Summer Camp Enrollment Summer Camp Enrollment Enrollment fee is due within 24 hours of completion of this form in order to secure your child's spot. Send $35 to A Village LLC on PayPal OR @MamaB583 on Venmo for enrollment. Be sure to send as friends and family. If enrolling 3 or more children, the max family enrollment fee is $75. Camp runs Mondays, Wednesdays, and Fridays from 12:00-3:00 starting June 30 and ending August 8. The first tuition payment is due by the end of the day on June 13 in order to secure spot. Tuition can be broken up into 6 weekly payments OR paid in full with a $20 discount taken off. Weekly payments will begin on July 4 and will be due no later than 11:59 pm on Saturdays each week. Students will not be allowed to attend camp without payment made for the following week. A $15 late fee will be added to invoices not paid by due date. A prorated invoice will be given in the event a child will miss any days due to a scheduled absence. A minimum of a 24-hour notice must be given to Nicole. In the event of an absence that is not scheduled/expected, please text 419-480-9825. Camp classes max at 10 students. Students will receive an assessment the first day of camp. We will use that data to determine the course of their daily one-on-one time with their camp teacher. We will have weekly camp themes including Ice Cream, Summer, Ocean Animals, Camping and more. Students will have arts/crafts time, outside time, STEM/STEAM activities, read aloud time, one-on-one academic time and more throughout the 6-week camp. Parents will receive a folder at the end of camp containing their child's beginning and ending assessments, daily anecdotal notes, educational resources, and more. Parents are also asked to schedule a conference with our owner, Miss Nicole, to go over their child's folder upon completion of camp. Tuition is $425. Sibling discount available at 10% off for second child. Call Nicole at 419-480-9825 with any questions. *enrollment fees are non-refundable Child's Name* First Last Child's date of birth* Date Format: MM slash DD slash YYYY Parent #1 Name* First Last Parent #1 Email* Parent #1 Phone*Home Address* Street Address City State / Province / Region ZIP / Postal Code Parent #2 Name* First Last Parent #2 Email* Upload a photo of your state issued id OR driver's license* Drop files here or Upload a photo of your child's birth certificate* Drop files here or What grade is your child entering Fall?*Kindergarten1st2nd3rd4thWhere will your child attend school in the fall?*TPSWLSMaumee City SchoolsPerrysburg City SchoolsPrivate SchoolCharter SchoolUnsure. Please chat with me about your School Alternative ServiceSylvania SchoolsReturning student to A Village Learning CenterWhat are your academic goals for your child?*Is your child fully potty trained?*YesNoHas accidents sometimesNeeds assistance when using the restroomWho will be picking up your child? (List Names)*They MUST bring a photo id to pick up child. First NameLast NameRelationship to child List 2 emergency contacts*First NameLast NameRelationship to childPhone Number Does your child have any allergies?*YesNoPlease specify the Allergy*Is your child on any medications?*YesNoPlease list*What does your child enjoy in their free time?*What calms down your child when upset?*Is there anything else you want us to know to help them have the best camp experience?*Is there anything else you want us to know to help them have the best camp experience?*Do you wish to be billed weekly OR pay in full?*WeeklyPay in fullBy completing this form I acknowledge that I have read and agree to the terms stated at the top of this form.* Yes, I agreeSignature*Date* Date Format: MM slash DD slash YYYY
Enrollment fee is due within 24 hours of completion of this form in order to secure your child's spot. Send $35 to A Village LLC on PayPal OR @MamaB583 on Venmo for enrollment. Be sure to send as friends and family. If enrolling 3 or more children, the max family enrollment fee is $75. Camp runs Mondays, Wednesdays, and Fridays from 12:00-3:00 starting June 30 and ending August 8. The first tuition payment is due by the end of the day on June 13 in order to secure spot. Tuition can be broken up into 6 weekly payments OR paid in full with a $20 discount taken off. Weekly payments will begin on July 4 and will be due no later than 11:59 pm on Saturdays each week. Students will not be allowed to attend camp without payment made for the following week. A $15 late fee will be added to invoices not paid by due date. A prorated invoice will be given in the event a child will miss any days due to a scheduled absence. A minimum of a 24-hour notice must be given to Nicole. In the event of an absence that is not scheduled/expected, please text 419-480-9825. Camp classes max at 10 students. Students will receive an assessment the first day of camp. We will use that data to determine the course of their daily one-on-one time with their camp teacher. We will have weekly camp themes including Ice Cream, Summer, Ocean Animals, Camping and more. Students will have arts/crafts time, outside time, STEM/STEAM activities, read aloud time, one-on-one academic time and more throughout the 6-week camp. Parents will receive a folder at the end of camp containing their child's beginning and ending assessments, daily anecdotal notes, educational resources, and more. Parents are also asked to schedule a conference with our owner, Miss Nicole, to go over their child's folder upon completion of camp. Tuition is $425. Sibling discount available at 10% off for second child. Call Nicole at 419-480-9825 with any questions. *enrollment fees are non-refundable
