Clone of Summer Session/Camp Registration

Summer Camp/Session Registration: ALL WEEKS CURRENTLY OPEN!

Each week, students will dig into the Word and be reminded of and taught of who the Lord has made them to be and how faithful our Father is. Each week will also be paired with a STEM (Science, Technology, Engineering, Math) activity/learning, to keep the kids engaged in some God breathed science, math and engineering/robotics. Field trips may be scheduled into some of our Summer Camp weeks (field trip do require additional fees to attend).
Student Name
Last Name*
First Name*
Middle Name*
Gender*

MaleFemale
Family's Information
Address*
City*
State*
Zip*
Home Phone*

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
Emergency Number #2

Area CodePhone Number
Birth Date*

MonthDayYear
Age of Child*
Grade entering in the fall*
Class Choice
Select 1 *
Please select 1
Registered Week(s)/Month(s)*

Robotics ($75) - June 29-30 (12:30-3:30pm), Participants learn to build and code a mini robot that they get to take home at the end of the week [LIMITED TO 15 SPOTS, 1ST-6TH GRADE]Clay/Ceramics ($50) - July 1-2 (12:30-3:30pm), Participants learn to use a wheel and create pinch pots [LIMITED TO 12 SPOTS, 1ST-6TH GRADE]Week 1 ($125) "The Great Outdoors/Camping"- June 15-18Week 2 ($125) "Cooking Week"- June 22-June 25Week 3 ($125) "Lego/Build Week"- June 29-July 2Week 4 ($125) "Travel Around the World"- July 6-9Week 5 ($125) "Color Wars"- July 13-16Week 6 ($125) "Science & Space"- July 20-23Week 7 ($125) "Theater Film & Fun"- July 27 - July 30Week 8 ($125) "Time Travel through God's Goodness"- August 3-61 month (4 weeks, selected and paid ahead of time, $450)--**PLEASE ALSO SELECT THE WEEKS ABOVE; THESE CAN'T BE CHANGED AT A LATER DATE**FULL - 2 months (8 weeks/full summer paid ahead of time, $880) **EXCLUDES CERAMICS/CLAY PLAY & Robotics**
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Parent /Legal Guardian 2
Relation 2
Work Phone 2

Area CodePhone Number
Cell Phone 2

Area CodePhone Number
Church Information
Church you attend
Church City
Church you are coming with (if any)
Email Confirmation
Parents Email (summer confirmation will be sent by email)
Student's Email
Other Information
How did you hear about Fellowship?
First Time Summer Session attendee?*

YesNo
Health Information
It is our policy to contact the parent or guardian as soon as possible in the event of a serious accident or injury. If the information has changed on the day of registration please see the office administrator right away. Students should not have medication dispensed during camp/Summer Session hours unless absolutely necessary. If a child is ill, they should not attend camp. If necessary, all medication must be brought in the ORIGINAL CONTAINER or you will not be allowed to leave the medication at FCS. No exceptions. All prescriptions must be in that child's name and the correct dosage. For safety purposes, no medication is allowed to be kept on a student or in their bag, etc.
Is camper free from infectious desease or conditions?*

YesNo
Are immunizations up to date?*

YesNo
Date of last tetanus shot*
All fields are required below. If nothing applies, please put "NONE" in the box. Thanks.
Any activity the camper should be restricted from?*
Any physical, mental or other condition that would require special attention or medication while at camp?*
List any past medical treatment that would be helpful for us to know.*
List any allergies (ex: bees,peanuts, dairy)*
Any dietary needs that we should know about?*
List all medications, both prescribed and over the counter. All medications will be turned into the office, except rescue inhalers. Bring all medication in original containers with child's name on the container.*
Summer Camp Reminders

Please check each box, confirming you will make sure your Summer Camp participant is fully prepared each day by remembering to bring the following items:
Each day, my Summer Camp participant will*

Bring a full, labeled water bottleBring two healthy snacks (no nut products, due to allergies)Bring a full lunch (no nut products, due to allergies)Bring a change of clothesWear closed toe shoes that they can run and play inBe fully potty trained (no assistance required).Bring a labeled bottle of sunblock as well as have sunblock applied by their parent/guardian before drop off.Bring a bag/backpack to take home their Summer Camp items.
Payment Information

$50 Registration Fee Due at time of Confirmed Enrollment: Annual, one time fee, not included in weekly class fees.
The remaining balance is due 2 weeks prior to each session/camp. If you have any questions, please feel free to contact the school office (206) 486-5882, FellowshipChristianSchools@gmail.com. You are able to pay immediately online, at the time of registration.

The annual registration is due immediately via the online registration form.
All payments are made online, through Quickbooks. An invoice will be emailed to you as soon as enrollment has been confirmed for the class/camp/session. Online payment allows for payment via credit card or bank account.
Camper Release
Camper Release (List anyone, including parents, to whom your camper can be released)*
- Be certain to enter your email address correctly on the registration form to receive confirmation via email within 1 week.
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named child by authorized personnel. FCS carries secondary insurance. I understand that the above named child will only be released to the names listed above and updates may be done at registration. I certify that my child has my permission to attend FCS Summer Session and participate in all activites. I authorize FCS to use my child's picture, testimony, and video in any promotional material (web,print,or media). My child may recieve any e-mails from the Summer Session.
Signature*

My Products

Annual Summer Registration Fee$50.00

Annual registration fee due each summer ($50 per attendee).

1 Week ($125) of Summer Camp$125.00

1 Week of Summer Camp ($125 per attendee). Weeks are non-refundable & non-transferable.

1 Week ($125 per week)	Quantity	Price
Week 1: June 15-18		$125.00
Week 2: June 22-25		$125.00
Week 3: June 29-July 2		$125.00
Week 4: July 6-9		$125.00
Week 5: July 13-16		$125.00
Week 6: July 20-23		$125.00
Week 7: July 27-30		$125.00
Week 8: August 3-6		$125.00

4 Week of Summer Camp: $450$450.00

4 Weeks of Summer Camp paid ahead of time. Please only select open weeks. Non-refundable

8 Weeks of Summer Camp: $880$880.00

All 8 Weeks of Summer Camp (non-refundable)

Robotics: June 29-30 (12:30-3:30pm)$75.00

Build a mini robot!

Clay/Ceramics & Resin: July 1-2 (12:30-3:30pm)$50.00

Use air-dry & ceramic clay to create a mini bowl, container or dish. Art will be sealed with resin.

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Electronic signature, please initial*
Should be Empty:

Summer Camp/Session Registration: ALL WEEKS CURRENTLY OPEN!

Student Name

Family's Information

Class Choice

Parent or Legal Guardian Information

Church Information

Email Confirmation

Other Information

Health Information

Summer Camp Reminders

Payment Information

Camper Release