SUMMER CAMP (West Windsor / Princeton Junction) 2018 REGISTRATION FORM
Week : 06/25 - 06/29 ( Robotics + Science + Sports + Math + Art & Craft + Music)
Week : 07/02 - 07/06 ( Game Design + Science + Sports + Math + Art & Craft +Music)
Week : 07/09 - 07/13 ( Mine Craft (Create and Build) + SDLC + Science + Sports + Math + Art & Craft +Music)
Week : 08/06 - 08/10 ( Robotics + Science + Sports + Math + Art & Craft +Music)
Week : 08/13 - 08/17 (Game Design + Science + Sports + Math + Art & Craft +Music)
Week : 08/20 - 08/24 ( Mine Craft (Create and Build) + SDLC + Science + Sports + Math + Art & Craft +Music)
Last Name :
EARLY DROP OFF / LATE PICK UP
Early Drop off (30 minutes)
Early Drop off (60 minutes)
Early Drop off (90 minutes)
Late Pickup (30 minutes)
Late Pickup (60 minutes)
Late Pickup (90 minutes)
Parent(s) / Guardian(s)
Allergies or Intolerance to food , etc. ( any additional information, which we need to be aware of)
Medications, Child takes
Father's Full Name:
Father's Cell Phone :
Father's Email :
Mother's Full Name
Mother's Cell Phone :
Mother's Email :
Parent's Home Address
How did you hear about this camp ?
* "The Scholar" Tree shall not release a child to any person without the parent's consent
* In the event of serious disciplinary problems, the program reserves the right to terminate a child through written
* "The Scholar Tree" is nut free zone. Kids are required to bring nut free products in their lunch box / snack bag.
* I hereby authorize my child's photo to appear in the media or to be used to promote or publicize programs
* The Scholar Tree shall notify parents/guardians whenever their child becomes ill and the parent /guardian will arrange
to have the child pick up as soon as possible.
* In the event I can not be reached in emergency, I hereby give permission to "The Scholar Tree" to seek medical
treatment for my child at the nearest medical facility. I agree that I carry health insurance for my child and I am fully
responsible for medical expenses and all other relevant expenses incurred.
Parent / Guardian signature
A copy of your responses will be emailed to the address you provided.
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