The Kid’s Korner Preschool

Early Summer Camp Program Registration

June 11th to June 22rd

Child’s Name and Date of Birth (age as of 6/29/18) and gender

______

Parent’s name______

Home address______

Home Telephone #______

Cell #______

Email address______

Please list any allergies, medical or developmental conditions______

Emergency contact______

Emergency cell#______

Doctor’s name ______

Doctor’s phone ______

Days your child will attend – (Please circle) M T W TH F

Hours- (Please circle schedule preferred)

  • 9:00am -12pm
  • 9:00am-5:00pm

Class Groups – 2 and 3 year olds

4 and 5 year olds

Theme Week 1 (6/11-6/15) - Ocean Life

Theme Week 2 (6/18-6/22) - Summer Fun

*Afternoon classes are a mixed age group

Tuition – 9:00-5:00

5 days $1,830.00

4 days $1,730.00

3 days $1,630.00

Tuition – 9:00-12:00

5 days $1,265.00

4 days $1,100.00

3 days $1,065.00

Deposit - $200 deposit per child due on March 4th 2018

Tuition

Tuition must be paid by April 6th 2018. After April 6th the reserved place will be relinquished and the deposit forfeited. Tuition must be made in full in order for the child to start camp.

Refund Policy – There are No Refunds for the Kid’s Korner early summer camp

Meals: Meals are to be provided by parents. All food must have ice packs to keep food cold. We do not have sufficient room for lunch boxes in the refrigerator.

Clothing: Campers should bring a swimsuit, towel, water shoes and sunscreen. All clothing and personal items should be labeled with the child’s name. New children will be given a Kid’s Korner t-shirt.

Health Forms: Health forms must be sent to us by June 1st by email or fax. The Child and Adolescent Health Examination Form (CH205Health) can also be found on the nycdoh.gov web site or we will email it to you upon request.

Licensed by the New York City Department of Health and NAEYC accredited

  1. The Kid’s Korner reserves the right to cancel this contract if the camp director feels the child is not benefiting from the program or is disruptive to others.
  2. Permission is hereby granted for photographs to be taken of my child during camp activities. Photographs will be displayed at the camp for the benefit of the parents.
  3. I understand that:
  4. The camp deposit is not refundable
  5. Camp tuition is payable in full by April 6th.
  6. No refunds will be made for absences
  7. Tuition is non-refundable.

Signature of Parent or Guardian______

Full tuition enclosed_____+$25.00 processing fee

Amount total______

Deposit Only enclosed_____ + $25.00 processing fee

Amount total______

The Kid’s Korner Preschool 247 West 24th Street NYC NY 10011

(Phone) 212-229-9340 (Email)