2021 SDC Wait List

2021 SDC Wait List

2021 Summer Day Camp Waitlist

Please read through the following items regarding our Summer Day Camp program:
  • COVID-19 Liability

  • Initial Here
  • Initial Here
  • Availability

  • Initial Here
  • Initial Here
  • Initial Here
  • Health

  • Initial Here
  • Initial Here
  • REGISTRATION

    Once this form is completed you will get a "SUCCESSFUL SUBMISSION TO WAIT LIST" via email. It is critical that you type in your email correctly. Email will be our primary form of communication for the summer program. AN EXTENDED REGISTRATION FORM WILL BE EMAILED TO THE PARENT/GUARDIAN IF YOUR CHILD IS INVITED OFF THE WAIT LIST. ALL FEES AND THE COMPLETED FORM WILL BE DUE BEFORE YOUR CHILD CAN BEGIN. If you fail to complete the form or pay the fees on time your child will be placed back on the waiting list.
  • Child Information

  • Date Format: MM slash DD slash YYYY
    mm/dd/yyyy
  • Parent Information

  • Required Fees

    No fees are due to be placed on the wait list.

    If your child is invited off the wait list the following fees will be due:

    Registration Fee ($25 per family Non-refundable and non-transferable)

    Annual Membership Fee ($20 1st child, $40 family, Non-refundable and non-transferable)

    Weekly fee (1st week of fees $85 1st child, $70 each additional sibling)

  • Initial Here
  • Initial Here
  • Attendance

  • Initial Here
  • Initial Here
  • Initial Here
  • Signature

  • I have read and fully understand the contents of this registration. I have completed the registration to the best of my knowledge and ability. I understand that if any information listed in this application changes, I will notify Girls Place IMMEDIATELY. The child listed above has my permission to participate in the activities sponsored by Girls Place as noted on the program schedules. In the case of an emergency an emergency contact will be called if the parent(s)/guardians can not be reached by phone. The undersigned, individually and as parent or guardian of the participant, hereby authorize Girls Place to carry out any measures deemed necessary should an emergency occur, including at the expense of the undersigned, appropriate medical treatment for the participant, and hereby releases the Girls Place, its employees and agents, from any liability or claims arising out of the participant's engagement in the above described events.
  • Type full name here
  • Date Format: MM slash DD slash YYYY