Date
*
MM
DD
YYYY
Child's Name
*
First Name
Last Name
Child's Gender
Child's Date of Birth
*
Is Your Child Potty Trained?
Does your child have an IEP
*
Does your child have a medical diagnosis?
*
What was your previous child care experience? Please explain in detail: daycare/preschool, nanny, family, other. Include how long and reason for change.
Parent/Guardian Name(s)
Address
Parent/Guardian #1 Phone
*
Parent/Guardian #2 Phone
Parent/Guardian #1 Email Address
*
Parent/Guardian #2 Email Address
Custodial Information
*
Does your child have any allergies?
*
Select your Daily Schedule
*
Select Your Four Week Session(s) and/or Week(s)
Please select the Four Week Session(s) and/or week(s) you wish to register for:
Meals Provided
Add meals to your registration for $15 per week.
2025 Summer Camp Tuition
Children Ages 18 - 24 months)
• $362.10 Full Day: 6:30am to 2:45pm
• $515.10 Full Day + Aftercare: 6:30am to 6pm
• $1426.77 Four Week Session Full Day: 6:30am to 2:45pm (June, July, August)
• $1833.96 Four Week Session Full Day + Aftercare: 6:30am to 6pm (June, July, August)
Children Ages 2 - 3.5 years (24-42 months)
• $351.90 Full Day: 6:30am to 2:45pm
• $504.90 Full Day + Aftercare: 6:30am to 6pm
• $1396.18 Four Week Session Full Day: 6:30am to 2:45pm (June, July, August)
• $1660.00 Four Week Session Full Day + Aftercare: 6:30am to 6pm (June, July, August)
Children Ages 3.5-6 years
• $341.70 Full Day: 6:30am to 2:45pm
• $494.70 Full Day + Aftercare: 6:30am to 6pm
• $1300.50 Four Week Session Full Day: 6:30am to 2:45pm (4 weeks)
• $1540.00 Four Week Session Full Day + Aftercare: 6:30am to 6pm (4 weeks)
Options for children not enrolled in any of the above listed schedules:
FOUR WEEK SESSION Aftercare ONLY (3pm - 6pm); for children not enrolled in the above programs; $400
Drop-In Aftercare; (3pm - 6pm) for children enrolled in the above programs; $40/day
$25 DISCOUNT ON HOLIDAY WEEKLY RATES WEEKS 1, 4, AND 14
First Name
Last Name
Fee Understanding
*
Please check each box below to indicate your understanding of our fees:
Thank you for submitting your 2024 Summer Camp Registration. Your request does not guarantee you a space in summer camp. Your will receive an email from our office within 7 business days with further instruction and if a space is available.
If you are submitting your registration on a weekend, you request will be processed on the first business day of the week.
YOU ARE NOT DONE YET!
You will receive an email from our office with your payment authorization form. Once that is returned to the office, you will receive your final confirmation of enrollment, payment amounts and date.
Thank you for choosing Southern Stars for your child’s education.
