Cloudcroft Summer Youth Program Registration

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Please fill out the form for pre-registration. Program fees will be due on June 9th when you drop off your child/children. Fees include $120 for 5 weeks, $100 for any additional child, or $10 drop in rate for the day.

Name of Child/Children: *

Parents/Guardians: *

Cell Phone: *

Physical address: *

Any allergies: *

In case of emergency, and you cannot be reached, name and phone number of someone to call: *

Names & phone number of other people who have my permission to pick up my child: *

I understand if my child has repeatedly engaged in the same inappropriate behavior, with no sign of improvement after redirection and parent communication, he/she may be asked to leave the Cloudcroft Summer Youth Program. *

I understand

Required

I give my permission for my child/children to go swimming with the CSYP on any of the following days: June 12, 19, 26, July 3, and 10, 2026. I am aware that my child will be traveling on a bus to and from Alamogordo Family Recreation Center. We will leave the bus loop at 8:30 a.m. and return by 12:00 p.m. Please send $10 if your child has NOT paid the regular CSYP registration. *

I give my permission.

My child will not participate on Friday.

I give my permission for my child/children to go on any walking field trips with the CSYP. These trips would be to the following places: Osha Trail, Trestle Trail, and Zenith Park. *

I give my permission.

My child will not participate on walking field trips.

We will attend the following days of the Cloudcroft Summer Youth Camp *

All 5 Weeks

1-2 Weeks

Drop in rate

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