours you use. Check all boxes applicable. *
Required
Days of the week  *
Required
If you have more information regarding your needs, please put it here (Every other Tuesday, Only needed for the first two weeks...etc.)
Parent or Guardian Information: Name *
Parent or Guardian Information Name: Phone 
 *
Parent or Guardian Information: Email 
 *
Emergency Contact: Name *
Emergency Contact: Phone
 *
LIST ALL PEOPLE authorized to pick up child: 
Students will ONLY be released to names on this list.
 *

Please list any of the following: Current medications, medication allergies, food allergies, chronic health concerns or put NONE. Here is also a great place to give us information if your child has learning differences or needs.

 *
Doctors: Name *
Doctors: Phone
Preferred hospital *
Insurance/health coverage  *
A copy of your responses will be emailed to the address you provided.
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