please USE A Separate form for each child WEEK 6 Aug 3-7 june … · 2020-05-28 · WEEK 1 june...
Transcript of please USE A Separate form for each child WEEK 6 Aug 3-7 june … · 2020-05-28 · WEEK 1 june...
Backstage PassRising Stars
Backstage PassRising Stars
Backstage Pass
Stars on Stage
Rising Stars
Stars on Stage
Stars on Stage
THEATER CAMPS4-7 yrs6+ yrs8+ yrs
4-7 yrs6+ yrs8+ yrs
4-7 yrs6+ yrs8+ yrs
□ $610□ $610□ $610
□ $915□ $915□ $915
□ $610□ $610□ $610
Session A: PETER PAN
Session B: ALADDIN
Session C: THE DESCENDANTS
5-8 yrs
TRAVEL CAMPSWk 1: Mini Travel (9am-2:30pm)
5-8 yrs5-8 yrs8+ yrs
SOLD OUT
Wk 3: Mini Travel (9am-2:30pm)Wk 5: Mini Travel (9am-2:30pm)
Wk 2: Mini Travel (9am-2:30pm)
Wk 4: Travel (9am-4pm)
5-8 yrs
Warrior Challenge8+ yrs □ $305
Payment in FullEnclosed is a check, payable to The Connection orI authorize The Connection to use my charge account. Name on card:_______________________________________
Visa/MC/AMEX#:____________________________Exp.: _____
Signature:___________________________________________
Name on card:_______________________________________
Visa/MC/AMEX#:____________________________Exp.: _____
Signature:___________________________________________
Payment Plan-Credit Card onlyEnclosed is my first credit card payment, for ½ of my total amount (plus Membership, if renewing). I understand that my final payment (½ of my remaining total), due on May 1, 2020, will be automatically charged to the credit card below. Please note: Enrollment of 2 or more weeks per child required.
SUMMER CAMP 2020Child’s Name:___________________________________Date of Birth :____________________Gender:________Age of Child as of 6/29/20: ______________Address:_______________________________________ City/Zip: _______________________________________PARENT/GUARDIAN: ___________________________ Primary phone:_________________________________Email (Required):________________________________Email is our primary method of communicating camp information and any last minute changes throughout the summer.
Tee Shirt (Youth Size) XS___ S___ M___ L___ XL___
PAYMENT SUMMARY
A. Subtotal from Section A
B. Early Bird = Before 4/1 # of weeks x $20
C. All Day Discount (excludes Travel Camp) (9am-4:30pm) $80 discount per week ($50 for week 9)
D. Membership fee $60 (Must be current through 8/31/20)
E. Give the Gift of Camp! (Donate to the Scholarship Fund)
F. Camp Balance
$
Minus $
Minus $
Plus $
Plus $
(please print neatly)
Section A Add the total of all camps. Discounts will be applied below. Subtotal $_______ Section B # of weeks attending: _____ (1/2 or full day)
PAYMENT FORM 2
Sign up all day & SAVE! All day option: $530/wk (9am-4:30pm) Discounts applied in payment summary
Total $
please USE A Separate form for each child
Weeks 2 - 3 7/6 - 7/17
Weeks 4 - 67/20 - 8/7
Weeks 7 - 88/10 - 8/21
3-4 yrs Guppies
Acro Tumbling
SummerFun All StarsSummerFun ProsEngineering
Mini ExplorersJunior WarriorEdible STEMDance Intensive
The Great Outdoors
Fine ArtsFigure It Out
SummerFun
WEEK 1 june 29-july 3Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6-8 yrs6+ yrs8+ yrs8+ yrs
□ $83
□ $305□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
3-4 yrs Guppies
Gym/Art
SummerFun All StarsSummerFun Pros
The Great OutdoorsHip Hop/Flip FlopSTEM InvestigatorsSports & Nature
Creative Kids
RoboticsElite Gym
SummerFun
WEEK 2 July 6-10Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6-8 yrs6+ yrs8+ yrs8+ yrs
□ $83
□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
3-4 yrs Guppies
Acro/Hip Hop
SummerFun All StarsSummerFun Pros
Mini ExplorersCheer/GymCooking Around the WorldPlay Ball
The Great Outdoors
Gym/Warrior
Digital Media
SummerFun
Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6-8 yrs6+ yrs8+ yrs
8+ yrs
□ $83
□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305
□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
Fine Arts8+ yrs □ $305
3-4 yrs Guppies
Warrior/Sports
SummerFun All StarsSummerFun Pros
The Great OutdoorsJunior Girls GymInspired ArtistsSports & Nature
Creative Kids
Figure It Out
Elite Gym
SummerFun
Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6-8 yrs6+ yrs8+ yrs
8+ yrs
□ $83
□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305
□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
Fashion8+ yrs □ $305
3-4 yrs Guppies
Cheer/Dance
SummerFun All StarsSummerFun Pros
Mini Explorers Junior WarriorFashion Olympic Challenge
The Great Outdoors
Warrior Challenge
Cakes, Cookies, & Confections
SummerFun
Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6+ yrs6+ yrs8+ yrs
8+ yrs
□ $83
□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305
□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
Clay, Art, & Sculpture8+ yrs □ $305
1-4
:30
PM
9-
1pM
3-4 yrs Guppies
Gym/Art
SummerFun All StarsSummerFun Pros
The Great OutdoorsHip Hop/Flip FlopFigure It OutKicks & Sticks
Edible STEM
Robotics
Acro Tumbling
SummerFun
Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6-8 yrs6+ yrs8+ yrs
8+ yrs
□ $83
□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305
□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
Fine Arts8+ yrs □ $305
3-4 yrs Guppies
Acro/Hip Hop
SummerFun ProsFit Mix
Creative KidsThe Great OutdoorsJunior Girls GymCooking Around the World
SummerFun All Stars
Fashion
Sports & Nature
SummerFun
Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6-8 yrs6+ yrs
8+ yrs
□ $83
□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305
□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
Elite Gym8+ yrs □ $305
3-4 yrs Guppies
Cheer/Dance
SummerFun All StarsSummerFun Pros
The Great OutdoorsGym KidzClay, Art, & Sculpture Flag, Fit, Fun!
Figure It Out
Warrior Challenge
Cooking Around the World
SummerFun
Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs6+ yrs8-9 yrs10+ yrs3-6 yrs3-6 yrs4-7 yrs6-8 yrs6+ yrs8+ yrs
8+ yrs
□ $83
□ $305□ $305□ $305
□ $305□ $305
□ $305□ $305□ $305
□ $305
□ $305
□ $305
□ $305
Campers Club (4:30-6:00pm)4+ yrs □ $93
Engineering8+ yrs □ $305
Digital Media 8+ yrs □ $305
3-4 yrs Guppies
Gym/Art
Warrior/SportsEdible STEM
EngineeringThe Great OutdoorsSTEM InvestigatorsDance Intensive
Dance Intensive
Clay, Art, & Sculpture
Gym Kidz
Connection Explorers
Sunrisers (7:30-9:00am)4+ yrs
4-7 yrs4-7 yrs6+ yrs6+ yrs8+ yrs8+ yrs3-6 yrs3-6 yrs4-7 yrs4-7 yrs
6+ yrs
□ $50
□ $185□ $185
□ $185□ $185
□ $185□ $185□ $185
□ $185
□ $185
□ $185
□ $185
Sports & Nature6+ yrs □ $185
Cakes, Cookies, & Confections6+ yrs
Acro Tumbling8+ yrs □ $185
Campers Club (4:30-6:00pm)4+ yrs □ $56Robotics/Digital Media8+ yrs □ $185
WEEK 3 July 13-17
WEEK 4 July 20-24
WEEK 5 July 27 - 31
WEEK 6 Aug 3-7
WEEK 7 Aug 10-14
WEEK 8 Aug 17-21
WEEK 9 Aug 24-26
1-4
:30
PM
9-
1pM
1-4
:30
PM
9-
1pM
1-4
:30
PM
9-
1pM
1-4
:30
PM
9
-1p
M
1-4
:30
PM
9-
1pM
1-4
:30
PM
9
-1p
M1-
4:3
0P
M
9-
1pM
1-4
:30
PM
9-
1pM
1-4
:30
PM
SOLD OUTSOLD OUT
SOLD OUT
SOLD OUT
SOLD OUT
SOLD OUT
The
Con
nect
ion
Sum
mer
Cam
pH
EALT
H F
OR
MC
hild
’s n
ame:
____
____
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__
Kno
wn
med
ical
con
ditio
ns/in
form
atio
n: _
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____
___
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____
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____
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____
____
____
____
____
____
____
___
Are
ther
e ac
tiviti
es th
at n
eed
to b
e re
stric
ted?
