2023 Camp Registration Form

Required

Reimagine Summer Camp Online Registration 2023

Camper Information

Forms must be completed for each individual camper attending

Camper First Namerequired
Camper Last Namerequired
Date of Birthrequired
Must contain a date in M/D/YYYY format
Age on July 1, 2023required
Must contain only numbers
School Student Attendsrequired
Grade entering Fall 2023required
Parent/Guardian #1required
First Name
Last Name
Parent/Guardian #1 Phonerequired
Parent Guardian #1 Email required
Parent/Guardian #2
First Name
Last Name
Parent/Guardian #2 Phone
Parent Guardian #2 Email
Home Addressrequired
Cityrequired
Staterequired
Must contain only letters
Ziprequired
Must contain only numbers
Best Contact Emailrequired
Best Contact Phone Numberrequired

Authorized Pick Up

Authorized Pick Up #1
First Name
Last Name
Pick Up #1 Relationship to Camper
Pick Up #1 Contact Number
Authorized Pick Up #2
First Name
Last Name
Pick Up #2 Relationship to Camper
Pick Up #2 Contact Number
Authorized Pick Up #3
First Name
Last Name
Pick Up #3 Relationship to Camper
Pick Up #3 Contact Number

Medical Information

Physicianrequired
Physician Phone Numberrequired
Insurance Carrierrequired
Insurance Policy Numberrequired
Allergiesrequired
If yes, please list allergies:
EPI PENrequired
Asthma Inhalerrequired
List any medications your child is currently taking:
List any restrictions for your child:
Please email your camper's universal health form with immunization records and any relevant allergy, asthma or medication action forms to Kristyn Jannell at kjannell@princetonjuniorschool.org

Payment

Are you paying now online?requiredPaying via check? Mail to: Princeton Junior School 90 Fackler Road Lawrenceville, NJ 08648
Paying via check? Mail to: Princeton Junior School 90 Fackler Road Lawrenceville, NJ 08648
Which camp would you like to register for?required

Art & Nature Camp Registration

For Campers Ages 4- 5

 

Select Registration
Select Registration

Curiosity Camp Registration

For Campers Entering Grades 1 - 5
Select Registration
Select Registration
Would you like to add aftercare?required
After Care Session 1
After Care Session 2
After Care Session 3
After Care Session 4
After Care Session 1
After Care Session 2
After Care Session 3
After Care Session 4

Payment Information

Emailrequired
Provide an email address for the receipt.
Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired