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Elderberries Summer Camp
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 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?
*
Yes
No
Are you receiving CCAP assistance (Child Care Assistance Program)?
*
Yes
No
Going to apply
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