Summer Camp Registration Please enable JavaScript in your browser to complete this form. – Step 1 of 5CAMPER INFORMATIONPlease submit a NEW FORM for each additional camper you are enrolling.Camper's Name *FirstLastAge (in June 2023) *3456789101112131415161718Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920School *Grade entering in Fall 2023 *Preschool/Pre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th GradeHigh SchoolWhat language(s) are spoken at home? What language(s) does your child speak? *Parent/Guardian InformationIf there are two parents or guardians, please provide both below.Parent/Guardian 1 – Name *FirstLastEmail 1 *Phone 1 *Number where Parent/Guardian 1 can be reached during camp hoursAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateParent/Guardian 2 – NameFirstLastEmail 2Phone 2Number where Parent/Guardian 2 can be reached during camp hoursWe sometimes use photos taken at camp for the purpose of promoting the school and/or summer camp. *Yes, I give permission for the use of my child’s photo for promotional purposes.No, I do not give permission for the use of my child’s photo for promotional purposes.If you do not indicate yes or no for the item above, we will presume you have given your permission.Permission to Reapply Sunscreen *Yes, I give permission for teachers to reapply sunscreen. I will supply a bottle with my child’s first and last name written on it, and that teachers will only use the sunscreen I supply.No, I do not give permission for teachers to reapply sunscreen.I understand that it is my responsibility to sunscreen my child to their bathing suit line before I bring them to camp, and that sunscreen will only be reapplied if specifically requested and only after lunchtime if children are spending time outdoors.Out of State Immunization or Exemption Form Upload Click or drag files to this area to upload. You can upload up to 5 files. Required if your child’s immunization records are from out of state or to provide valid exemption form. Upload records here or ask the doctor’s office to send records to office@santafeschool.org or fax to 505-438-0080NextMOVE AND PLAY CAMPSFor ages 3-4, entering Preschool & Pre-K (and age 4 before August 5th entering Kindergarten) in the fall. All Move & Play campers must be able to use the toilet independently. We ask that children who have never attended Arts & Sciences to sign up for at least 2 consecutive weeks of camp. Please select one or more camps. WAITLIST ONLY – Week 1, June 12-16: Backyard Adventures ($295)WAITLIST ONLY – Week 2, June 19-23: – Bug Out! ($295)WAITLIST ONLY – Week 3, June 26-June 30: Under Construction ($295)WAITLIST ONLY – Week 4, July 10-14: Color, Paint and Pop! ($295)WAITLIST ONLY – Week 5, July 17-21: Ooey-Gooey Art ($295)WAITLIST ONLY – Week 6, July 24-28: Mad Science & Fun Concoctions ($295)WAITLIST ONLY – Week 7, July 31-Aug 4: Magical Creatures ($295)NO CAMP July 3-July 7. *If camp week is full, please select it to be added to our wait list.IMAGINE THAT CAMPS For ages 5-7 entering Kindergarten-2nd Grade in the fall. Please select one or more camps. WAITLIST ONLY – Week 1, June 12-16: Under the Sea ($295)WAITLIST ONLY – Week 2, June 19-23: The Young Artists’ Studio ($295)WAITLIST ONLY – Week 3, June 26-June 30: Nimble Kids ($295)WAITLIST ONLY- Week 4, July 10-14: Printmaking ($295)WAITLIST ONLY: Week 5, July 17-21: Dinosaurumpus ($295)WAITLIST ONLY – Week 6, July 24-28: Space Camp ($295)WAITLIST ONLY – Week 7, July 31-Aug 4: Superkids! ($295)NO CAMP July 3-July 7. *If camp week is full, please select it to be added to our wait list.INVESTIGATION CAMPSFor ages 8-10, entering 3rd-5th Grade in the fall. Please select one or more camps. WAITLIST ONLY – Week 1, June 12-16: Wilderness Skills ($315)WAITLIST ONLY – Week 2, June 19-23: Magical Mystery Tour ($315)WAITLIST ONLY – Week 3, June 26-June 30: The Gift of GIFs ($295)WAITLIST ONLY – Week 4, July 10-14: Inventor’s Workshop ($295)WAITLIST ONLY – Week 5, July 17-21: Building, Bridges, and Wrecking Balls ($295)Week 6, July 24-28: Game Time ($295)WAITLIST ONLY – Week 7, July 31-Aug 4: Math = Creativity ($25-$295 Sliding scale) FREE for households with annual income less than $58,000 per yearNO CAMP July 3-July 7. *If camp week is full, please select it to be added to our wait list.EXPLORATION CAMP: Moving ImagesFor ages 11-14, entering 6th – 9th Grade in the fall. Please select a campWeek 7, July 31-Aug 4: Moving Images ($295)*If