Jems Preschool Summer Camp Registration Form 2024

  • Kindly fill out the form below and submit as soon as possible - spaces are limited

  • 1- Camper's Information

  • Camper 1

  • Camper 2

  • Camper 3

  • 2- Parent's Information

  • 3- Emergency Contact Information

  • 4- A few questions

  • CONFIDENTIAL: Does you child have any allergies or other medical conditions that we should be aware of?  If yes, please describe them and indicate special precautions or care needed.

  • 5- Permissions:

  • I understand that my child may be dismissed during a camp day, due to illness, at the discretion of the camp and I agree to abide by the director’s decision.

  • Your son/daughter is below legal age of consent. The law requires that we have your permission if medical service should be needed. Your signature at the end of this form will authorize us to proceed with the care for lesser types of medical problems, which may occur.

  • In the event of an emergency when a parent/guardian is unavailable, I hereby authorize a representative of Jems Preschool Camp to make such arrangements as considered necessary for my child to receive medical or hospital care, including transportation. Under such circumstances, I further authorize the physician named above to undertake such care and treatment as considered necessary. In the event such physician is not available, I authorize such care and treatment to be performed by any licensed physician or surgeon.

  • 6- Fees & Payment

  • Registration is complete when this form is filled out and payment is submitted. 

    Credit Card
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    Billing Address
  • $0.00 USD
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Mommy & Me

Thursday mornings Mommy and Me sessions