Elderberries Summer Camp

Elderberries Registration

Please complete the form below to register your child for our Elderberries Summer Camp program. This is for alumni children between kindergarten and 1st grade.

Family Information
Child's Name*
Date of Birth*
Will your child have completed kindergarten by the end of the 22-23 school year?*
- Yes
- No
Parent/Guardian Name(s)*
Address
Street Address Address Line 2 City ZIP / Postal Code
Phone*
Email*
Schedule Options
Weekly Schedule*
- 2 days ~ Thursday, Friday
- 3 days ~ Monday, Tuesday, Wednesday
- 5 days ~ Monday - Friday
- Full days ~ 8:00-5:30
- Half days ~ 8:00-1:00
Tuition Assistance
Is your family income less than 80% of the median income in Fort Collins?*
Are you receiving CCAP assistance (Child Care Assistance Program)?*
Wrap Up
Comments?
Signature*

By signing above, I acknowledge my intent to enroll in the River Song Nature Camp. I understand I will also be added to their email list, of which I can opt out of anytime.
Date
MM slash DD slash YYYY

Elderberries Registration

Family Information

Schedule Options

Tuition Assistance

Wrap Up