SPRING 2009 ONLINE REGISTRATION FORM

CAMP LOCATION: Inside music classroom by library (back of school)

Registration Information: Please give us (1) Child's Name and (2) Age (Spaces for 3 children):

(children must be at least 4.5 year of age to attend the T/TH half day program & 5 years of age to attend all other programs).
1:age 2: age 3: age

Child's School:
How did you find out about our camp programs?

Parent's Full Name:
Address: City Zip

Tele Numbers (h) (w) & (c):

Email Address (email address is required - we do not spam or use your email for anything other than for the purpose of communication of possible required materials for some classes, and confirmation etc):
Camp Program Options & Prices:
Full Week/Full Day program from 930-230 (5 classes) $179
MWF/Full Day program from 930-230 (5 classes) $109
T/TH/Full Day program from 930-230 (5 classes) $99
T/TH Half Day program from 930-1230 (3 classes + snack & lunch on us!) $69
CHILD 1 NAME:
  • WEEK 1 APRIL 5-9:
    CHILD 2 NAME:
  • WEEK 1 APRIL 5-9:
    CHILD 3 NAME):
  • WEEK 1 APRIL 5-9:
  • Apply for Counselor in Training Program (for all 4 days): Download PDF for more information.
    HEALTHY LUNCH PROGRAM (HLP) Do you want HLP? Includes a morning snack & drink - Lunch: Vons Deli Sandwich, milk/juice, fruit & dessert ($5 per day/$20 for Full Week?):
    HLP FOR CHILD #1?
    HLP FOR CHILD #2?
    HLP FOR CHILD #3?
    Early Drop (ED) & Extended Camp (EC):
  • Regular Drop off is 9:15-9:25am. Drop your child off as early as 8:00 AM for $5 an hour per child.
  • Regular pick up is at 2:30pm. Your child can attend Extended Camp on a sign-up basis.
  • Early care is always available at 8AM.

    Will you be using Early Drop or Extended Camp? If yes, please be specific as to dates/times:
    Do you want a COOL Art 4 Children Logo T-Shirt ($12 or 2 for $20)?
    We can help your child get fitted on their first day of camp!

    Do you offer any discounts or are there any HIDDEN FEES?:
    Our registration deadline is March 31st, After which there is a $10 late registration fee. The only other fees we charge are for excessive class switches.
    Please choose your 4 classes! We will let you know if any classes are full or closed immediately.


    Class Schedule for Spring
    930-1010 ARTS N CRAFTS or OUTDOOR SPORTS
    1010-1030 SNACK & RECESS OUTSIDE
    1030-1130 RECORDER or DRAWING (must be age 6+ for recorder)
    1130-1200 LUNCH & RECESS OUTSIDE
    1200-1230 FREE PLAY GAMES or DRUMMING
    1230-130 PIANO (must be age 6+ for piano) or DRAMA
    130 -230 WORKSHOP - (MON: Radical Reptiles), (TUES: Sculpture), (WED: Instrument Petting Zoo). (THURS: Arts N Crafts), (FRIDAY: Mad Science)

    Ready to pick? Below you can pick classes for up to 3 children. Just EMAIL US!!! all the choices for each week your child is signed up for. I know it's confusing when you have multiple children/multiple weeks and we are happy to help!

    CHILD NAME &/or CAMP WEEK:
    9:30-10:10:
    10:30-11:30:
    12:00-12:30:
    12:30-1:30:

  • CHILD NAME &/or CAMP WEEK:
    9:30-10:10:
    10:30-11:30:
    12:00-12:30:
    12:30-1:30:
  • CHILD NAME &/or CAMP WEEK:
    9:30-10:10:
    10:30-11:30:
    12:00-12:30:
    12:30-1:30:
    Please note age restrictions on some of the classes!
    FULL CLASSES (last update: TBA):
  • TBA

    ADDITIONAL INFO FOR US: Use large box below to tell us anything else we may need to know about your child (allergies, inhaler, special needs?).

    ADD $10 LATE FEE (if registering after 5pm on March 31st)
    My Grand Total (include possible extended care, tshirts etc):
    Chose Payment Method:
    If paying by check: Checks Payable to: Art 4 Children PO BOX 2066 SAN MARCOS, CA 92079-2066
    Emergency Medical Release & Liability Waiver:
    I hereby give my consent to Art 4 Children Inc, whose Seasonal Camp located at 770 Applewilde Drive - 92078 to administer first aid, to authorize a medical doctor to examine or treat my child, to authorize necessary emergency treatment at a nearby emergency hospital, and/or to order an ambulance transportation for my child while he/she is in attendance at this Seasonal Camp at Art 4 Children Inc. I agree to accept the financial responsibilities for any cost thus incurred in the treatment of any illness, accident or injury of the above named minor. I hereby give permission to Art 4 Children to use a picture or pictures of my child for promotional, publicity, and news purposes related to the operating of the said camp/school.

    I hereby authorize and give permission to Art4Children to release into the custody of only parent and any additional names I have listed below (redundant info you already told us above - this ensures we have this information correct):
    This information can be updated by parent/guardian anytime before or during camp with a written note or phone call.

    I understand and agree that by signing this waiver form, I am freeing Art 4 Children Inc, Discovery Elementary it's PTO, it's officers, consultants, instructors or other agents from any liability resulting from my child's participation all camp activities for these 2009 camps. I understand that if my child is injured this waiver will be used against me and anyone else claiming damages because of my child's injury or any other incident in any legal action. I also accept all responsibility for my child after camp is over. By signing this form, I have also read and understand that my 50% deposit is non-refundable and there are NO REFUNDS after payment has been sent. If I wish to change my child's class choices after registration, there is a $10 fee per class change or program changes or week switches. I also understand that I will be billed $5 per hour or $2 per 15 minutes for Extended Camp (starting at 2:30pm) or Early Drop (dropping off prior to 9:10). I certify that I have personally read and understand this waiver and release.
    Signature:
    Date:
    Art 4 Children Inc Program Policies:
    • Drop off is between 9:15-9:25. Pick up is prompt by 2:30.
    • Early Drop is from 8:00-9:14. Extended camp is from 220-3pm.
    • You will be billed $2 per 15 minutes or $5 per hour for Early Drop or Extended Camp. This bill must be paid with cash or check at the end of your weekly program. If we have to mail the bill, we charge a $5 S&H fee.
    • Your 50% deposit is non-refundable and there are NO REFUNDS after payment has been sent.
    • If your child falls in and has to miss several days or the entire week, we offer no make-ups or refunds.
    • Campers need to dress comfortable in older clothing. We are not responsible for soiled clothing, as we do get messy with some projects.
    • Children should pack a healthy lunch + Water - NO CANDY.
    • If your child has a special need, please take the time to inform us so we can inform our staff and better serve the needs of your child.
    • These policies as well as additional policies will require your initial & signature at the time of registration.
    I understand the above Art 4 Children Inc Program Policies.
    I give Art 4 Children Inc permission for photographs of my child to be used on this web site or for other promotional material.

    Form Submission: After hitting "Send" - you should see a confirmation page showing the information you have sent us.