Chapin School -> School Life -> Summer Camps -> Explorer Camp Registration Form
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School Life

3 and 4-Year-Old Explorers Camp

Explorer’s Summer Program:  8 a.m. to 3 p.m.  Early drop off and after care hours 7:30 a.m. to 5:30 p.m. 

$450/week

June 11 – August 24

NO CAMP week of July 2.

Chapin's Pre-K 3 and 4 Explorers Camp Registration Form


 
Est. 1931
 
Chapin School Princeton 
PreK 3-8th Grade
 
Child's Full Name
Currently Enrolled at Chapin (If yes, check the box and go to Section 2)
Yes
No
Birth Date
Street Address
City/State
Zip Code
Home Phone
Parent/Guardian Name
Phone
Email
Does your child have any special conditions or allergies?
Yes
No
If yes, please explain:
Is your child on any medications that must be administered during the Camp day?
If so, you must bring in the medication and instructions with a written permission slip indicating that the nurse and teacher in charge have the authority to administer the medication.
 
Please send your child's immunization records to pstabler@chapinschool.org by June 1, 2018.
 
 
Yes
No
Emergency Contacts
Name
Contact Number
Section 2
Please check the weeks in which your child will be attending (check all that apply) (No Camp July 2-6)
Week 1 June 11-15
Week 2 June 18-22
Week 3 June 25-29
Week 4 July 9-13
Week 5 July 16-20
Week 6 July 23-27
Week 7 July 30-August 3
Week 8 August 6-10
Week 9 August 13-17
Payment Options (check one):
Check: Please make payable to Chapin School and write Explorers Camp in the memo.
Credit Card: Click the link below to pay online.
PARTICIPATION AGREEMENT

I/We grant permission for the student to participate in all camp activities.  In case of accident or illness, Chapin School is authorized to secure emergency medical treatment.  I/We understand that prudent attempts will be made to contact the undersigned and emergency contacts listed above immediately.  I/We understand that I/We will be responsible for payment of all medical bills.

            Chapin Summer Camp is not responsible for lost, stolen, or damaged personal articles.

I/We agree that Chapin School may use, in whole or in part, photographs, videos, writings and art of our child for the purpose of external publications both printed and electronic unless I have notified Sharon Gomberg by June 1, 2017. The school will make all reasonable efforts to comply with my request. In return,

 I/We individually and corporately agree to hold harmless Chapin Summer Camp, its volunteers, agents, employees, and officers irrespective of any negligent act or omission by Chapin Summer Camp and those individuals arising from or related in any way to this Chapin Summer Camp program.

By typing my/our name below and pressing submit, we are agreeing to accept the rules and regulations of Chapin School.  We understand that the School reserves the right to dismiss a student when the school reasonably deems such action to be in the best interest of the student or school.

 

Name
Date

Credit Card Payment Here!
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