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Summer Camp

- School
Contact Us
- Stacey Schaffer
  
  Pre-K 4 Teacher
  
  Stacey.Schafferstambroselatham.com
camp policies & Procedures
- General
- Late Pick-Up

Pre-School to 1st Grade Program

Thank you for choosing St. Ambrose Catholic School Summer Camp for your child. Our Summer Camp runs from June 28 - August 20 (8 weeks). We welcome children in grades Pre K 3 to Grade 1. All children must be FULLY potty-trained in order to be registered for camp.

Our rates are as follows:

Weekly Options	Weekly Rate	Discounted Weekly Rate for students registered at St. Ambrose School for the 2021-2022 School Year
Full Day (8am-4pm)	$250/week	$210/week
Half Day (8am-12pm)	$125/week	$105/week

You may register for 1-8 weeks. To register you must:

-Complete the form below
-Submit a non-refundable deposit (equal to one week of camp) to hold your child's place. The deposit is will be applied to your last week of camp.
-Submit a copy of your child's immunization records (if not a current St. Ambrose School student).

Ms. Schaffer, our Summer Camp Director, will reach out to you with any additional items that are needed.

Thank you!

2021 Summer Camp Registration
The maximum number of form submissions has been reached. This form is currently not available.
- Parent's First Name REQUIRED Please fill out this field. Please enter valid data.
- Parent's Last Name REQUIRED Please fill out this field. Please enter valid data.
- Parent's Home Phone Number Please enter a phone number.
- Parent's Cell Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Parent's Work Phone Number (if applicable) Please enter a phone number.
- Parent's Email REQUIRED Please fill out this field. Please enter an email address.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Other Guardian's Name Please enter valid data.
- Other Guardian Home Phone Number Please enter a phone number.
- Other Guardian Cell Phone Number Please enter a phone number.
- Other Guardian Work Phone Number Please enter a phone number.
- Other Guardian Email Please enter an email address.
- Emergency Contact 1 Name REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact 1 Relationship to Student REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact 1 Cell Phone Number REQUIRED Please fill out this field. Please enter valid data.
- Emergency Contact 1 Work Phone Number Please enter valid data.
- Emergency Contact 1 Email Please enter an email address.
- Emergency Contact 2 Name Please enter valid data.
- Emergency Contact 2 Relationship to Student Please enter valid data.
- Emergency Contact 2 Cell Phone Number Please enter valid data.
- Emergency Contact 2 Work Phone Number Please enter valid data.
- Emergency Contact 2 Email Please enter an email address.
- Please complete the information below for all children below.
- Children REQUIRED Please fill out this field.
  
  Child 1
  
  Child First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child Last Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Physician Name and Phone Number REQUIRED Please fill out this field.
  
  Please list student's allergies and/or any health concerns:
  
  Enrollment Choices REQUIRED 250.0 – Full Day Weekly Rate 8 AM to 4 PM 125.0 – Half Day Weekly Rate 8 AM to 12 PM 210.0 – Full Day Weekly Rate 8 AM to 4 PM (St. Ambrose Family for the 2021-2022 School Year) 105.0 – Half Day Weekly Rate 8 AM to 12 PM (St. Ambrose Family for the 2021-2022 School Year) Please fill out this field.
  
  Weeks of attendance - Please check all the weeks your child will attend. REQUIRED ALL - my child will attend each week of Summer Camp Week One June 28 to July 2 Week Two July 5 to July 9 Week Three July 12 to July 16 Week Four July 19 to July 23 Week Five July 26 to July 30 Week Six August 2 to August 6 Week Seven August 9 to August 13 Week Eight August 16 to August 20 Please fill out this field.
  
  Child 2
  
  Child First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child Last Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Physician Name and Phone Number REQUIRED Please fill out this field.
  
  Please list student's allergies and/or any health concerns:
  
  Enrollment Choices REQUIRED 250.0 – Full Day Weekly Rate 8 AM to 4 PM 125.0 – Half Day Weekly Rate 8 AM to 12 PM 210.0 – Full Day Weekly Rate 8 AM to 4 PM (St. Ambrose Family for the 2021-2022 School Year) 105.0 – Half Day Weekly Rate 8 AM to 12 PM (St. Ambrose Family for the 2021-2022 School Year) Please fill out this field.
  
  Weeks of attendance - Please check all the weeks your child will attend. REQUIRED ALL - my child will attend each week of Summer Camp Week One June 28 to July 2 Week Two July 5 to July 9 Week Three July 12 to July 16 Week Four July 19 to July 23 Week Five July 26 to July 30 Week Six August 2 to August 6 Week Seven August 9 to August 13 Week Eight August 16 to August 20 Please fill out this field.
  
  Child 3
  
  Child First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child Last Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Physician Name and Phone Number REQUIRED Please fill out this field.
  
  Please list student's allergies and/or any health concerns:
  
  Enrollment Choices REQUIRED 250.0 – Full Day Weekly Rate 8 AM to 4 PM 125.0 – Half Day Weekly Rate 8 AM to 12 PM 210.0 – Full Day Weekly Rate 8 AM to 4 PM (St. Ambrose Family for the 2021-2022 School Year) 105.0 – Half Day Weekly Rate 8 AM to 12 PM (St. Ambrose Family for the 2021-2022 School Year) Please fill out this field.
  
  Weeks of attendance - Please check all the weeks your child will attend. REQUIRED ALL - my child will attend each week of Summer Camp Week One June 28 to July 2 Week Two July 5 to July 9 Week Three July 12 to July 16 Week Four July 19 to July 23 Week Five July 26 to July 30 Week Six August 2 to August 6 Week Seven August 9 to August 13 Week Eight August 16 to August 20 Please fill out this field.
  
  Child 4
  
  Child First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child Last Name Please enter valid data.
  
  Age REQUIRED Please fill out this field. Please enter valid data.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Gender Male Female
  
  Physician Name and Phone Number REQUIRED Please fill out this field.
  
  Please list student's allergies and/or any health concerns:
  
  Enrollment Choices REQUIRED 250.0 – Full Day Weekly Rate 8 AM to 4 PM 125.0 – Half Day Weekly Rate 8 AM to 12 PM 210.0 – Full Day Weekly Rate 8 AM to 4 PM (St. Ambrose Family for the 2021-2022 School Year) 105.0 – Half Day Weekly Rate 8 AM to 12 PM (St. Ambrose Family for the 2021-2022 School Year) Please fill out this field.
  
  Weeks of attendance - Please check all the weeks your child will attend. REQUIRED ALL - my child will attend each week of Summer Camp Week One June 28 to July 2 Week Two July 5 to July 9 Week Three July 12 to July 16 Week Four July 19 to July 23 Week Five July 26 to July 30 Week Six August 2 to August 6 Week Seven August 9 to August 13 Week Eight August 16 to August 20 Please fill out this field.
- Photo release: Do you give permission for your child's picture to be used on the school's website, social media, newspapers, and any other publication. If a name is used you understand that only your child's first name will be used and no other information will be provided. You may revoke this permission, in writing, at any time. Do you give permission for us to use your child's photo?
- Photo Release REQUIRED Yes, I give permission. No, I do not give permission. Please fill out this field.
- Questions or Comments?
- Once you have entered all your information please click the button below to proceed to the payment page to complete your child's registration. Your registration is not complete until you have placed your deposit. To hold your child's place you must pay for at least 1 full week by May 15th.
Total:

Submit

Proceed to Payment

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