Elderberries Summer Camp

Family Information

Child's Name*

Date of Birth*

Will your child have completed kindergarten by the end of the 24-25 school year?*

Yes
No

Parent/Guardian Name(s)*

Phone*

Email*

Schedule Options

Weekly Schedule*

2 days
3 days
5 days
Full days ~ 8:00-5:30
Half days ~ 8:00-1:30

Which days will your child be attending?

Preferred days are granted on a first come, first served basis and must be the same for each week of a session.

Summer Schedule*

Full Summer ~ June 2 – August 1
Session 1 ~ June 2 – 20
Session 2 ~ June 23 – July 11
Session 3 ~ July 14 – August 1

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 Elderberries. I understand I will also be added to their email list, of which I can opt out of anytime.

Date

Elderberries Registration

Family Information

Schedule Options

Tuition Assistance

Wrap Up