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GMS Summer Camp Registration 2012
Deadline for Summer Camp Registration – May 1, 2012

First Name
 
  Last
   
Birthdate
 
  Age
   
Address
 
   City  Zip
   
Name of Parent or Guardian
 
Email
   
Telephone 1st
 
   
Emergency Contact (other then Parent)
 
   
Relation
 
  Phone
   
Authorized Transportation List
 
   
Child's Allergies/Special Needs
 
   
Appropriate Response
 
   
   

Emergency and medical information will be taken from the 2011-12 School Emergency Forms if your child is already enrolled in the School. If there is information that needs to be changed, please call the School office. If your child is new to the School, you will need to mail/fax in a copy of the child’s immunization records and fill out an emergency response card on the day he/she enters camp.
The School’s fax number is: 665-9531.

NOTE: If you register for the camp on line, your registration will be deemed to include your signature on the following permission form.

*An additional Acknowledgement and Release form, with the physical signature of a custodial parent, will be required for the Trailblazers, Trailblazers Extreme and Exploring Our Neighborhood camps. A copy of that form will be included in your camp confirmation letter and will be available in the GMS office.

The deadline for summer camp registration is May 1st.

Blanket Field Trip Permission (7-14yrs. only)
By signing this registration form, I give permission for the above named child to participate in all planned field trips and activities. I also give permission for my child to be transported in the School’s bus and/or parent/staff owned vehicles. I understand the School will use the appropriate child restraint devices and abide by all the safety rules when my child is transported in a vehicle and that I will be notified of the trip in advance.

Signed: Date:

   

Deadline for Summer Camp Registration – May 1, 2012

 
Ages
Weekly Fee
9-July
16-July
23-July
30-July
Toddler
No Child Left Inside
2.5-3.5
$265
8:30-3:00
8:30-3:00
8:30-3:00
8:30-3:00
 
             
Primary & Lower El            
A Week in the Woods
4-9
$265
8:30-3:00
8:30-3:00
 
Spanish Immersion
4-6
$265
8:30-3:00
8:30-3:00
 
Rhythm & Drum
5-8
$165
8:30-11:00
 
Around the World Art
3-6
$175
8:30-1:00
 
Messy Mixed Media
3-6
$175
8:30-1:00
           
Art in Nature
3-6
$175
8:30-1:00
           
Fun with Animals Art
3-6
$175
8:30-1:00
 
Spy Camp/Inventionation
6-7
$265
8:30-3:00
   
     
   
Red Hot Robots/Super Duper
6-7
$265
8:30-3:00
 
KinderKixx Soccer
4-9
$165
8:30-11:30
 
             
Lower El & Upper El            
Exploring Your Neighborhood
7-10
$265
8:30-3:00
 
Montessori Market
7-14
$265
8:30-3:00
 
Bricks 4 Kids (Space Adventure)
6-10
$165
9:00-12:00
 
 
Upper El & Middle School
Dumbledore's Boot Camp
9-14
$265
8:30-3:00
 
Trailblazers
10-14
$300
8:30-5:00
 
Can You Dig It
9-14
$265
8:30-3:00
 
Lights, Camera, Action!
9-14
$265
8:30-3:00
8:30-3:00
 
Trailblazers Extreme*
10-14
$300
8:30-5:00
 
 
 
*Trailblazers Extreme may go longer on some days.
Please TOTAL each column.
Total Due

Payment for the first reserved week should accompany the registration form.
All other weeks may be reserved with a non-refundable $25 reservation fee
for each week. The $25 fee will be deducted from the tuition for that session.

Deadline for Summer Camp Registration – May 1, 2012

 

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