Camp Pilgrim Registration

Welcome to Camp Pilgrim – Your Premier Choice for Licensed Summer Child Care! Our mission is to support families with a Christ-centered summer program, delivering top-notch care for your children. Explore a range of enriching activities, including spiritual, educational, and recreational experiences. Our qualified staff is dedicated to providing a safe and enjoyable camp environment. Choose Camp Pilgrim for a summer filled with faith, fun, and quality care!

What you need to know: 
  • Student must be 3 years old and able to toilet independently
  • Please provide lunch and snacks
  • Please submit one form per student
  • Must register for a minimum of 2 days per week
  • This form is not applicable to our VBS session (June 24th - 28th) 
The cost:

Before and After Camp Care: $8/hr  all ages, computed at the top of each hour

AM Camp | 9 AM - Noon:
  • Students entering preschool ages 3 and 4: $24/day
  • Students entering kindergarten - 2nd grade: $22.50/day
Full Day Camp | 9 AM - 4 PM:
  • Students entering preschool ages 3 and 4: $56/day
  • Students entering kindergarten - 2nd grade: $52.50/day
Additional Info:

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Email *
Student's Full Name *
Birthdate *
MM
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DD
/
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Grade entering Fall 2024 *
Required
Parent Full Name(s) *
Parent Phone Number *
Parent 2 Phone *
Please mark one of the following:
Clear selection
June 17 - 21 (check all that apply) Closed June 19
Registration closes/billing June 7
Minimum 2 days per week
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon Jun 17
Tue Jun 18
Wed CLOSED
Thur Jun 20
Fri Jun 21
June 24 - 28 (check all that apply) 
Registration closes/billing June 14
Students will attend Vacation Bible School in the morning, so will pay a separate charge for that instead of camp tuition. YOU MUST FILL OUT A SEPARATE REGISTRATION FORM FOR VBS.
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
12 -4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 6/24
Tue 6/25
Wed 6/26
Thur 6/27
Fri 6/28
July 1 - 5 (check all that apply) Closed July 4
Registration closes/billing June 21
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 7/1
Tue 7/2
Wed 7/3
CLOSED 7/4
Fri 7/5
July 8 - 12 (check all that apply)
Registration closes/billing June 29
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 7/8
Tue 7/9
Wed 7/10
Thur 7/11
Fri 7/12
July 15 - 19 (check all that apply)
Registration closes/billing July 5
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 7/15
Tue 7/16
Wed 7/17
Thur 7/18
Fri 7/19
July 22-26 (check all that apply)
Registration closes/billing July 12
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 7/22
Tue 7/23
Wed 7/24
Thur 7/25
Fri 7/26
July 29 - August 2 (check all that apply)
Registration closes/billing July 19
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 7/29
Tue 7/30
Wed 7/31
Thur 8/1
Fri 8/2
August 5 - 9 (check all that apply)
Registration closes/billing July 26
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 8/5
Tue 8/6
Wed 8/7
Thur 8/8
Fri 8/9
August 12 - 16 (check all that apply)
Registration closes/billing August 2
Minimum 2 days per week
 *
7 - 8 a.m.
8 - 9 a.m.
9 a.m. - Noon
9 a.m. - 4 p.m.
4 - 5 p.m.
5 - 6 p.m.
NA
Mon 8/12
Tue 8/13
Wed 8/14
Thur 8/15
Fri 8/16
I give permission for my child to walk to Beaverton City Library/the Fountains. *
I give permission for my child to walk to the playgrounds to the North and South of Elsie Stuhr Center. *
I give permission for my child to participate in water activities. *
I will provide a labeled container of sunscreen for my camper and give permission for staff to apply as needed during the day. *
Please read and agree to the following Billing Policy: 

1. All billing and payments will be made through FACTS. 

2. Each week of camp is billed separately 10 days before the start of camp with the due date being the first day of camp. If we have not received payment by Wednesday of the camp week, your child will not be able to attend camp the remainder of the week or enroll in another week until all payments are caught up.

3. If you need to withdraw your child from a camp week, you must notify the director (j.bedard@pilgrimbeaverton.com) 10 days in advance (before billing goes out) or you will be billed for the camp.

4. There is no credit for missed days of camp for sickness or other factors.

5. A credit may be issued if the sickness is in excess of 3 days with a Doctor's note.

6. You may choose to pay multiple weeks at a time.

 *
Name of person filling out form *
Date *
MM
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DD
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A copy of your responses will be emailed to the address you provided.
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