___
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P
leas
e lis
t all
know
n al
lerg
ies:
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____
____
___
Doe
s yo
ur c
hild
requ
ire a
n Ep
iPen
? Ye
s __
_ N
o___
Inha
ler?
Yes
___
No_
__I u
nder
stan
d it
is m
y re
spon
sibilit
y to
pro
vide
my
child
’s tre
atm
ent p
lan
pres
crib
ed b
y a
phys
ician
and
th
e m
edica
tion
in it
s or
igin
al c
onta
iner
, labe
led
with
my
child
’s na
me.
NO
TE: A
ll ch
ildre
n m
ust h
ave
prot
ectio
n ag
ains
t dip
hthe
ria, t
etan
us, p
olio
mye
litis
, m
easl
es, p
ertu
ssis
, mum
ps a
nd ru
bella
.
Dat
e of
last
teta
nus
shot
:___
____
____
__ O
R
I am
atta
chin
g a
writ
ten
stat
emen
t fro
m m
y ch
ild's
phy
sici
an s
tatin
g th
at im
mun
izat
ion
is in
pro
gres
s.D
ate
of m
ost r
ecen
t phy
sica
l exa
min
atio
n:__
____
____
____
__Pl
ease
not
e: S
peci
al c
ircu
mst
ance
s m
ust
be a
ddre
ssed
wit
h th
e C
amp
Dir
ecto
r pr
ior
to
regi
stra
tion
.
ME
DIC
AL
RE
LEA
SE
: Thi
s he
alth
info
rmat
ion
is c
orre
ct, a
nd m
y ch
ild h
as p
erm
issi
on to
en
gage
in a
ll act
iviti
es a
t The
Con
nect
ion,
exc
ept a
s no
ted
by m
e. In
the
even
t tha
t I c
anno
t be
rea
ched
in a
n em
erge
ncy,
I gi
ve p
erm
issi
on to
The
Con
nect
ion
to o
btai
n ne
cess
ary
emer
genc
y m
edic
al tr
eatm
ent f
or m
y ch
ild.
Par
ent/G
uard
ian
sign
atur
e___
____
____
____
____
____
____
____
____
Dat
e___
____
I w
ould
like
to fu
rther
dis
cuss
my
child
’s n
eeds
with
a c
amp
dire
ctor
.
A C
amp
Dire
ctor
will
reac
h ou
t to
you.
Pho
ne n
umbe
r:___
____
____
____
____
____
__R
EQU
IRED
: AU
THO
RIZ
ATIO
N T
O P
ICK
UP/
EMER
GEN
CY
CO
NTA
CT
Ple
ase
list a
ll pa
rties
giv
en p
erm
issi
on to
pic
k up
you
r cam
per(
s) in
clud
ing
your
self
if yo
u w
ill p
ick
up.
