Summer Day Camp Returning Campers

Kid Central - Returning Child Registration (your child must have been enrolled in Kid Central within the 24/25 school year to use this form) IF NOT REGISTERED FOR 24/25 SCHOOL YEAR, USE THE NEW CHILD FORM.

Returning Childfull name

Rising Grade

School

Payments are due 2 weeks in advance. Do NOT make any payments until you have a confirmed spot in camp. Vendor copays are due by the 15th of each month.

My Child Will Attend These WeeksChoose Dates

May 28-May 30 (Payment Due May 16) *CLOSED 26th & 27thJune 2-6 (Payment Due May 23)June 9-13 (Payment Due May 30)June 16-20 (Payment Due June 6) *Closed June 19thJune 23-27 (Payment Due June 13)June 30- July 4 (Payment Due June 20) *CLOSED 4thJuly 7-11 (Payment Due June 27)July 14-18 (Payment Due July 4)July 21-25 (Payment Due July 11)

Has my permission to attend/travel to the following field trips during Kid Central's Summer Day Camp,
May 28-July 25, 2025. Field Trips are subject to change.

-REC CLUB POOL, CULPEPER (all)
-SPLASH PAD, CULPEPER (all)
-PATH CENTER, CULPEPER (all)
-BOUNCE N' CREATE (Grades K-2)
-FUNLAND (Grades 3-8)
-SPLASHDOWN WATERPARK, MANASSAS(Grades 3-8)
-CHUCK-E-CHEESE (Grades K-2)
-URBAN AIR, FREDERICKSBURG (Grades 3-8)
-OLD COUNTRY STORE - ICECREAM (all)
-MESSICK'S FARM (Grades K-2)
-YODER'S PETTING ZOO (PreK)
-SKYZONE MANASSAS (Grades 3-8)
-MT. RUN LAKE PLAYGROUND (PreK)
-MOVIES CHARLOTTESVILLE (all)
-BULL RUN PARK (all)
-MASSANUTTEN WATER PARK (all)

Field Trip PermissionAlternate care is not provided

My Child May Go On All Applicable Field Trips

Swimming & Sunblock Permission Form

My child has my permission to go swimming at THE CULPEPER REC CLUB in CULPEPER, VA with KID CENTRAL Summer Camp Staff.

Sunblock Permission

I give Kid Central permission to apply sunscreen to my child(ren) ages 5-8 years of age or to remind my child(ren) ages 9-12 years to apply it to themselves.

Swimming Permissioncheck one

My child MAY get in the poolMy child MAY NOT get in the pool and will sit poolside

My Child is acheck one

Beginner SwimmerIntermediate SwimmerAdvanced Swimmer

Sunscreen Permission

My child has permission to apply sunscreen or have it applied

Please List ANY Changes Since Last Registered for 24/25 School Year. This includes updated phone numbers, addresses, pick up people, medical information, custody papers, etc. If not applicable, write N/A.If no changes, we will use the information from the most recent registration.

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All other information provided on the 24/25 school year registration is accurate. If anything is different, please add it to the box above.

I agree

Parent SignatureFull Name

Parent Phone Number

Best email to reach youa valid email

Date