Summer Camp

(SEL) Social Emotional Learning SUMMER CAMP The opportunity to enhance your students' ability to increase self-awareness, gain self-control, minimize their impulses while developing positive peer relationships.

SEL Summer Camp Application

CAMPER INFORMATION

Number of children to be registered:

NOTE: If you register two kids please indicated their names on another field.

Child's Full Name

Sibling(s) Information:

Age (6-9 yrs. old)

Gender:

Male

Female

Other

Date of Birth:

Month

Day

Year

Home Address

City:

State:

Zip Code:

Primary Language Spoken at Home:

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name:

Relationship to Child:

Phone

Email

PAYMENT INFORMATION

Registration Fee: $66.00 (per kids) (Non-refundable, required to secure enrollment)

Camp Fee: $ 350.00 per week (Includes materials, activities, T-shirt & trips)

Attendance Selection (Weeks)

Payment (Pick the total of number of how many kids you want to join)

Registration Fee$66

Summer Camp Fee (per week)$350

Additional (Sumer Camp T-shirt)$15

Early Bird Camp$35

Early Bird Camp / per week$160

Morning Session (5-day Aftercare/Summer Camp only)$15

After Camp Session (5-day Aftercare/Summer Camp only)$20

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date picker

Includes a standard $2 processing fee.

$2

REMINDER:

Register on this website and pay the registration fee to reserve your child’s spot.

Weekly camp payments can be sent via Zelle to avoid the 3% online fee. A QR code will be sent via email with the payment details after registration.

Email a screenshot of your payment to goattachingassets@gmail.com

After submitting your application, you will receive a confirmation email with payment instructions. Enrollment is only complete once payment is received. By using a secure payment link, you ensure a smooth and professional transaction while protecting sensitive payment details.

For questions, please contact Kenya Roper at 862-621-8952 or email at goattachingassets@gmail.com.