2024 CMC Summer Camp Registration 
Welcome to our 2024 CMC Summer Camp registration form! We are so excited you have chosen us as your child's summer camp destination this year! 

Our summer camp theme is M.O.V.E.! Not only will we have plenty of opportunities to get up and move our bodies this summer, but we will also be doing some spiritual moving too! God encourages each of us to get up, and M.O.V.E. towards a greater relationship with Him, while positively impacting those around us every day! Come find out what M.O.V.E. means to us this summer, and how much fun your child will have at Clemmons Moravian!

Below, you will find our weekly themes and payment options. This is specifically for our Traditional Summer Camp (rising 1st graders to rising 6th graders). If you are seeking summer care for a rising kindergartner, please email childcare@clemmonsmoravian.org for more information.
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Child's Legal Name (First and Last) *
My child prefers to be called (First Name) *
My child's DOB (mm/dd/year) *
Grade level entering August 2024 *
My Child's T-Shirt Size (unisex) *
#1 Parent or Legal Guardian's name (First and Last) *
#1 Parent or Legal Guardian's relationship to child *
#1 Parent's Email  *
#1 Parent's Cell Phone Number *
#2 Parent or Legal Guardian's name (First and Last)
#2 Parent or Legal Guardian's relationship to child
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#2 Parent's Email 
#2 Parent's Cell Phone Number
Child's Home Address
2024 Summer Camp Tuition Rates
Is your child currently enrolled in CMC Afterschool? *
I understand that summer camp tuition rate is based upon the number of weeks my child is attending camp (unless my child is currently enrolled in CMC Afterschool).

How many weeks will your child be in attendance this summer?
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2024 Themed Camp Weeks

Please indicate below which weeks you are registering for your child. 

Please only complete when you are sure which weeks you will need care for. 
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Required
Payment MUST be paid along with submitting this form

To enroll, Registration fee ($25) and first week's tuition (both payments = Enrollment Fee) must be paid.

Tuition rate depends on the number of weeks you are registering for (see rate sheet above).  

Enrollment Fee is due at the time of submitting this form to secure your child's spot in camp. 

Please indicate below how you will be making this payment.
 *
Lunch Option

Lunch option this summer will be an additional $250 for the entire summer (if your child is enrolled for the whole summer) or an additional $30/week. Lunch options must be selected and paid for on or before our parent meeting on May 22, 2024. There will not be an option to add the lunch option daily or mid-summer.

You may choose to add your lunch option payment to your enrollment deposit or wait until May.
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Summer Camp Week Financial Responsibility

I attest that I am financially responsible for paying for the week's indicated above even if my child no longer decides to attend or we no longer need care. I will pay for the weeks I enrolled my child in regardless of attendance. 

Please note:  If you need to add additional weeks later, you can always add based on availability. However, you cannot un-enroll any weeks originally signed up for.  

I understand that I am responsible for paying for the weeks indicated above.

I also understand that if I signed my child up for the lunch option, that it cannot be refunded if I decide to pack my child's lunch at any point in the summer.  I also understand that even if I signed up for the lunch option, on field trip days that do not provide lunch, I must pack my child's lunch. 
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Transportation Permission

I authorize a CMC or CMCCC staff member to transport my child in a vehicle (CMC bus, CMC van, or rented vehicle) for designated off site field trips for the duration of 2024 summer camp.
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Sunscreen Permission

I understand that I must provide my child with their own sunscreen and/or bug spray (with signed permission slip).

I authorize CMC staff to apply sunscreen and assist my child in the application of sunscreen for the duration of camp as needed.  

I understand that I should apply sunscreen and bug spray on my child each morning, and it may be applied in the afternoon as needed by my child and CMC staff. 
 *
Photo Release

I hereby grant and authorize CMC Summer Camp and Clemmons Moravian Church Childcare Center the right to take, edit, copy, publish, distribute and make use of any and all pictures or video taken of my child during camp to be used in and/or for legally promotional materials, social media, and digital communications. This authorization shall continue indefinitely, unless I otherwise revoke said authorization in writing. 

Photos are typically posted on Procare (parent communication app) for parent viewing, but occasionally are posted on Facebook too.
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Field Trips

CMC Summer Camp takes multiple off-site field trips during camp and has several special guests and activities come on site to CMC for activities as well. 

I understand that my child will be involved in physical activities daily, and should ensure they are dressed appropriately, comfortably, have closed toed shoes, and pack a water bottle for him/her to bring each day to camp. 
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Liability Waiver

I understand that my child will spend time outdoors, indoors, and on field trips with a variety of conditions and people this summer. I understand and believe that my child can enter into the activities of their group without extended assistance.  I hereby certify that my child is in good physical condition and does not suffer from any disability that prevents or limits his/her participation in any/all activities conducted by CMC Summer Camp. I acknowledge that CMC Summer Camp will not assume any responsibility or liability for any personal injury or potential damages caused by the injury.

In the event of an accident or injury and a CMC staff member is unable to reach a parent, guardian, or any emergency contact, I hereby give permission for my child to be transported to the nearest hospital for treatment in case of an accident or emergency. I hereby further authorize any of the staff or employees to provide for, approve, and authorize care at the hospital until a parent, legal guardian, or emergency contact is reachable.
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Please write the first and last name of the individual completing this form *
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