Nam
e: _
____
____
____
____
____
____
____
____
____
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____
____
____
____
_P
hone
num
ber:
____
____
____
____
____
____
____
____
____
____
____
____
___
Rel
atio
nshi
p to
cam
per:
____
____
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____
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____
____
____
____
____
____
N
ame:
___
____
____
____
____
____
____
____
____
____
____
____
____
____
___
Pho
ne n
umbe
r: __
____
____
____
____
____
____
____
____
____
____
____
____
_R
elat
ions
hip
to c
ampe
r: __
____
____
____
____
____
____
____
____
____
____
__
Nam
e: _
____
____
____
____
____
____
____
____
____
____
____
____
____
____
_P
hone
num
ber:
____
____
____
____
____
____
____
____
____
____
____
____
___
Rel
atio
nshi
p to
cam
per:
____
____
____
____
____
____
____
____
____
____
____
B
y si
gnin
g th
is fo
rm I
ackn
owle
dge
that
onl
y th
e ab
ove
parti
es w
ill b
e pe
rmitt
ed to
pic
k up
m
y ca
mpe
r unl
ess
note
d in
writ
ing.
In a
dditi
on, I
und
erst
and
that
any
per
son
who
com
es
to p
ick
up m
y ca
mpe
r th
at is
not
list
ed a
bove
will
hav
e to
par
k an
d co
me
insi
de t
o be
ve
rified
with
me
by p
hone
.P
aren
t/Gua
rdia
n si
gnat
ure:
___
____
____
____
____
____
____
__D
ate:
___
____
____
___3
TER
MS
OF
ENR
OLL
MEN
T:1.
Reg
istra
tion
begi
ns o
n Ja
nuar
y 25
, 202
0. U
se a
sep
arat
e re
gist
ratio
n an
d pa
ymen
t for
ms
for e
ach
child
. E
xtra
form
s m
ay p
rinte
d fro
m o
ur w
ebsi
te, p
hoto
copi
ed, o
r pic
ked
up a
t the
fron
t des
k.
2. C
ampe
rs m
ust h
ave
a cu
rren
t Con
nect
ion
yout
h m
embe
rshi
p va
lid th
roug
h A
ugus
t 31,
202
0.
A
nnua
l mem
bers
hip
fee
of $
60 is
non
-ref
unda
ble
and
mus
t be
paid
at r
egis
tratio
n.3.
All
fees
mus
t be
paid
at r
egis
tratio
n. A
pay
men
t pla
n of
two
inst
allm
ents
is a
vaila
ble
for e
nrol
lmen
t of
2 o
r mor
e w
eeks
per
chi
ld.
See
PAY
MEN
T FO
RM
.4.
The
re a
re n
o re
fund
s or
cre
dits
for a
bsen
ce o
r with
draw
al.
5. S
chol
arsh
ip a
war
ds a
re a
vaila
ble.
Pic
k up
an
appl
icat
ion
at th
e fro
nt d
esk
or p
rint i
t fro
m th
e w
ebsi
te.
6. A
ll fin
al p
aym
ents
are
due
by
May
1, 2
020.
Non
-pay
men
t by
this
dat
e w
ill re
sult
in fo
rfeitu
re
of c
ampe
r’s p
lace
.7.
Eac
h fa
mily
is p
erm
itted
one
cam
p sw
itch
per c
hild
at n
o co
st a
fter w
hich
ther
e w
ill b
e a
$30
fee
for e
ach
switc
h re
ques
t.8.
In o
rder
to h
ave
the
appr
opria
te s
taff
and
ensu
re th
e sa
fety
of a
ll ca
mpe
rs, r
egis
trat
ion
will
e
nd a
t 5:0
0 pm
the
Frid
ay p
rior t
o th
e st
art o
f a n
ew c
amp
wee
k. W
e ar
e un
able
to a
ccep
t w
eeke
nd re
gist
ratio
ns fo
r cam
ps b
egin
ning
the
follo
win
g M
onda
y.
9. T
he C
onne
ctio
n re
serv
es th
e rig
ht to
dis
mis
s, w
ithou
t ref
und,
a c
ampe
r who
se n
eeds
we
are
not a
ble
to m
eet o
r who
se c
ondu
ct is
not
in th
e be
st in
tere
st o
f oth
er c
ampe
rs.
10. A
ny c
ampe
r pic
ked
up a
fter t
he e
ndin
g tim
e of
thei
r cam
p w
ill b
e su
bjec
t to
a la
te p
ick
up c
harg
e of
$2/
min
ute.
