1 / June 25 – June 29 / Jungle Animals – ‘Rumble in the Jungle’ / Yes No
Half-day/full-day
2 / July 2 – July 6
(No camp on July 4th, $280 full-day, $160 half-day for this week) / 4th of July –
‘America the Beautiful’ / Yes No
Half-day/full-day
3 / July 9 – July 13 / Art –
‘Creation Station’ / Yes No
Half-day/full-day
4 / July 16 – July 20 / Outer Space –
‘Reach for the Stars’ / Yes No
Half-day/full-day
5 / July 23 – July 27 / Ocean Science –
‘Under the Sea’ / Yes No
Half-day/full-day
6 / July 30 – Aug. 3 / Nature –
‘Going on a Bear Hunt’ / Yes No
Half-day/full-day
7 / Aug. 6 – Aug. 10 / Zoo –
‘If I Ran the Zoo’ / Yes No
Half-day/full-day
8 / August 13 – Aug 17 / Dinosaurs –
‘Prehistoric Party’ / Yes No
Half-day/full-day
9 / August 20- Aug. 24 / Summer –
‘Fun in the Sun’ / Yes No
Half-day/full-day
2018REGISTRATION
REGISTRATION FORMS TO BE RETURNED BY 04/30/18
Camper Information:
Camper’s Name ______Likes to be called ______
Gender M F Birthday ___/___/___
Age this summer ___ Grade in Fall 2018______
School: Christ the King ______/ Parish: Same ______
T-shirt size (request) Child XS Child S Child M Child L
If you would like more than one t-shirt, you can purchase the t-shirts for $10.00/shirt.
Primary Parent/Guardian
Name ______Relationship to camper ______
Address ______City ______State ____ Zip ______
Cell/Primary (____)_____-______Email ______
Secondary Parent/Guardian
Name ______Relationship to camper ______
Address ______City ______State ____ Zip ______
Cell/Primary (____)_____-______Email ______
Emergency Contact (if parents cannot be reached)
#1: Name ______Relationship to camper ______
Cell (____)_____-______Work /Home (____)_____-______Email______
#2: Name ______Relationship to camper ______Cell (____)_____-______Work /Home (____)_____-______Email______
Basic Health Information (feel free to use an additional paper if necessary)
ADD/ADHD Asthma Epilepsy/Seizures Vegetarian Food Allergies Other
Explain ______
______
Authorized Signature (required for registration)
To the parent/guardian: Your signature indicates approval of the following.
My child has permission to take part in the activities of Christ the King Day Camp. In emergencies he/she may be treated by a doctor. Should medical attention be required for my child, other than provided by camp coverage, I will pay the expenses incurred. A complete health history will accompany my child to camp. I consent for Christ the King to use photographs and/or video taken of my child, whose name appears in this registration, for camp/school/parish promotional purposes.
Parent/guardian signature ______Date______
Camp Daily Schedule
8:00am: Check-in
12:30pm: Half-day Lil’ Panthers Camp Dismissal
12:30pm: Lil’ Panther Camp Extension begins
5:30pm: Lil’ Panthers Camp Extension Pick-up
Students will bring a lunch from home, but snack will be provided by Lil’ Panthers Summer Camp.
Payment Information
The rate is $350 perfull-day session and $200 per half-day session. This includes a Christ the King Day Camp t-shirt, daily activities,and a snack.
Early Bird Registration
Christ the King families that register by February 1st will get the early-bird rate which is $325 per full-day session and $175 per half-day session
A $50 deposit is required for each session and is due with registration. The deadline to register is April 30, 2018. The remainder of your payment is due two weeks before the session begins. Please make checks out to Christ the King Catholic School.
Number of sessions being registered for [______] x $50 = Deposit Due $______
Extra t-shirt order ______x $10 = ______
If you have any questions please email:
For office use only
Date Registration Received: ______