SPI Camp Full Registration 2018
Use this form to register for camps and/or complete your early bird registration. You are registered when you have paid and this form is complete. Payments are NOT refundable unless the camp is cancelled or (at SPI's discretion) there are emergency circumstances . Payment should be completed as soon as possible to keep your spot. Online payments will not be processed/"shipped" unless a spot is available. If camp is full you will be put on the waitlist and notified during the next week day. Your payment will be refunded if a spot does not open up.
Email address *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's birthdate (Make sure birth year is correct) *
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Child is currently in grade: (Grade levels listed relate to a child's ability to work with others, ability to understand abstract concepts, follow directions, and attention span in a class type of setting. Overall maturity rather than academic achievement should be considered when determining which camp may be appropriate. (please note if home schooled and put in grade equivalent) *
Your answer
Camp/s child will attend (in addition to early bird registration) *
Required
Caregiver Full Name/s *
Your answer
Medical or other information we should know about your child. Please make sure to note any special needs (diagnosed or not) that will help the instructors as well as medical information. *
Your answer
We would like to take pictures of the camp for record keeping, grant writing, generating support for this type of learning experience, and advertising of the program. We do publish pictures on Facebook, but do NOT identify by name any child. It is difficult for us to exclude a particular child. *
Emergency Contact#1 information: Please include name, relationship to child, working phone number/s. The First Emergency Contact is usually the same as the Caregiver listed above, but it must be somebody who can be called during camp hours. *
Your answer
Emergency Contact #2 information: Please include name, relationship to child, working phone number/s.
Your answer
In the event I cannot be reached in an emergency, I hereby give permission to a physician, selected by the adult leader in charge, to hospitalize, secure proper anesthesia, or to order injection or surgery for my child. *
Required
Mailing Address. We will e-mail your more detailed camp information closer to the time camp begins with what to expect and bring. If we do not get confirmation of receipt of that email we will mail you a paper copy. If you do not receive any information about camp before it start please contact us. *
Your answer
Payment-Your child is NOT registered until we have received this form as well as payment. We expect payment as soon as possible; your child will lose their spot in camp payment is not done by the Monday after you register. Payment in NOT refundable except in special circumstances will be done at SPI's discretion. Please check the third box if your financial need is greater than our half price financial need price. *
Required
Anything else you wish to tell us.
Your answer
A copy of your responses will be emailed to the address you provided.
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