RoyalsDMC Summer Camp Adventures Enrollment 2026

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

Please fill out this form for enrollment in the RoyalsDMC Summer Milestone Camp. Review the program policies and provide all required information accurately to ensure a smooth enrollment process.

I acknowledge that all fees must be paid the week PRIOR to service. *

Please note that we are closed two days this summer Friday June 19th and Friday July 3rd all regular fees are still due during schedule closure’s.

Yes, I understand.

I acknowledge the Late Fee of $1/minute and the No-Refund policy for absences. *

Yes, I understand.

I understand that if my child is not dropped off on time, they may miss the off-campus excursion. *

Yes, I understand.

What is one goal you have for your child this summer (e.g., social skills, trying new things, independence)?

Campers Name / Date of Birth & Age (5-12) *

Parent/Guardian Name & Phone *

Parent/Guardian Address *

Email Address (For invoicing and weekly updates) *

Authorized Pickup List *

Anyone not on this list will not be allowed to take the child.

Child's T-Shirt Size *

Required for excursion safety

Youth S

Youth M

Youth L

Adult S

Adult M

Required

Does your child have any food allergies? *

Note: RoyalsDMC provides 1 balanced meal and 2 snacks daily.

Yes, they have food allergies.

No, they do not have food allergies.

Does your child have any medical conditions or behavioral needs we should know about? *

Yes, they have conditions/needs.

No, they do not have any conditions/needs.

I intend or have sent my child immunization records.

Yes

Clear selection

Off-Campus Excursion Waiver: Digital Signature (Full Name) *

I give permission for my child to travel off-campus for weekly excursions. I understand that RoyalsDMC does not provide transportation to or from the center, but will supervise all activities during program hours.

Media & Photo Release *

I grant permission for RoyalsDMC to use photos/videos of my child for the website and program flyers.

I Accept

I Decline

Required

Emergency Medical Consent: Digital Signature (Full Name) *

I authorize RoyalsDMC to seek emergency medical care if I cannot be reached.

My child and I have read and agree to the Phone & Behavior Contract. *

Please call us or visit our website to view the full policy.

Yes, we agree.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms