Pink Mouse House
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Camp S.T.E.M. Registration Form
Welcome to Camp S.T.E.M.
Please use this form to register your child for Camp S.T.E.M. We need complete and accurate information about the student, so make sure you fill out all fields. Registration Forms are processed within 3 business days. You will receive an email confirmation when we process your registration form.
Parent/Guardian Info
*
Indicates required field
Name of Parent/Guardian
*
First
Last
Email
*
Contact Phone Number
*
Secondary Contact Name
*
First
Last
Secondary Contact Phone Number
*
Does Secondary Contact Have Permission to Pick up Camper(s)?
*
Yes
No
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Camper Details
Name of Camper
*
First
Last
Grade Camper will be Entering in September 2019
*
Is there any medical information related to this camper that you would like us to be aware of?
*
yes
no
Second Camper? Add their Name Here
*
First
Last
Leave blank if only one camper.
Grade Camper will be Entering in September 2019
*
Is there any medical information related to this camper that you would like us to be aware of?
*
yes
no
Comments/Questions or Medical Information that we should be aware of.
*
Terms of Service
*
I agree to the terms of service
By clicking the Submit button, I agree to the terms of service. ELIGIBILITY: Students entering Grades 1-8 are invited to participate. Child is not required to attend Folsom School. Inquire about siblings outside of grades 1-8. LOCATION: Folsom Elementary School, entrance marked “Sports Entrance” at the front of the building next to the band room. DATES: Camp is offered Monday-Thursday. Individual days are not available. SESSION 1: (14 days) June 19, 20, 21, 24, 25, 26, 27 and July 1,2, 3, 8, 9, 10, 11. CAMP HOURS: 9 am to 3 pm. Breaks for lunch and recess will be provided. Early Drop-off and late pick up is available 8am-9am and 3pm to 4pm for $7 per hour per child. Late pick up: a $15 fee will be required for each 15 minutes if picked-up after registered time. REGISTRATION: Space is limited. Registrations are accepted on a first come, first served basis. You will receive an email confirmation with parent info and camper health/in case of emergency forms within three (3) business days of receipt of your reservation and deposit. Forms are also available online at: PinkMouseHouse.com. Program will be cancelled and a full refund provided, if enrollment minimums are not met. FEES: Session 1: $588. 5% sibling discount. Discount may not be combined with other offers. Fee includes all materials and supplies. DEPOSIT: A non-refundable deposit of $125 is due for each camper at time of registration. This includes a $25 non-refundable registration fee. $100 will be applied to your balance which is due by May 30, 2018. If payment is not received in full by this date your spot will not be held. Checks should be payable to Folsom School and can be returned with student or mailed to Folsom School Attention: STEM Camp, 1357 Mays Landing Road, Folsom, NJ 08037. LUNCH: Campers should bring a bag lunch and beverage. An afternoon snack is also recommended. Food-service will not be available.
Electronic Signature: Please type your name in this box as your electronic signature.
*
By entering your name you are officially registering your camper (s).
To complete your registration, please send your $100 deposit and $25 non-refundable registration fee to Folsom School, Camp S.T.E.M. Camp, 1357 Mays Landing Road, Folsom, NJ 08037.
Send Registration Form
Home
Graphic Design
Photoshop
>
Photoshop 1
Photoshop 2
Pixlr
Canva
Illustrator
Extra Special
Back to School 2020
Art
Computer Science
Library
Music
Physical Education
Spanish
Camp STEM
Registration