11
. All
cam
pers
mus
t be
fully
pot
ty tr
aine
d (n
o pu
ll-up
s).
If yo
u ar
e pa
ying
by
cred
it ca
rd, y
ou m
ay d
ownl
oad
thes
e fo
rms,
fill
them
out
and
em
ail t
hem
ba
ck to
Ang
ela
John
son
at: a
ngel
a.jo
hnso
n@th
econ
nect
iono
nlin
e.or
g
ALL
FO
RM
S M
UST
BE
CO
MPL
ETED
BEF
OR
E R
EGIS
TRAT
ION
CA
N B
E PR
OC
ESSE
D.
Ple
ase
com
plet
e th
e en
tire
form
(fro
nt a
nd b
ack)
for E
AC
H c
hild
.
Mai
l or d
rop
off t
o: T
he C
onne
ctio
n, 7
9 M
aple
Stre
et, S
umm
it, N
J 07
901
Reg
istr
atio
n no
w o
ngoi
ngB
y re
gist
erin
g yo
ur c
hild
for a
ny o
f The
Con
nect
ion
Sum
mer
Cam
p pr
ogra
ms
you
unde
rsta
nd a
nd a
gree
to th
e te
rms
of e
nrol
lmen
t.
reg
istr
atio
n
FIEL
D T
RIP
PER
MIS
SIO
N
I giv
e pe
rmis
sion
for m
y ch
ild to
take
par
t in
all c
amp
activ
ities
and
to le
ave
the
grou
nds
for fi
eld
trips
pla
nned
by
The
Con
nect
ion.
PHO
TO, V
OIC
E, V
IDEO
, PR
ESS
REL
EASE
I g
ive
perm
issi
on fo
r pho
tos
and
vide
os ta
ken
of m
y ch
ild to
be
used
in T
he C
onne
ctio
n lit
erat
ure,
incl
udin
g ou
r Soc
ial M
edia
and
Web
site
. (P
hoto
s an
d vi
deos
will
be
used
fo
r The
Con
nect
ion’
s pu
rpos
es O
NLY
and
will
not
incl
ude
any
pers
onal
ly id
entifi
able
in
form
atio
n su
ch a
s na
me,
birt
h da
te, o
r add
ress
.) LI
AB
ILIT
Y D
ISC
LAIM
ER
A
ny p
erso
n un
der e
ight
een
(18)
par
ticip
atin
g in
Con
nect
ion
prog
ram
s, m
ust h
ave
writ
ten
cons
ent f
rom
a p
aren
t or g
uard
ian
resp
onsi
ble
for t
he p
artic
ipan
t, re
leas
ing
The
Con
nect
ion
from
the
resp
onsi
bilit
ies
of a
ny a
ccid
ent(s
) occ
urrin
g. I
unde
rsta
nd
that
The
Con
nect
ion
acce
pts
no li
abili
ty fo
r any
inju
ry th
at m
ay o
ccur
whi
le m
y ch
ild is
pa
rtici
patin
g in
the
cam
p pr
ogra
m.
Pare
nt/G
uard
ian
Sign
atur
e: _
____
____
____
____
____
____
____
Dat
e:__
____
_
Par
en
tal
sig
nat
ur
e r
equ
ire
d:
ALL
FORM
S M
UST
BE C
OM
PLET
ED B
EFO
RE R
EGIS
TRAT
ION
CAN
BE P
ROCE
SSED
.
1
I hav
e re
ad a
nd a
gree
to a
ll re
gist
ratio
n in
form
atio
n.
Wh
ile
we
ar
e a
cc
ept
ing
ne
w c
am
p a
ppli
cat
ion
s, s
pac
e is
no
t g
ua
ra
nte
ed
du
e t
o a
nti
cip
ate
d g
ov
er
nm
en
t-o
rd
er
ed
c
apa
cit
y r
estr
icti
on
s a
nd
spe
cia
lty
ca
mp
off
er
ing
s a
re
su
bj
ect
to c
ha
ng
e t
o a
cc
om
mo
dat
e r
estr
icti
on
s.