2019 Bloom Summer Camp (School Age 5-12) Registration
Please read the details in full before proceeding with registration. Call if you have any questions at all! We look forward to an amazing summer of fun, creativity, friendship and imaginative play!
Email address *
Bloom Summer Camp Details
Bloom Summer Camp is for children ages 5-12 years old. We will have a maximum of 10 children per 1 counselor + 1 helper. Activities will be organized to be age appropriate based on the age ranges of the campers enrolled each day.
Our Mini Camp for Preschool age children 3-5 is also available! See website for more info.

Please read the details below in full as it contains everything you need to know about camp!

A separate registration form must be completed for each child. Same child can use one form to register for multiple camp sessions. Upon submission of this camp form, you will be invoiced the full amount due for the days/weeks selected. Payment is due by 5/1/19.


FULL DAY CAMP: Monday through Friday 9am-3pm
HALF DAY CAMP: Monday through Friday 9am-12pm (AM camp) or 12pm*-3pm (PM camp).
*PM camp includes 12pm lunch time for full day campers. PM campers may eat before arriving and have free choice time during lunch, or may bring lunch to eat also.

BEFORE CARE: 8am-9am ($5/hr)
AFTER CARE: 3pm-6pm ($5/hr)


FULL DAY CAMP: $150/week first child; $130 siblings
HALF DAY CAMP: $90/week first child; $80 siblings

Register for 4 or more weeks and receive $10 off per week registered for full day camp or $5 off per week registered for half day camp!

Members receive 10% off camp rates!


An invoice will be sent to you upon submission of this registration form. Payment is due in full for all selected days/weeks by 5/1/19. Payment plans are available! Please email info@bloomplayspace.com or call to discuss options.


You may cancel before May 1st for a 100% refund. Cancellations received between May 1st and June 17th will receive a 50% refund. No cancellations will be accepted after the camp season starts on June 17th. Cancellations due to extreme circumstances will be considered for credit on a case by case basis.


* Packed lunch with beverage of choice. (Bloom is NOT a nut-free facility; Please be sure to inform us of any allergies so we can make all campers aware)
* Additional water bottle (refills available)
* Permission and cash if you would like your child to purchase a cafe beverage or snack (juice boxes/water $1, milk $2, packaged snacks $2)
* One change of clothes (please label bag with child's name) can be left at Bloom for your child for the duration of their camp stay in case of accidents or messes.
* Sunscreen and/or sunhat, and bug repellent if desired. We will aim to get daily outdoor time!


We will email you in advance of the first day of camp to inform you of any important details specific to your camp week.

We will aim to go outside every day, weather permitting. We will inform you of any water play days so you can pack accordingly.

Bloom will provide healthy snacks in the AM and PM. Feel free to pack snacks if you would like. We will have occasional group lunch specials (i.e. pizza party, cooking class, etc) and will inform you in advance so you can optionally skip packing lunch that day.


Week One: June 17-21: Summer Fun (Lead Counselor: Ms. Stephanie)
Week Two: June 24-28: Community and Kindness (Lead Counselor: Ms. Stephanie)
Week Three: July 1-5: Rainforest (Lead Counselor: Ms. Sandra)
Week Four: July 8-12: Robots (Lead Counselor: Ms. Magena)
Week Five: July 15-19: Around the World (Lead Counselor: Ms. Heather)
Week Six: July 22-26: Dinosaurs (Lead Counselor: Ms. Magena)
Week Seven: July 29-Aug 2: Under the Sea (Lead Counselor: Ms. Heather)
Week Eight: Aug 5-9: Dance Through the Ages (Lead Counselor: Ms. Heather)
Week Nine: Aug 12-16: Theater (Lead Counselor: Ms. Stephanie)
Week Ten: Aug 19-23: The Great Outdoors (Lead Counselor: Ms. Magena)
Week Eleven: Aug 26-30: Homesteading (Lead Counselor: Ms. Sandra)

Bloom Waldessori Play Space
106 Renastar Rd. Stroudsburg, PA 18360

Email *
Your answer
Adult's Name *
Your answer
Child's Name whom you are registering *
Your answer
Child's Age *
Your answer
Please list any allergies or medical considerations that you would like Bloom staff to be aware of. As food will be consumed/present during camp, please be sure to list food allergies.
Your answer
Please select your full week camp choices:
Week One: June 17-21 (Theme: Summer Fun)
Week Two: June 24-28 (Theme: Community and Kindness)
Week Three: July 1-5 (Theme: Rainforest)
Week Four: July 8-12 (Theme: Robots)
Week Five: July 15-19 (Theme: Around the World)
Week Six: July 22-26 (Theme: Dinosaurs)
Week Seven: July 29-August 2 (Theme: Under the Sea)
Week Eight: August 5-9 (Theme: Dance Through the Ages)
Week Nine: August 12-16 (Theme: Theater)
Week Ten: August 19-23 (Theme: The Great Outdoors)
Week Eleven: August 26-30 (Theme: Homesteading)
If you are interested in Single Days only ($45/day - full days only), please indicate the days you are selecting here. We will email you to confirm your selection.
Your answer
If before or after care is needed (available from 8am-9am, and 3pm-6pm), indicate which days, and for how long. Charge is $5/hr, billed in 1 hour increments.
Your answer
I understand that I will be invoiced the total amount due for the camp(s) for which I have registered upon submission of this registration form. This submission of a completed camp registration form and paid invoice indicates agreement to the terms and conditions as outlined in the Bloom Camp Enrollment Agreement. *
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