Little Folks Summer Camp 2022 Application

Child's Name *

Sex

Male

Female

Child's Birthdate *

Address *

City *

State *

Zip Code *

Phone *

Parent Name *

Email *

Work Phone

Cell Phone

Parent Name

Work Phone

Cell Phone

IN CASE OF EMERGENCY

Please provide 2 contacts who are authorized to pick up your child, one should live in the Georgetown area.

Name

Home Phone

Work Phone

Cell Phone

Relationship

Name

Home Phone

Work Phone

Cell Phone

Relationship

Allergies or other health factors we should be aware of *

Does your child participate in support services or require additional accommodations? *

Please select the session(s) you are applying for: *

FULL SUMMER - FULL DAY (June 6 - July 29) - $4,525

Session 1: The Great Outdoors FULL DAY (June 6 - June 17) - $1250

Session 1: The Great Outdoors MORNING ONLY (June 6 - June 17) - $875

Session 2: Journey to Space FULL DAY (June 20 - July 1) - $1250

Session 2: Journey to Space MORNING ONLY (June 20 - July 1) - $875

Session 3: Salute to Summer FULL DAY (July 6 - July 15) - $1000

Session 3: Salute to Summer MORNING ONLY (July 6 - July 15) - $700

Session 4: Showtime! FULL DAY (July 18 - July 29) - $1250

Session 4: Showtime! MORNING ONLY (July 18 - July 29) - $875

Please select a summer camp program: *

Tiny Folks Toddler Camp (for children ages 1.5 years to 2.5 years)

Little Folks Signature Summer Camp (for children ages 2.5 years to 5 years)

Outdoor Adventure Camp FULL DAY ONLY (for children ages 3.5 years to 7 years)**

**Enrollment in outdoor camp is at the discretion of the LFS administration team. Campers will need to be able to walk up to two miles during the day (including hiking and walk back to LFS in afternoon) and will be responsible for carrying their own backpack back to Little Folks. Campers will need to be FULLY toilet trained.

Application Fee & Deposit* $500

Tuition and application fees are not refundable. There are no refunds for absences.
*To be applied towards tuition

Tuition must be paid in full by May 6, 2022

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