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Summer Camp Details

For Enrichment Course Booklet, click on this link.
For EPA Summer Camp Info Sheet, click on this link.

Dates:
June 3-7
June 10-14
June 17-21

Ages: Sessions for 2 age groups:
  • Rising 3rd-6th graders
  • Rising 7th-12th graders

Payment for summer camp is due in full by June 1st.
  • Non-EPA students are invited to attend our summer camp program. Payments can be made directly to EPA by check.
  • Current EPA families will be billed through TADS. Payment can be made electronically through TADS or directly to EPA by check.

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* 1. Parent: First & Last Name

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* 2. Student: First & Last Name

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* 3. Student Age:

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* 4. Please list the grade that your child will have just completed in the 2023-2024 school year:

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* 5. Camp Week 1: June 3-7
Please mark the enrollment option for which you are registering your child:

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* 6. Camp Week 2: June 10-14
Please mark the enrollment option for which you are registering your child:

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* 7. Week 3: June 17-21
Please mark the enrollment option for which you are registering your child:

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* 8. Payment for camp in full is due June 1, 2024. Please mark 1 box.

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* 9. Is your child a student at EPA (either current student or an application has already been submitted for 2024-2025 school year)?

If you answered yes to question #7,
you may skip the remainder of the registration.

Thank you for enrolling in EPA's SUMMER CAMP 2024!

* If you have a comment or question, please submit it in the space provided at the end of this registration form (question 20).
The following questions are for students who are not currently
EPA students.

We are thrilled to have your child join us for
EPA's 2024 SUMMER CAMP!
We just need a little more information about your child.

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* 10. Family Contact Information:

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* 11. Please provide an additional alternative emergency name, relationship, & phone number.

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* 12. Child's birth date:

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* 13. Please list people who are authorized to pick up your child from camp with Full Name, Relationship, & Phone. (For your child's safety, all authorized persons will be asked for photo identification.)

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* 14. Please list anyone who is NOT authorized to pick up your child. (This is referring to child custody cases or situations with heightened concern that staff needs to be aware of.)

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* 15. Does your child have any medical conditions or concerns?

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* 16. Please list any allergies your child has and note any treatment/medication EPA will be provided with such as inhaler, Epi pen, etc. (An additional form will be provided for medication.)

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* 17. Please list any medication your child takes regularly.

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* 18. Pediatrician's Name & Contact Information:

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* 19. Photo Release: I hereby consent to the use of your child in photographs/videos for publicity, promotional, and/or educational purposes. I do this with full knowledge and consent and waive all claims for compensation for use, or for damages.

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* 20. Has your child had a physical exam within the last 12 months? (Please submit Health Physical Exam Form DH Form 3040.)

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* 21. Is your child up to date with all required immunizations?  (Please provide a copy of DH 680 Form or DH 681 Form)

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* 22. Please provide any questions or comments that you'd like to share with our North/Estero Campus Director of Curriculum & Instruction, Amanda Davison, in the comment box.

THANK YOU for registering your child for EPA's Summer Camp 2024 at our North/Estero Campus!
We look forward to providing your child with an enriching summer camp experience filled with exciting activities that will foster learning, creativity, and unforgettable memories!
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