Camp Choices* June 8-12 Art Explorers Workshop (K-8) (+$600.00) June 8-12 Amazing Athletes (K-8) (+$500.00) June 8-12 Young Adventurers (ES P/TK- Ages 3-4) (+$500.00) 1/2 day June 8-12 Young Adventurers (ES P/TK-Ages 3-4) (+$250.00) June 8-12 Traditional Camp (K-7) (+$525.00) 1/2 Day June 8-12 Traditional Camp (K-7) (+$275.00) June 8-12 Junior Counselor (rising or graduated grade 8) (+$300.00) June 15-18 Rhythm & Beats Music (K-8) (+$500.00) June 15-18 Kidokinetics (K-8) (+$400.00) June 15-18 Young Adventurers (ES P/TK- Ages 3-4) (+$400.00) 1/2 day June 15-18 Young Adventurers (ES P/TK- Ages 3-4) (+$200.00) June 15-18 Traditional Camp (K-7) (+$420.00) 1/2 Day June 15-18 Traditional Camp (K-7) (+$225.00) June 15-18 Junior Counselor (rising or graduated grade 8) (+$300.00) June 22-27 Broadway Bound Juniors (K-8) (+$525.00) June 22-26 Young Adventurers (ES P/TK- Ages 3-4) (+$525.00) 1/2 day June 22-26 Young Adventurers (ES P/TK- Ages 3-4) (+$250.00) June 22-26 Traditional Camp (K-7) (+$500.00) 1/2 Day June 22-26 Traditional Camp (K-7) (+$250.00) June 22-26 Junior Counselor (rising or graduated grade 8) (+$300.00) July 6-10 GameMakers Coding Camp (2-8) (+$550.00) July 6-10 Basketball Camp (K-8) (+$500.00) July 6-10 Young Adventurers (ES P/TK- Ages 3-4) (+$500.00) 1/2 day July 6-10 Young Adventurers (ES P/TK) (+$250.00) July 6-10 Traditional Camp (K-7) (+$500.00) 1/2 Day July 6-10 Traditional Camp (K-7) (+$250.00) July 6-10 Junior Counselor (rising or graduated grade 8) (+$300.00) July 13-17 Kidokinetics (K-8) (+$500.00) July 13-17 Young Adventurers (ES P/TK- Ages 3-4) (+$500.00) 1/2 day July 13-17 Young Adventurers (ES P/TK- Ages 3-4) (+$250.00) July 13-17 Traditional Camp (K-7) (+$500.00) 1/2 Day July 13-17 Traditional Camp (K-7) (+$250.00) July 13-17 Junior Counselor (rising or graduated grade 8) (+$300.00) July 20-24 Quantum Creators Camp (2-6) (+$550.00) July 20-24 Volleyball Camp (K-8) (+$500.00) July 20-24 Young Adventurers (ES P/TK- Ages 3-4) (+$500.00) 1/2 day July 20-24 Young Adventurers (ES P/TK- Ages 3-4) (+$250.00) July 20-24 Traditional Camp (K-7) (+$500.00) 1/2 Day July 20-24 Traditional Camp (K-7) (+$250.00) July 20-24 Junior Counselor (rising or graduated grade 8) (+$300.00) July 27-31 Junior Gourmet Cooking Lab (K-8) (+$600.00) July 27-31 Young Adventurers (ES P/TK- Ages 3-4) (+$500.00) 1/2 day July 27-31 Young Adventurers (ES P/TK- Ages 3-4) (+$250.00) July 27-31 Traditional Camp (K-7) (+$500.00) 1/2 Day July 27-31 Traditional Camp (K-7) (+$250.00) July 27-31 Junior Counselor (rising or graduated grade 8) (+$300.00) Add-Ons Only Please choose all your camps from the list
If signing up for half-day, would you like AM or PM? AM PM
Add-On Extended Day Before & After Care Options *Add-On Before Care ONLY, Week 1 (+$60.00) *Add-On After Care ONLY, Week 1 (+$60.00) *Add-On BOTH Before & After Care, Week 1 (+$110.00) *Add-On Before Care ONLY, Week 2 (+$55.00) *Add-On After Care ONLY, Week 2 (+$55.00) *Add-On BOTH Before & After Care, Week 2 (+$100.00) *Add-On Before Care ONLY, Week 3 (+$60.00) *Add-On After Care ONLY, Week 3 (+$60.00) *Add-On BOTH Before & After Care, Week 3 (+$110.00) *Add-On Before Care ONLY, Week 4 (+$60.00) *Add-On After Care ONLY, Week 4 (+$60.00) *Add-On BOTH Before & After Care, Week 4 (+$110.00) *Add-On Before Care ONLY, Week 5 (+$60.00) *Add-On After Care ONLY, Week 5 (+$60.00) *Add-On BOTH Before & After Care, Week 5 (+$110.00) *Add-On Before Care ONLY, Week 6 (+$60.00) *Add-On After Care ONLY, Week 6 (+$60.00) *Add-On BOTH Before & After Care, Week 6 (+$110.00) *Add-On Before Care ONLY, Week 7 (+$60.00) *Add-On After Care ONLY, Week 7 (+$60.00) *Add-On BOTH Before & After Care, Week 7 (+$110.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 6 (+$60.00) Choose each week if you need Before Care (8:00 a.m.–9:00 a.m.) After Care (4:00 p.m.–5:00 p.m.) or both.
