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Summer Camp

Children Embracing in Circle

(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.

EVENT: Summer Camp

ACTIVITIES

Young Miindz Summer Camp Activities

REGISTER NOW!

Young Miindz Summer Camp

Young Miindz SEL Summer Camp Application

SECTION 1: CAMPER INFORMATION

Gender:
Male
Female
Other
Date of Birth:
Month
Day
Year

SECTION 2: PARENT/GUARDIAN INFORMATION

SECTION 3: MEDICAL & SPECIAL NEEDS

Does your child have any allergies?

If yes, please list below:

Does your child have any medical conditions or take any medications?

If yes, please list below:

Does your child have an IEP or receive any support services (e.g., Speech, OT, Counseling)?

If yes, please list below:

T-Shirt Size (Youth Sizes):
XS (Extra small)
S (Small)
M (Medium)
L (Large)
XL (Extra Large)

SECTION 4: CAMP EXPERIENCE & PARENTAL GOALS

CAMP EXPERIENCE & PARENTAL GOALS
Yes
No

SECTION 5: CAMP RULES & PARENT AGREEMENT

  1. Attendance & Participation: Campers are expected to actively participate in activities.

  2. Behavior & Respect: Young Miindz fosters a positive and inclusive environment. Any behavior that disrupts the camp experience may result in dismissal.

3. Health & Safety: If a child shows signs of illness, they must remain home.

4. Media Release: Do you grant permission for your child’s photos/videos to be used for promotional purposes?
Yes
No
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Date (Signed)
Month
Day
Year

SECTION 6: PAYMENT INFORMATION

Registration Fee: $50.00 (per kids) (Non-refundable, required to secure enrollment)

Camp Fee: $ 250.00 per week (Includes materials, activities, T-shirt & trips)

Payment (Choose your preferred payment method.)
Registration Fee$50
Summer Camp Fee (per week)$250
Additional (Sumer Camp T-shirt)$10
A.M (morning) Care (per kids/ a day)$15
A.M(morning) care $15 per day sibling discount 10% (per kids)$13.5
P.M (Morning) Care (per kids/ a day)$25
P.M (After) Care. $25 per day sibling discount 10% =22.50 (per kids)$22.5
Sibling Discount (for 2 kids) $450
$
Includes a standard $2 processing fee.
$2

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.

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