Summer Camp Registration : Christian Life Center Worldwide

CLC Worldwide Enrichment Summer Camp Registration.

The Enrichment Summer Camp is 9-week performance arts program featuring dance, drama, outdoor sports, tutoring and stem activities. Camp hours are 8am-3pm, with early arrival available 6:30am-8am, and after care 3pm-6pm. The $105 weekly fee covers all hours 6:30-6pm, breakfast, lunch and a snack. Camp and orientation will be held at 6337 HWY 42, Rex, GA 30273.

Non-refundable† registration is $45 per child. A registration discount is listed for additional children residing at the same address with the same legal guardian(s). It is our mission to enrich the summer experience for each camper by providing a loving, safe and fun atmosphere.

Orientation: 7pm May 28, 2020

Camp begins: June 1, 2020 and ends July 31, 2020

† Enrichment Summer Camp is not governed by federal school system guidelines and is not staffed with special needs certified teachers. We operate as an exempt sight for Bright for the start. Special needs registrants require an in-person parental conference and a parental involvement plan. Registration fees and discounts will be refunded for registrants who cannot be accommodated as a result.

*Upon completion of your application, please look for an email confirming your acceptance into the program.*

Summer Camp Application

Child's Name*
First Last
Age*
Date of Birth*
Date Format: MM slash DD slash YYYY
Sex*
- Male
- Female
Address*
Street Address Address Line 2 City State ZIP Code
Phone
T Shirt Size*
Current School of Child*
Grade entering in Fall 2020-2021*
Please check if your child is receiving special services
*Hold CTRL to select multiple* *Special Disclosure: This camp is not under the federal school system guidelines therefore we are not staffed with special needs certified teachers Special needs students requiring certain assistance will require a one on one parental conference. *
List any food allergies
Guardian 1
First Last
Employer
Work Phone
Cell Phone
Email
Guardian 2
First Last
Employer
Work Phone
Cell Phone
Email
With whom does the child reside*
- Guardian 1
- Guardian 2
- Both Parents
Emergency Care Information
Name of child's doctor*
Phone*
Emergency Contact Information
Name*
First Last
Relationship
Phone
Name
First Last
Relationship
Phone
People to whom the child may be released to (other than Guardian)
Name
First Last
Relationship
Phone
Name
First Last
Relationship
Phone
In signing this application, we agree to the following*
We (parent/guardian) give our child permission to participate in all Christian Life Center Worldwide’s Performing Arts/Enrichment Summer Program activities. This also assumes voluntary participation in events by the child that includes sports, field trips and all recreational activities. We agree to pay the fee for our child’s care Monday or the first day in attendance for the week. There is a $15.00 late fee for payments not made on time. The weekly fee is $105 per child. We also assume payment for any special activities or field trips. You will be informed prior to the activity. In conclusion, we understand that attendance at CLCWW Performing Arts/Enrichment Summer Program is a privilege and not a right. This privilege may be forfeited by any student who does not conform to the standards and regulations at the school or camp. The camp may dismiss any student at any time. As a parent/guardian, I understand I am 100% responsible for any and all medical expenses incurred on behalf of my child, including, but not to limited to: hospital, emergency room, ambulance, x-ray, co-pay, or prescription fees, etc. I understand that in the event a child needs medical attention, they will be transported to the nearest hospital. CLCWW shall not be held liable for any injuries sustained by my child while in the care of CLCWW. I hereby waive any right I may have to sue CLCWW in the future for any injuries sustained by my child while in the care of CLCWW.
Parent Signature (Input name)
Registration Fee (Non Refundable)
Registration fee is $45 for the first child, $40 for the second, and $35 for the third. Weekly tuition is $105.
Registration fee agreement*
Upon clicking submit, you will be redirected to pay your registration fee. Registration fees must be included with the application for it to be considered.
Contact Information
Email: summercamp@clcww.org Phone: 770-968-0988 Fax: 770-961-7034 Address: 6337 HWY 42, REX, GA 30273

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