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Registration

Summer Camp Registration is officially OPEN !  Please be sure to follow the steps all the way through the payment page. Spots are only guaranteed if paid in advance.
 
Children who have completed KINDERGARTEN are also able to attend all our camps this year!

All camps run from 9am - 11:30 Monday - Thursday.  This is a drop off program. All children must be potty trained. 

We look forward to many weeks of fun with your little ones!
Child's Name
Parent's Name
Address  
City  
State  
ZIP  
Email  
Day Phone  
Night Phone  
Child's Age  

Child's Birth Date

 
Medical Conditions
Food Allergies
Emergency Contact  
Emergency Phone  
Interested In: June 5 - 8 "Messy Camp" (9am-11:30) 3-6 year olds, $68
  June 12 - 15 "Science Camp" (9am - 11:30) 3-6 year olds, $68
  June 18 - 22 "Mystery Camp" (9am - 11:30) 3-6 year olds, $68
  August 8 "One-Day RSK Boot Camp" (9-3pm) $85
Policies: I give permission to Parents As Teachers of Porter County to take immediate action if my child should need immediate medical attention in the case of an emergency.   I understand I must be accessible during camp hours by one of the phone numbers provided. If I am not available I will ensure the emergency contact can be reached if needed.
  I consent to having my child photographed for the purpose of documenting summer camp and for use in publications for the purpose of positive promotion of Parents As Teachers of Porter County and/or Porter County Parks.
  I agree to make immediate payment.
Comments
Notes

You will receive confirmation of your enrollment upon receipt of this form. Please note payment must be made at the time of registration.

ONLY PAYMENT WILL SECURE YOUR SPOT. Once paid on our secure payment site, you will receive immediate confirmation of payment.

PAYMENT CAN BE MADE BY CREDIT CARD OR ELECTRONIC CHECK. Camp information will be emailed to you two weeks prior to the start of camp. Questions in the meanwhile can be directed to 395-8412 or email to info@patpc.org.  

ONCE YOU HAVE SUBMITTED THIS FORM YOU WILL BE DIRECTED TO PAYMENT SITE

 
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