2026 CAMP GINGHAM REGISTRATION FORM

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

By filling out this form, you are registering your child for CAMP GINGHAM GIRAFFE located at The Gingham Giraffe Preschool 234 Southern Boulevard, Chatham, NJ.

Please fill out one Registration Form per child.

Payment is due in full at the time of registration. Returning Camper Priority Discount Deadline is October 1st.

Priority Registration is given to current Gingham Giraffe students until Jan 1, when it opens to all area preschoolers. Space is limited in every age group! You will receive an invoice to complete registration or you will be notified if there is a waitlist.

We understand that plans may change... however for planning purposes, our deadline for registration and/or request for refund/reimbursement is April 1st.

Enrollment Forms including Emergency Contacts and an up to date Health Form must be on file by June 15th. Failure to submit your child's Enrollment or Health Form will forfeit your child's spot at camp without refund or reimbursement.

Thanks for your interest in Camp Gingham Giraffe.... we can't wait to see your child learn & grow!

Questions? Email Camp Director Alison Jackson: alison@ginghamgiraffe.com / 973 - 635 - 0033

Email *

Child's First Name *

Child's Last Name *

Chid's Date of Birth *

YYYY

Child's Age as of June 22nd:

2s & 3s will attend camp 9 - 12:30 PM, unless she/he has an older sibling also attending camp.

4 & up attend camp 9 AM - 1 PM.

2.5 years

3 years

3.5 years

4 years

5 years

6 years

I am registering my child for the following session(s): *

Summer Kick-Off Mini-Camp *Current Gingham students only* (June 10th - 19th)

Session 1 (June 22 - July 10th) *no camp July 3 & 6th*

Session 2 (July 13 - 30th) *no camp July 31st*

Add-On: Session 2 WEEK 1 (July 13 - 17th) *excludes 2.5 yr olds*

Add-On: Session 2 WEEK 2 (July 20 - 24th) *excludes 2.5 yr olds*

Add-On: Session 2 WEEK 3 (July 27 - 30th) *excludes 2.5 yr olds*

Required

Parent(s) First & Last Name(s) *

Phone Number *

Address (Street) *

Address (City) *

Address (Zip) *

My Child Currently Attends Gingham Giraffe:

Yes

Clear selection

If not, where does your child attend preschool? (If any friends attending, let us know... we will try to group them with a friendly face!)

Does your child have any food allergies or medical issues? *

Yes

If "Yes", please provide more information:

Has your child ever/is your child currently receiving any therapies? (Speech, OT, Early Intervention, etc) Is there anything else we should know to help make camp a great experience for her/him? *

Parent Name/Electronic Signature:

Please send me an electronic invoice to reserve my child's spot at Camp! I understand that if there is a wait list, I will be notified, otherwise payment is due in full at time of registration and that if my plans change, refund/reimbursement is only available through April 1.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of The Gingham Giraffe Preschool.

Does this form look suspicious? Report

Forms