summer camp application

2021 summer camp application

student information

* Indicates required field

student name *

gender *

student birthday (M/D/Y) *

student's current school & Grade *

native language *

second language *

Physician *

insurance name *

Policy/group number *

special needs or care required *

guardian information

guardian name *

address *

cell phone number *

email address *

emergency contact

name (other than guardian that above and must be local) *

cell phone *

summer camp session

one week session *

two week session *

fee and policy

FEE

$550-one week session
$1000-two week session
Morning extended care: $100 per week. M-F 8:00-9:00
Afternoon extended care: $100 per week. M-F 4:00-5:00
Registration fee: $50 (non-refundable)
A $50 fee will be assessed for any returned

PAYMENT
Please purchase from littlepandapreschoolsf.com

REFOUND POLICY
- 14+ days before the start of the session: Full refund ($50 registration fee is nonrefundable)
- 50% refund 5 days before the start of the session. ($50 registration fee is nonrefundable)
- No refund 5 days or less before the session starts.

* Absences and Late Charges:
- No refund or credit for missed classes unless classes are canceled by the school.
- Please drop off and pick up your child on time.
- The school reserves the right to dismiss or suspend a child for unsatisfactory behavior or for physical needs which the staff does not have the expertise to attend to.

Submit

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