My child has the following special needs, health needs, or allergy.
Camp Choices: Select 1 or more *
Parent(s) name, address, and phone *
Camp Length. List estimated/average daily drop-off and pick-up times in “other.” *
I agree to pay the following activity fee:
I will use the following payment method: *
People authorized to pick up my child besides parent(s) listed on this form. Include phone number and relation to child.
What to bring:
I understand that I must pay for selected camps by the Wednesday before camp begins. This allows for proper staff planning. Payment must be made in order for your child to be on the camp roster. Your child is placed on the waiting list until payments are received by Remington Academy. *
My child may be photographed for media use.
My child has permission to walk in small groups to activities or events with RA staff. Walking trips may include trips to surrounding “squares” for sports and activities, restaurants for special meals/treats, and other activities/events occurring on Newcastle Street. *
My child needs transportation. I give Remington Academy permission to transport my child from 111 Menendez Ave, Saint Simons Island to 1206 Newcastle Street, Brunswick. *
Signature: Type Full Name to verify you the person that completed this form.
A copy of your responses will be emailed to the address you provided.