Summer Camp Enrollment

Apply online to Riverbend Montessori School’s Summer Camp

1General

2Consent

3Sessions

4Financial Agreement

Student Information
Enrollment Type*
- New Student
- Current Student
Child’s Full Name*
First Middle Last
Date of Birth*
MM slash DD slash YYYY
Age on 9/1/2023*
Gender*
Race*
Address*
Street Address City State ZIP Code
Number of Guardians*
How many parents or legal guardians does this child have?
- 1
- 2
Guardian 1 Information
Guardian 1 Relationship*
- Father
- Mother
- Legal Guardian
Guardian 1 Name*
First Last
Guardian 1 Occupation & Employer*
Guardian 1 Business Phone*
Guardian 1 Cell Phone*
Guardian 1 Email*
Guardian 2 Information
Guardian 2 Relationship*
- Father
- Mother
- Legal Guardian
Guardian 2 Name*
First Last
Guardian 2 Occupation & Employer*
Guardian 2 Business Phone*
Guardian 2 Cell Phone*
Guardian 2 Email*

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Consent
Snacks*
I understand that AM and PM snacks may be served to my child while in care. Parents will be required to provide two snacks per day for their children. Additional snacks may be provided by the school.
I Understand
Friday Lunch
I understand that Cheese Pizza will be served to my child for Friday Lunch. (FULL DAY ONLY)
I Understand
Water Activities*
Includes sprinkler play, splashing / wading pools, water table play
- I hereby give consent for my child to participate in Water Activities
- I do not give consent for my child to participate in Water Activities

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Sessions
Pick a Session
May 30 - July 21
- Half Days Entire Summer, 9am - 12pm ($1,780)
- Full Days Entire Summer, 9am - 3pm ($2,120)
- Choose Individual Week(s)
Before & After Care - Entire Summer
Before and After Care is available for the entire Summer or on a weekly basis.
- Week 1
  May 30-02 June | Ocean Animals
- Before & After Care Week 1
- Week 2
  June 5 - 9 | Insects
- Before & After Care Week 2
- Week 3
  June 12 - 16 | Exploring Lego
- Before & After Care Week 3
- Week 4
  June 19 - 23 | Cooking
- Before & After Care Week 4
- Week 5
  June 26 - June 30 | Children of the World
- Before & After Care Week 5
- (no camp on week 6)
- Week 7
  July 10 - 14 | Explore China
- Before & After Care Week 7
- Week 8
  July 17 - 21 | Theatre
- Before & After Care Week 8
- Total
  $0.00

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