MPCS Adventure Camp Week 1: June 1-5

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Level I: Grades Rising 3K- 4th. MPCS Lower School Campus: Let's Go Camping!
Level II: Grades Rising 5- 8. MPCS Middle School Campus: The 80s

Half Day: 9:00am- 12:30pm ($195)/ Full Day: 9:00am- 3:30pm ($254)

Extended Care Morning: Opens 7am ($50). Extended Care Evening: Open until 5:30pm ($50). Both = $75.

www.MountPisgahSchool.org

Email *

Last, First: Child Name *

Child's Grade (As of 2020-2021 school year) *

Rising 3K + potty trained

Rising 4K

Rising Kindergarten

Rising 1st Grade

Rising 2nd Grade

Rising 3rd Grade

Rising 4th Grade

Rising 5th Grade

Rising 6th Grade

Rising 7th Grade

Rising 8th Grade

Last, First: Parent Name *

Parent's Cell Number for Calls & Text: *

Last, First: Emergency Contact Name + Relationship to child. *

Emergency Contact Cell Number: *

My Child Will Be Attending: *

Half Day

Full Day

I will require: *

Before Care

After Care

None

Other:

Required

Can your child have camp snacks? Snacks provided (all are GF): Lucky Charms Cereal, Movie Popcorn, 'Fun Pops' Fruit Flavored Freezer Pops, Jet- Puff Marshmallows, Hershey chocolate bar. *

Yes.

No, I'll provide snack.

Other:

Do you need a medical form for medication given mid day? If yes, please print from our Summer Camp home page and send to MPAA@mountpisgahschool.org. *

Yes

I understand that full payment of camp fees is due by May 18th. You will receive an invoice in May 2020 for Paypal Payment to MPCS. *

I understand.

Required

I understand if my child is not currently enrolled in Mount Pisgah Christian School as a student, I need to send proof of medical insurance to MPAA@mountpisgahschool.org. This should be a copy of your insurance card front and back that will be put on file in case of emergency. *

My child is currently a student at MPCS.

Yes, I'm sending a photo of my card now.

Required

I have read MPCS Summer Camp Policy Page. *

Yes.

Required

Does your child have any allergies or is there anything else we need to know about your child? *

Your $25 non-refundable deposit fee (per camp/ per child) holds your child's camp spot for this week. Please pay now via Paypal on our website.

www.MountPisgahSchool.org

Thank you and we'll see you this summer!

For additional questions, please email the MPCS Camp Office at: MPAA@mountpisgahschool.org

A copy of your responses will be emailed to the address you provided.

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