2018 APV Summer Camp Registrations

REMINDER: If you register for a week and your child does NOT attend you will be charged a penalty fee, please choose weeks accordingly as we staff the camp based on registrations!

2018 APV Summer Camp Registration Form

Please note that all fields followed by an asterisk must be filled in.

Parent/Guardian First Name*

Parent/Guardian Last Name*

E-Mail Address*

Street Address*

City*

State/Prov*

Zip/Postal Code*

Cell Phone*

Camper's Name*

Age *

School

Please list ADA Accommodations needed

Single Day Camper-Please specify Date

Extended Day Hours 6:30am-7:00pm (Additional $25/week)*

	YES, I wish to sign my child up for the extended camp hours
	NO, I do not wish to sign my child up for the extended camp hours

11 Weeks to Choose From*

Week 11 - August 6 - August 10

Approved Child Pick Up (Provide first and last name)*

Emergency Contacts (provide first/last name, relation to child and phone number)*

Do you authorize OPMI to use photos of your child on our website and/or promotional material?

	YES
	NO

Payment FOR WEEK ONE due by May 25th - Payment Type (payments are due each Friday before camp starts)

	Check
	Cash
	Online

Statement of Understanding*

By checking this box I accept and understand that there are 11 weeks of OPMI Summer Camp ($65/per week) beginning May 29th - August 10th. Summer Day camp hours are from 8:00am-6:00pm, Extended drop off and pick up are from 6:30am-8:00am and 6:00pm-7:00pm which has an additional cost of $25. For a single summer day camp registration (drop off/pick up) the daily fee is $32.50. There will be a onetime registration fee of $20 upon the first week of summer camp sign up. Any portion of the camp that my child cannot attend shall be forfeited without refund or credit. If you register for a week and your child does NOT attend you will be responsible for paying a $15 penalty, we staff camp based on registrations so please choose weeks accordingly and if you need to cancel a week please give us a week notice.

Statement of Understanding*

I also understand that I am responsible for picking up my child from camp on time. If I am more than 10 minutes late, I accept and understand that fees will be applied. I also understand that any belongings I send my child to camp with are the responsibility of my child and OPMI nor the Association of Poinciana Villages is responsible for lost, damaged, or stolen items.

Special Needs/Concerns:

Share this page: What's this?

Facebook X Pinterest Tumblr Reddit WhatsApp

2018 APV Summer Camp Registration Form

Welcome to OPMI!

Private Lessons and MORE!

Our Team

Additional Fun Offerings!

Resources & Links