Extended Hours Summer Camp Schedule & Registration Info

Family must be currently registered with Extended Hours Program in order to enroll in Summer Camp. 
 
*If you are adding a sibling to your account that is not currently enrolled with Extended Hours Program, our office will contact you for additional information. 

CCCAP Information

This application is intended for famlies who are currently enrolled with and receiving CCCAP Assistance. 
 

Details

Please complete the required form for your child's Summer Camp Registration. 
 
Hours
-6:30 am - 6:00 pm
 
Dates Offered: 
- May 24 - July 29.
 
Closed: 
     -May 23: Camp Set Up
     -May 30: Memorial Day
     -Thu June 30 - Tue July 5: Independence Day
 
 
 
Families will recieve an email confirming their child's spot in the Summer Camp program.
We cannnot guarantee a spot in summer camp prior to recieving and evaluating your child's schedule.
 
*Please allow up to 5 business days after your calendar has been submitted for our office to process your application and evaluate openings in our locations.
You will receive email notification when this process is complete. 

Registration Info & Permissions

The information in this section is required to update your child's registration for Summer Camp. 


Emergency Contacts

Two Additional Emergency Contacts are REQUIRED for each family.
*CANNOT list yourself or N/A

Child Information

Registering multiple children:
 
If children will share the same summer schedule, please include all children on this application. 
 
If children will have DIFFERENT schedules, you will need to submit a separate application for each child. 
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Child 2 (If Applicable)

**If children have the same schedule - please just use one form.

If children have DIFFERENT schedules, please submit a separate Summer Application and Schedule for each child.
 All Fields Require Answer for Additional Children
Name: First and Last
Date of Birth:
Grade Level Entering Fall '22 (K - 6)
Swim Level: (BEG, INT, or ADV)
Additional Notes (Allergies, Health Concerns, Etc.)
Last Dr. Visit or Well Child Check (date within last 12 months)
Is this child currently enrolled in Extended Hours Program? (If NO, our office will contact you for additional information.)
Child 3 (If Applicable)

**If children have the same schedule - please just use one form.

If children have DIFFERENT schedules, please submit a separate Summer Application and Schedule for each child.
 All Fields Require Answer for Additional Children
Name: First and Last
Date of Birth:
Grade Level Entering Fall '22 (K - 6)
Swim Level: (BEG, INT, or ADV)
Additional Notes (Allergies, Health Concerns, Etc.)
Last Dr. Visit or Well Child Check (date within last 12 months)
Is this child currently enrolled in Extended Hours Program? (If NO, our office will contact you for additional information.)
Child 4 (If Applicable)

**If children have the same schedule - please just use one form.

If children have DIFFERENT schedules, please submit a separate Summer Application and Schedule for each child.
 All Fields Require Answer for Additional Children
Name: First and Last
Date of Birth:
Grade Level Entering Fall '22 (K - 6)
Swim Level: (BEG, INT, or ADV)
Additional Notes (Allergies, Health Concerns, Etc.)
Last Dr. Visit or Well Child Check (date within last 12 months)
Is this child currently enrolled in Extended Hours Program? (If NO, our office will contact you for additional information.)
Permissions:


Please indicate below that you give permission for your child to engage in the following Summer Camp activities: *REQUIRED *
Sunscreen:

As a licensed childcare provider we are required to ensure all children have proper sun protection prior to outdoor activity. 
Sunscreen may need to be re-applied throughout the day.
Typical application lasts 90 - 120 minutes. 

We require all children are sent to camp with their own sunscreen labeled with child's first and last name. 

If a child attends forgets his/her own sunscreen, we will provide generic brand sunscreen from Walmart for the day. Parents will be notified by staff when their child's sunscreen is running low. 

**Please see Terms of Agreement for additional sunscreening information. *

SCHEDULE

Please fill out your child's schedule of anticipated attendance for the entire summer. 
 
We understand that some families may not have a complete work schedule through July at this point, but ask that you fill out the calendar to the best of your knowledge. 
This allows our program to estimate overall attendance so that we can determine how many children we can accept in accordance with our licensing and staffing capacities.
 
Parents will have the ability to make schedule changes/cancellations throughout the summer following the cancellation deadline schedule. 
 
Once the deadline has passed, parent is responsible for payment of all scheduled days. Absences will result in a Private Pay charge.
We are unable to "switch" or "credit" un-used days after the deadline. 

Week 1 & 2 (May 24 - June 3)

Summer Camp Week 1: May 24 - May 27
(CLOSED Monday, May 23 for Summe Set Up)

THEME: Welcome Week!

Please mark days that your child will be attending. 
 *
 
Summer Camp Week 2: May 31 - June 3
CLOSED Memorial Day (Mon. 5/30)

THEME: Circus!

Please mark days that your child will be attending. 
 *
 
Cancellation Deadline for Weeks 1 & 2: May 12
 

Week 3 & 4 (June 6 - June 17)

Summer Camp Week 3: June 6 - June 10

THEME: Music/Rock Star

Please mark days that your child will be attending. 
 *
 
Summer Camp Week 4: June 13 - June 17

THEME: Time Travel

Please mark days that your child will be attending. 
 *
 
Cancellation Deadline for Weeks 3 & 4: May 26
 

Week 5 & 6 (June 20 - June 29)

Summer Camp Week 5: June 20 - 24

THEME: The 5 Senses

Please mark days that your child will be attending. 
 *
 
Summer Camp Week 6: June 27-29
CLOSED: June 30 & July 1 for Independence Day


THEME: 4th of July

Please mark days that your child will be attending. 
 *
 
Cancellation Deadline for Weeks 5 & 6: June 9
 
 


EXTENDED HOURS SUMMER CAMPS AND MAIN OFFICE WILL BE CLOSED         THURSDAY, JUNE 30 - TUESDAY, JULY 5 FOR INDEPENDENCE DAY. 
 


