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buckley day camp
2013 Camp Begins In
days
3
4
hours
2
2
minutes
0
4
seconds
3
1
Online Extended Day Care Registration
In the interest of helping parents who need before and/or after camp care for their child(ren), Buckley offers supervision from 8:00 a.m. to 9:00 a.m. and from 4:00 p.m. to 6:00 p.m. Parents will be billed at a cost of $10.00 per hour/per child. This fee is separate from your child’s regular camp tuition, but will appear on your camp bill at the end of the summer. By signing the form below you (parent) are responsible for satisfying the total extended day bill. Campers dropped off prior to 8:45 a.m. will be billed for a full hour of extended day. Buckley cannot provide transportation for campers that participate in our extended day program. Please notify the office at least 24-48 hours in advance if you are going to use our extended day program. Please return the form below to the summer office by June 12th.
Child's Name
*
First
Last
Child's Age
*
Child's Grade (as of September 2013)
*
Your child's group
*
Bunnies (entering Nursery)
Beaver 4 (entering Pre-K)
Beavers 5 (entering Kindergarten)
Beagles (entering 1st Grade)
Bobcats (entering 2nd Grade)
Badgers (entering 3rd Grade)
Bulldogs (entering 4th Grade)
Bengals (entering 5th Grade)
Bears (entering 6th Grade)
Bears (entering 7th Grade)
Teens (entering 8th and 9th Grade)
CITs (entering 10th Grade)
Weeks your child is attending:
*
Week 1 (6/27-7/3)
Week 2 (7/8-7/12)
Week 3 (7/15-7/19)
Week 4 (7/22-7/26)
Week 5 (7/29-8/2)
Week 6 (8/5-8/9)
Week 7 (8/12-8/16)
Week 8 (8/19-8/22)
Does your child require extended care everyday?
*
Yes
No
If YES, does your child need AM or PM care?
*
AM
PM
Both AM & PM
A.M. Drop off time
*
:
HH
MM
AM
PM
Buckley offers supervision from 8:00 a.m. to 9:00 a.m.
P.M. Pick up time
*
:
HH
MM
AM
PM
Buckley offers supervision from 4:00 p.m. to 6:00 p.m.
If NO, please list days or write "as needed" if you are not sure. Please note that if you list "as needed", please call the office between 24-48 hours prior sot hat we have enough adult coverage.
If NO, dates needed.
A.M. Drop off time
*
:
HH
MM
AM
PM
Buckley offers supervision from 8:00 a.m. to 9:00 a.m.
P.M. Pick Up time
*
:
HH
MM
AM
PM
Buckley offers supervision from 8:00 a.m. to 9:00 a.m.
Parent's Digital Signature (Please type Full Name here)
*
Home Phone (###) ###-####
*
Cell Phone (###) ###-####
*
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