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Summer Camp
Camp Exploration Additional Weeks
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Required
This is the form for registering your child for our Summer Camp Program. You only need to fill this form in once, but you do need to fill in a separate form for each child you register for camp.Camp costs $100 a day or $440 for the week. The Extended Day Package costs $25 per day or $100 for the week, and provides childcare from 7:30 - 9:00 and 4:00 - 5:30. Non-CHA families can pay via credit card at the bottom of this form. Please keep your email confirmation in case you need to edit this form. If you have any questions, please email camp@chestnuthillacademy.com or call 425-372-2800.
Child's Name
*
required
Parent/Guardian Name
*
required
First Name
Last Name
Email Address
*
required
Cell Phone
*
required
Parent/Guardian Signature
*
required
Date
*
required
Must contain a date in M/D/YYYY format
Registration options
*
required
Weekly
Daily
Daily and Weekly
Choose the type of camp you want to sign up for - Weekly, Daily, or a combination of Weekly & Daily
Weekly Registration
Please select up to 8 choices
Week 1- Color Me Crazy 6/24-6/28 ($440.00)
Week 2 - Holiday Extravaganza 7/1-7/5 ($440.00)
Week 3 - Foam FUNdamentals 7/8-7/12 ($440.00)
Week 4 - Dragons VS Dinos 7/15-7/19 ($440.00)
Week 5 - Express Your Emoji 7/22-7/26 -Kindergarten Welcome Week ($440.00)
Week 6 - Splish Splash 7/28-8/2 ($440.00)
Week 7 -Clue Finders 8/5-8/9 ($440.00)
Week 8 - Music Fest 8/12-8/16 ($440.00)
Please select up to 8 choices
Weekly - Extended Day Registration
Please select up to 8 choices
Week 1- Extended Day Package 6/24-6/28 ($100.00)
Week 2 - Extended Day Package 7/1-7/5 ($100.00)
Week 3 - Extended Day Package 7/8-7/12 ($100.00)
Week 4 - Extended Day Package 7/15-7/19 ($100.00)
Week 5 - Extended Day Package 7/22-7/26 - Kindergarten Welcome Week ($100.00)
Week 6 - Extended Day Package 7/28-8/2 ($100.00)
Week 7 - Extended Day Package 8/5-8/9 ($100.00)
Week 8 - Extended Day Package 8/12-8/16 ($100.00)
Please select up to 8 choices
Daily Registration
Please select up to 39 choices
June 24th ($100.00)
June 25th ($100.00)
June 26th ($100.00)
June 27th ($100.00)
June 28th ($100.00)
July 1st ($100.00)
July 2nd ($100.00)
July 3rd ($100.00)
July 5th ($100.00)
July 8th ($100.00)
July 9th ($100.00)
July 10th ($100.00)
July 11th ($100.00)
July 12th ($100.00)
July 15th ($100.00)
July 16th ($25.00)
July 17th ($100.00)
July 18th ($100.00)
July 19th ($100.00)
July 22nd ($100.00)
July 23rd ($100.00)
July 24th ($100.00)
July 25th ($100.00)
July 26th ($100.00)
July 29th ($100.00)
July 30th ($100.00)
July 31st ($100.00)
August 1st ($100.00)
August 2nd ($100.00)
August 5th ($100.00)
August 6th ($100.00)
August 7th ($100.00)
August 8th ($100.00)
August 9th ($100.00)
August 12th ($100.00)
August 13th ($100.00)
August 14th ($100.00)
August 15th ($100.00)
August 16th ($100.00)
Please select up to 39 choices
Daily - Extended Day Registration
Please select up to 39 choices
June 24th- Extended Day ($25.00)
June 25th- Extended Day ($25.00)
June 26th- Extended Day ($25.00)
June 27th- Extended Day ($25.00)
June 28th- Extended Day ($25.00)
July 1st- Extended Day ($25.00)
July 2nd- Extended Day ($25.00)
July 3rd- Extended Day ($25.00)
July 5th- Extended Day ($25.00)
July 8th- Extended Day ($25.00)
July 9th- Extended Day ($25.00)
July 10th- Extended Day ($25.00)
July 11th- Extended Day ($25.00)
July 12th- Extended Day ($25.00)
July 15th- Extended Day ($25.00)
July 16th- Extended Day ($25.00)
July 17th- Extended Day ($25.00)
July 18th- Extended Day ($25.00)
July 19th- Extended Day ($25.00)
July 22nd- Extended Day ($25.00)
July 23rd- Extended Day ($25.00)
July 24th- Extended Day ($25.00)
July 25th- Extended Day ($25.00)
July 26th- Extended Day ($25.00)
July 29th- Extended Day ($25.00)
July 30th- Extended Day ($25.00)
July 31st- Extended Day ($25.00)
August 1st- Extended Day ($25.00)
August 2nd- Extended Day ($25.00)
August 5th- Extended Day ($25.00)
August 6th- Extended Day ($25.00)
August 7th- Extended Day ($25.00)
August 8th- Extended Day ($25.00)
August 9th- Extended Day ($25.00)
August 12th- Extended Day ($25.00)
August 13th- Extended Day ($25.00)
August 14th- Extended Day ($25.00)
August 15th- Extended Day ($25.00)
August 16th- Extended Day ($25.00)
Please select up to 39 choices
Payment Information
Please select a payment type
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No Payment Required
Credit Card
Parent is using School's Out! benefit or will pay via ACH
Billing Address
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