Week 7 & 8 (July 6 - July 15)

Summer Camp Week 7: July 6 - 8
CLOSED: July 4 & 5 for Independence Day


THEME: Water World

Please mark days that your child will be attending. 
 *
 
Summer Camp Week 8: July 11 - 15

THEME: IT'S A BUG'S LIFE

Please mark days that your child will be attending. 
 *
 
Cancellation Deadline for Weeks 7 & 8: June 23
 

Week 9 & 10 (July 18 - July 29)

Summer Camp Week 9: July 18 - 22

THEME: ALL AROUND THE WORLD

Please mark days that your child will be attending. 
 *
 
Summer Camp Week 10: July 25 - 29

THEME: CHILL OUT

Please mark days that your child will be attending. 
 *
 
Cancellation Deadline for Weeks 9 & 10: July 7
 


Cancellations & Schedule

 
 
Schedule: Schedules are required for the full Summer. 
ALL schedule changes must be submitted to the Extended Hours main office via email or phone. Staff on-site are not able to accept cancellations or schedule changes. 
 
 
Cancellation Policy: ALL cancellations and schedule changes must be made by the cancellation deadline. There will be NO REFUNDS after 5:00pm on the date of the deadline.
If your child does not attend for ANY reason, you will be charged private pay for the full day fee. We are not able to "switch" or "credit" charges to another day if the deadline has passed. 
 
   
Availability of adding days to schedule will vary depending on open spots and staffing. 
 
I understand that the calendar I am submitting for Summer Camp is the schedule that I will be held to and will be responsible for payment of all days reserved.

I understand that any changes to my calendar must be made by the cancellation deadline and that any late changes/cancellations will still be charged by Extended Hours Program.  *

Cancellation Deadline Schedule

Deadlines for Cancellations:

-Week 1 & 2: (May 24 - June 3)
     
Cancellations due by: May 12

 

-Week 3 & 4: (June 6 - June 17)
     
Cancellations due by: May 26

   

-Week 5 & 6: (June 20 - June 29)
     
Cancellations due by: June 9

    

-Week 7 & 8: (July 6 - July 15)
     
Cancellations due by: June 23

 

-Week 9 & 10: (July 18 - July 29)
     
Cancellations due by: July 7

   


I agree that any cancellations will be made by the required due dates and understand that failure to make timely cancellations wth Extended Hours Program may result in private pay charges and possible removal from Summer Camp Program. *

Extended Hours Policies for Families Receiving CCCAP

I understand that my parent fee payment (if applicable) is due to Extended Hours Program on the 1st day of each month.

I acknowledge that if I do not pay my parent fee by the 5th day of the month, care will be discontinued and my child may lose their spot in Summer Camp. *
I understand that all schedule changes to my reserved days are due by the cancellation deadlines for each 2 weeks of care.

The deadlines scheduel for each 2 weeks is listed below. (Cancellation deadline dates are listed on the Extended Hours Program website). Cancellations received after the deadline will result in a private pay charge and a "No Show" for the day. *
I understand that if my child has more than 2 absences on scheduled days, our Summer Camp Registration may be canceled and my child may lose their spot in Summer Camp.

Extended Hours may not accept future Summer Camp or Full Day reservations. *
I agree that if my child(ren) does not attend a day that was scheduled, I will be responsible for private payment of the absence.

The rate is $26.78 per day. *
I understand that if my child is sick, I must notify the main office by 8:00 AM of the day of care and provide a doctor's note within 24 hours to excuse the absence. 

If doctor's note is NOT provided, I may be responsible for private payment for the absence. *
I understand that CCCAP does not pay Extended Hours Program the full rate of care if my child attends less than 5.01 hours.

I agree that if my child's attendance on any given day is less than 5.01 hours I will be responsible to pay the difference of $12.05 to Extended Hours Program. This payment will be due immediately to continue care. *
Families receiving CCCAP are required to check in on the ATS system as well as the manual check out sheet at drop off and pick up DAILY. Care may be suspended if parent/guardian fails to properly check child in and out on a consistent basis. *
Parent/guardian will authorize schedule and care through CCCAP caseworker prior to child attending. Any unauthorized care will result in a private pay charge due to the parent/guardian. *
This application is for Summer Camp 2022 only. I understand that I will have to re-register my child(ren) to attend in the school year program for the 2022 - 2023 school year.

(Registration for Extended Hours 2022 - 2023 School Year Programs will open in July 2022.)  *

Terms of Agreement & Parent Handbook

Please indicate that you have read and agree to the following:
 
Extended Hours Program Terms of Agreement 2022
 
Extended Hours Program Parent Handbook
I have read the Terms of Agreement and Parent Handbook for Extended Hours Program. I have addressed any questions or concerns and agree to the terms listed. *

Confirmation

Once this form is submitted, our office will work on processing your application. 
 
We will notify you within 5 business days if we will be able to offer your child a spot in one of our Summer Camps.
 
Payment of Activity Fee will then be due to complete the registration.
I understand that Extended Hours will notify me within 5 business days if they are able to offer my child a spot in Summer Camp. *
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