JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Summer Camp 2024 - Sign Up
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Are you applying for summer camp at Harper's Danville or Redwood City campus?
*
Danville
Redwood City
Student Information:
Student - First Name
*
Your answer
Student - Last Name
*
Your answer
Student - Nickname
Your answer
Student - Date of Birth
*
MM
/
DD
/
YYYY
Student - Gender
*
Boy
Girl
Student - Current School
Your answer
2024 Summer Camp:
Grade Level
*
Please mark the grade level your child will be in next school year (2024-25).
Toddler (two years old upon enrollment)
Preschool (three years old before September 1, 2024 and potty-trained)
Pre-kindergarten (four years old before September 1, 2024 and potty-trained)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Signing Up for Whole Summer, by the Month, or Individual Weeks
*
Whole Summer (June 3 - August 23)
June (June 3 - 28)
July (July 8 - 31)
August (August 1 - 23)
Week 1 - Dinosaurs (June 3 - 7)
Week 2 - Let's Go to the Zoo (June 10 -14)
Week 3 - Down on the Farm (June 17 - 21)
Week 4 - Living in the USA (June 24 - 28)
Week 5 - Bugs and Insects (July 8 - 12)
Week 6 - Art Explosion (July 15 - 19)
Week 7 - Trains, Planes, & Boats (July 22 - 26)
Week 8 - Around the World (July 29 - August 2)
Week 9 - Summer Olympics (August 5 - 9)
Week 10 - Rockets and Space (August 12 - 16)
Week 11 - Under the Sea (August 19 - 23)
Required
Days per Week and Full Day, Mornings, or Mornings plus Lunch
*
5 Full Days (Mon - Fri)
4 Full Days (any four days of your choice)
3 Full Days (any three days of your choice)
2 Full Days (any two days of your choice)
5 Mornings (Mon - Fri)
4 Mornings (any four days of your choice)
3 Mornings (any three days of your choice)
2 Mornings (any two days of your choice)
5 Mornings + Lunch (Mon - Fri)
4 Mornings + Lunch (any four days of your choice)
3 Mornings + Lunch (any three days of your choice)
2 Mornings + Lunch (any two days of your choice)
Extended Care
*
Afternoon Extended Care (3:30 pm - 6:00 pm)
Morning Extended Care (7:00 am - 8:15 am)
Morning and Afternoon Extended Care
No extended Care
Parent Information:
Parent #1 - Relationship to Applicant
*
Mother
Father
Guardian
Parent #1 - First Name
*
Your answer
Parent #1 - Last Name
*
Your answer
Parent #1 - Mobile Phone Number
*
Your answer
Parent #1 - Home Street Address
*
Your answer
Parent #1 - City
*
Your answer
Parent #1 - State
*
Your answer
Parent #1 - Zip Code
*
Your answer
Parent #2 - Relationship to Applicant
Mother
Father
Guardian
Clear selection
Parent #2 - First Name
Your answer
Parent #2 - Last Name
Your answer
Parent #2 - Mobile Phone Number
Your answer
Parent #2 - Email
Your answer
Parent #2 - Home Street Address (if not same as Parent #1)
Your answer
Parent #2 - City
Your answer
Parent #2 - State
Your answer
Parent #2 - Zip
Your answer
Additional Information:
Is there anything that would be helpful for us to know regarding your child's development, behavior, habits, or individual needs?
*
Yes
No
If you answered "Yes" to the previous question, please explain below:
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Harper School.
Report Abuse
Forms
