OUT OF SCHOOL CARE
Summer Break Camp
Registration Form 2024

Thank you for your interest in joining our Summer Break Camps at CityReach Out of School Care!

Please complete the form below, and our team will be happy to follow up with you to confirm space in your requested weeks.

Please note that:

Our team will email the registration package.
NOT RESPONDING AND PROVIDING THE DOCUMENTS requested will affect your child's registration and their spot in the camp will be revoked.
The online submission form does not guarantee a spot for your child.

Please submit one form per child.

For further information, please contact Natalie Tang at nataliet@cityreach.org

Child Name

First Name

Last Name

Child Birthdate

YYYY

Child’s Age

(must have completed Kindergarten in 2023/4)

Parent Name

First Name

Last Name

Phone

(###)

###

####

I am interested in the following week(s) of Summer Break Camp!

Week 1 – Aloha Adventures (July 2nd-5th) - $369

Week 2 – Tropical Christmas (July 8th-12th) - $388

Week 3 – Lego Land (July 15th-19th ) - $388

Week 4 – Wonderlab (July 22nd – 26th ) - $388

Week 5 – World Explorers (July 29th- August 2nd) - $388

Week 6 – Pokémon Battles (August 6th -9th) - $369

Week 7 – Campfire Camp (August 12th-16) - $388

I would like to learn more about CityReach programs, events and updates.

Does your child have a disability or additional needs?

Please select ONE of the options

YES

Please specify below:

OUT OF SCHOOL CARESummer Break Camp Registration Form 2024