Home Registration Summer Camp
SUMMER CAMP

Registration will be for one week intervals. Registered children will attend Monday through Friday from 9:00 AM - 12:30 PM daily. Children will bring a bag lunch on Monday through Thursday; the school will provide a special lunch on Fridays at no additional cost. Each week's activities will revolve around a theme.
The dates of camp are:
July 11-15 Art
July 18-22 Fun With Science
July 25-29 Cooking
August 1-5 Mary Poppins
Dear Parents:
Summer camp registration begins March 28, 2011. Attached is a registration form. Other details are as follows:
1. The program will consist of multi-age groups of 20 campers (all incoming and current students as well as other children ages 3 — 6 are welcome to register).
2. The counselors will be our current day school staff.
3. Registration will be for one week intervals. Registered children will attend Monday through Friday from 9:00 AM - 12:30 PM daily.
4. Parents may sign up their child(ren) for as many weeks as desired. A discount will be given for children that sign up for all four weeks at the same time.
5. There will be 20 campers with two adult counselors and junior counselor per group.
6. Registration will be on a first come, first served basis. Current students will receive the first opportunity to register.
7. Room 1-2 and 3-4 (air-conditioned) on the upper level,will be utilized along with the air-conditioned parlor, the indoor playroom, and the outside playground. Additional areas of the building will be used occasionally if needed.
8. Children will bring a bag lunch on Monday through Thursday; the school will provide a special lunch on Fridays (pizza.) at no additional cost; we will advise early in the week what the special lunch will be--any allergies, or problems, you may supply a bag lunch on that Friday.
9. Each week’s activities will revolve around a theme, i.e., Circus, Olympics, etc. Water play, gymnastics, crafts, science exploration, music, snack, lunch-time, story-time and outdoor play will be a part of each day (water play and outdoor activities depending on the weather).
10. A deposit of one-half of the total camp fee is payable at time of registration (check or M.O. payable to Bensalem Christian Day School). The remainder of tuition payable on child’s first day of camp.
If you have any questions, please don’t hesitate to call the Day School office at 215-245-1610.
Sincerely,
Lisa A. Woods,
Day School Director
SUMMER CAMP
REGISTRATION FORM
Date of application: (PLEASE PRINT OR TYPE)
FULL NAME OF CHILD: SEX:
NAME CHILD IS CALLED: DATE OF BIRTH:
(month/day/year)
HOME ADDRESS:
NUMBER STREET
CITY STATE ZIP CODE
MOTHER'S NAME: PHONE:
HOME ADDRESS: CELL:
EMPLOYER: PHONE:
FATHER'S NAME: PHONE:
HOME ADDRESS:
EMPLOYER: PHONE:
CHILD LIVES WITH: BOTH PARENTS MOTHER FATHER OTHER
(PLEASE SPECIFY)
OTHER EMERGENCY CONTACT NAME AND PHONE:
NAMES/AGES OF OTHER CHILDREN (GIVE RELATIONSHIP) LIVING IN THE HOME:
CHILD'S PHYSICIAN: PHONE:
PHYSICAL-EMOTIONAL HISTORY OF CHILD: (List allergies, surgery, speech problems, illness, accidents, fears, habits, etc.)
OTHER PERTINENT FAMILY INFORMATION YOU WISH TO SHARE WITH US
(Please include language spoken at home if not English):
RELIGIOUS BACKGROUND:
PREVIOUS SCHOOL(S) ATTENDED:
IF ATTENDING BCDS, CURRENT TEACHER: (PLEASE SPECIFY)
SUMMER CAMP REGISTRATION FORM (PAGE: 2)
We must have a minimum of 20 students signed up for each week of camp.
REGISTRATION FOR: (circle the week(s) you would be interested in participating)
July 11-15 Art
July 18-22 Fun With Science
July 25-July 29 Cooking
August 1 – August 5 Mary Poppins
NOTE: Students must be potty-trained (pull-ups underwear are not permitted).
Children will participate in the lunch program by bringing a bag lunch (no glass please); except on Friday, when we will provide a special lunch treat. We will advise what the lunch will be at the beginning of each week; if your child has allergies or will not eat what we are supplying, you will need to provide his/her lunch on Friday also.
The cost of this summer camp program will be $84.00 each week.
____ Parent's Name (please print) Parent's signature
Registration Paid: Cash Payment _____ Check #
PLEASE NOTE: Below is an order form for Camp T-Shirts. Please include your payment with the order form in the LOCKBOX located outside of the Day School Office by Monday, June 3rd. Thank you.
SUMMER CAMP T-SHIRTS
If you are interested in ordering a Bensalem Christian Day School camp T-shirt for your child, please fill out the order form below and return to the Day School Office by Monday, June 3rd. The cost is $6.00 per shirt. Please enclose your payment with the order form.
Child’s name__________________________________________________________
Size _____S (6-8) ________M (10-12) _______ L (14-16)
Total Amount Enclosed__________