Add-On Midsummer Tutoring Options *Add-On Tutoring Session 1 ONLY (Grades K-2), Week 1 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades K-2), Week 1 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades K-2), Week 1 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades K-2), Week 1 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 1 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades 3-5), Week 1 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades 3-5), Week 1 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades 3-5), Week 1 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades K-2), Week 2 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades K-2), Week 2 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades K-2), Week 2 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades K-2), Week 2 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 2 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades 3-5), Week 2 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades 3-5), Week 2 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades 3-5), Week 2 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades K-2), Week 3 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades K-2), Week 3 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades K-2), Week 3 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades K-2), Week 3 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 3 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades 3-5), Week 3 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades 3-5), Week 3 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades 3-5), Week 3 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades K-2), Week 4 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades K-2), Week 4 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades K-2), Week 4 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades K-2), Week 4 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 4 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades 3-5), Week 4 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades 3-5), Week 4 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades 3-5), Week 4 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades K-2), Week 5 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades K-2), Week 5 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades K-2), Week 5 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades K-2), Week 5 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 5 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades 3-5), Week 5 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades 3-5), Week 5 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades 3-5), Week 5 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades K-2), Week 6 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades K-2), Week 6 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades K-2), Week 6 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades K-2), Week 6 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 6 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades 3-5), Week 6 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades 3-5), Week 6 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades 3-5), Week 6 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades K-2), Week 7 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades K-2), Week 7 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades K-2), Week 7 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades K-2), Week 7 (+$150.00) *Add-On Tutoring Session 1 ONLY (Grades 3-5), Week 7 (+$60.00) *Add-On Tutoring Session 2 ONLY (Grades 3-5), Week 7 (+$60.00) *Add-On Tutoring Session 3 ONLY (Grades 3-5), Week 7 (+$60.00) *Add-On Tutoring ALL THREE SESSIONS (Grades 3-5), Week 7 (+$150.00) Choose which tutoring sessions you would like to add for each week.
Child's Full Name*
Parent/Guardian(s) Full Name(s)*
Parent/Guardian Conatct Phone #1*
Parent/Guardian Conatct Phone #2*
Parent/Guardian Email*
Additional Email (optional)
Street Address*
City*
State* --Select-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code*
Child's Age*
Child's Gender* Male Female
Rising Grade* --Select-- P (Age 3) TK (Age 4) MK/K (Age 5) 1 2 3 4 5 6 7 8 Students are expected to be independent in toileting by the time they reach the Primary level, including: initiative, dressing/undressing, while sleeping, and cleaning oneself following a BM. In the Primary cycle, no pull-ups or diapers of any sort are permitted at any time of the day. It is especially critical for Primary students to be toilet-independent for sanitary and supervision purposes. It is understood that accidents will occur from time to time, and we ask that the student have an adequate supply of extra clothing at all times.
T-shirt Size* --Select-- 3T 4T YS YM YL YXL S M L XL XXL
Does your child currently attend Charlotte Prep?* Yes No
If not, what school does your child attend?
Emergency Contact First and Last Name*
Emergency Contact Phone Number*
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Emergency Contact Email Address*
Emergency Contact - Relation to child*
Please list any other people authorized to pick up your child*
Please list any medical conditions, including any required daily medication*
Is your child allergic to any type of food or medication?* Yes No
If yes, please explain: