2020 Summer Camp Registration - Preschool
Steeple Kids Summer Camp 2020 - Registration Due by MAY 22nd
Registration Form For PRESCHOOL
Child's Name ______________________________________________________________________________________________________________________
Child's Date of Birth _________________________________________________________________________________________________________________
Mother's Name (or legal guardian) _____________________________________________________________________________________________________
Address ____________________________________________________________________________________________________________________________
Home phone/cell Phone _______________________________________________________________________________________________________________
Father's Name (or legal guardian) _________________________________________________________________________________________________________
Address _______________________________________________________________________________________________________________________________
Home phone/cell phone ____________________________________________________________________________
Enrollment Information
Room _______________________________________M____T____W___TH___F____ * minimum of 3 days
Circle one: Half day (ends at 1:00) Full Days
Arrival Time ____________________________________ Pick Up Time _______________________________________
Please return this form by MAY 22nd along with your summer activity fee: $125.00
Upstairs water play days are Monday and Thursday
Parent Signature _____________________________________________________________Date _____________
T-shirt Information : Child's Name:__________________________________________________________________________________________________
T-Shirt Size: (please circle one) XSM(2/4) SMALL (6/8) Medium (10/12) Large (14/16)
RETURN BY FRIDAY MAY 22nd for T-Shirt Orders - Registration after this date will not be guaranteed at T shirt