RIMOSA Camp Registration Form
Hello! Thank you for your interest in RIMOSA Summer Camps!!

We will offer a supervised lunch for those campers that are participating in morning and afternoon sessions. You provide a healthy lunch and we provide the supervision. We have a refrigerator on site and lots to do at the museum to break up the day!


Also, we are offering a Museum Play Early drop- off option for an additional charge of ($50 per week) and and after-care option for an additional charge ($50 per week). If you choose not to take this option, please note: drop off/pick up your child/children no earlier/later than 15 minutes before and after each session.

Email address *
Camper's Name *
Your answer
Parent's Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone *
Your answer
Name and Phone Number of Emergency Contacts (List 3) *
Your answer
Name and phone number of Person Picking Up & Dropping Off *
Your answer
Allergies or Special Needs *
Your answer
Camps *
Early Bird Discount (Before April 20th): $75 per person and session Regular: $150 per person and session
Required
Do you want Early Drop Off 8:00-9:00 AM for $50 extra per week?
Do you want After Care 3:00-4:00 PM for $50 extra per week?
Any other concerns or information you would like to share about your child/children
Your answer
Photo Release *
RIMOSA will be sending you a paypal invoice within the week. Any further questions please email to dbrunton@rimosa.org
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google.