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. 

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

Pricing:
-Activity Fee: $55.00 per child
 
-Daily Rate: $39.00
      -We do not offer discounts for 1/2 or partial days. 
 
 -Sibling Discount Available!
   1st child: $39.00 per day
   Additional child: 10% discount for each additional child
 
Payment for Activty Fee is due upon acceptance into Extended Hours Summer Camp. 
Payment for 1st two weeks of camp is due by May 13th.
Remaining payments are due 2 weeks at a time following the payment/cancellation deadline schedule.
A late fee of $5.00 per day will be applied to payments received after the payment deadline.
 
We encourage families to take advantage of our auto-payment option to avoid late fee charges.

*If your family is receiving CCCAP assistance - please use the form for CCCAP Summer Reservations. 
 
Our program will place priority on registrations for children who will be attending all 5 days per week. 
 
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

 +
 +
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

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. 
 
Any changes or cancellations must be communicated to the Extended Hours main office prior to the corresponding deadline date. Once the deadline has passed, parent is responsible for payment of all scheduled days. We are unable to "switch" or "credit" un-used days after the deadline.
 
Our office will send families a deadline reminder email prior to each 2 week cancellation 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. 
 *
 
Total for May 24 - June 3
of Summer Camp:

Week 1 & 2 Total Per Child:
$0.00
Cancellation Deadline: May 12
Payment Deadline: May 13
 
*Daily rate: $39.00
 

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. 
 *
 
Total for June 6 - 17 of Summer Camp:

Week 3 & 4 Total Per Child:
$0.00
Cancellation Deadline: May 26
Payment Deadline: May 27
*Daily rate: $39.00
 

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. 
 *
 
Total for June 20 - June 29 of Summer Camp:

Week 5 & 6 Total Per Child:
$0.00
Cancellation Deadline: June 9
Payment Deadline: June 10
 
*Daily rate: $39.00
 


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. 
 *
 
Total for July 6 - July 15 of Summer Camp:

Week 7 & 8 Total Per Child:
$0.00
Cancellation Deadline: June 23
Payment Deadline: June 24
 
*Daily rate: $39.00

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. 
 *
 
Total for July 18 - July 29 of Summer Camp:

Week 9 & 10 Total Per Child:
$0.00
Cancellation Deadline: July 7
Payment Deadline: July 8
 
*Daily rate: $39.00


Summer Total for Child 1:
**This total is for one child. If registering multiple children the sibling discount will apply. 
Sibling discount: $39.00 per day for 1st child. 10% discount applied to each additional child. 
0.00
Child 2 Total: (includes 10% discount)
0.00
Child 3 Total: (includes 10% discount)
0.00
Child 4 Total: (includes 10% discount)
0.00

Payment and Cancellation Info

 
 
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 are still charged 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.  *

Payment Information

Extended Hours Program will require a credit card to be stored on file for each family. 
 
Payment Options:
 
-Auto Pay: Our office will automatically run the card saved on file for reservation totals on the due date for each 2 week schedule. 
 
-Self Pay: Family is responsible for making payments for reserved care by each payment deadline. Payment methods include: cash, check, credit card, or online payment. Payments are due by the deadline for each 2 week period.
 
-Late Payments: Late payments are charged a $5.00 late fee for each day that payment is past due. 
 
*** If payment is not received by Tuesday after the payment deadline for each calendar, the card on file will be charged for total of care reserved for that 2 week calendar including any late fees.
Visa
Late Payment Agreement *
Deadlines for Cancellations & Payments:

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

     Payment due by: May 13

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

     Payment due by: May 27

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

     Payment due by: June 10

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

     Payment due by: June 24

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

     Payment due by: July 8


I agree that payments will be made by the required due dates and understand that failure to make timely payments to Extended Hours Program may result in removal from Summer Camp Program.

*I understand that a $5.00 late payment fee will be applied for each day that payment is late after each payment deadline. *

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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