camp week is full, please select it to be added to our wait list.MENAGERIE CAMPSFor ages 11 and up, entering 6th Grade – High School in the fall.Please select one or more camps. Holiday Week, July 3-7: Venture On (9th grade and up) $315WAITLIST ONLY: Week 4, July 10-14: Sekai Stories (ages 11+) $315Week 5, July 17-21: Underland Adventures (ages 11+) $315WAITLIST ONLY: Week 6, July 24-28: Call of the Abyss (ages 11+) $315Field Trips are included on Fridays and camp hours will be extended to 5:00pm. *If camp week is full, please select it to be added to our wait list.FIELD TRIP PERMISSION *YesNoI give permission for my child to attend field trips with the Arts & Sciences’ Summer Camp Staff during my child’s registered camp week(s). If you have any questions, please call the office at (505) 438-8585 or email stephanie@santafeschool.org Does your household have an annual income less than $58,000 per year? *YesNoIf you do not, how much can you pay for Math = Creative Camp? *Please enter amount $25-$285NextOTHER REQUIRED INFORMATIONTHIS INFORMATION IS NEEDED SO STAFF IS PREPARED TO GIVE THE BEST POSSIBLE CARE TO YOUR CHILD. Please provide a medical/behavioral plan as applicable.Do you need any Beforecare?YesNoCamp hours are 9am-3pm. Beforecare is 8am-9am for $10/day. Please list the days of the week you will you need Beforecare.for example, “Mon, Tues & Fri” Does your child have any medical or other needs that require special attention? *YESNOSevere allergies, medication, seizures, autism, behavioral challenges, asthma, diabetes, etc.What medical needs does your child have?What symptom(s) should we be on the look for?If symptoms are observed, what should we do? Please provide a step by step plan including medications to be administered and people to call with phone numbers. This signed form provides parent or guardian consent to follow these instructions, including administration of medications. Any and All medications should be in the original containers clearly labeled with your child’s name. Please include instructions with any medication in a Ziploc bag also labeled with your child’s name.Has your child been assessed for any medical or behavioral needs? *YESNOIf yes, please describe medical or behavioral needs.Does your child have any food restrictions that require special attention? *YESNOIf yes, please describe food restrictions.NextPICK UP & EMERGENCY CONTACT INFORMATIONThe following individuals ONLY are authorized to pick up my child at SFSAS. I understand that if I wish any other persons (including other camp parents) to pick up my child, I must speak with someone in the office requesting this change.Name 1 (Authorized to pick up) *FirstLastPhone 1 (Authorized to pick up) *Relationship to child 1 (Authorized to pick up) *Name 2 (Authorized to pick up)FirstLastPhone 2 (Authorized to pick up)Relationship to child 2 (Authorized to pick up)EMERGENCY CONTACTSMust be 2 individuals OTHER THAN parents or guardiansName 1 (Emergency Contact) *FirstLastPhone 1 (Emergency Contact) *Relationship to child 1 (Emergency Contact) *Name 2 (Emergency Contact) *FirstLastPhone 2 (Emergency Contact) *Relationship to child 2 (Emergency Contact) *MEDICAL TREATMENT AUTHORIZATIONSubmission of this form authorizes Santa Fe School for the Arts & Sciences to seek medical treatment and transportation for my child in case of a medical emergency. In the event of a medical emergency, 911 will be called and children will be transported to the nearest hospital, accompanied by a staff member. Doctor's Name or ClinicDoctor/Clinic PhoneNextCAMP PAYMENT INFORMATIONCamps are $295 or $315 per week. Camp deposits and payments are non-refundable. Camp spots will not be reserved until payment has been made. Any camp balances unpaid by June 1st may result in camps being released to other campers. Registrations submitted after June 1st: Full non-refundable payment for all camp weeks is due upon registration. NO camp spots will be reserved without full payment. Our policy asks that any remaining balance after your initial deposit be paid in full by June 1. If this situation presents a financial hardship for your family, please request an alternative arrangement with the school office at office@santafeschool.org.FOR MATH = CREATIVITY CAMPFREE week-long camp for households with an annual income less than $58,000 per year. For households who earn over $58,000 per year, this camp is offered with a sliding scale $25-$295.FOR ENVIRONMENTAL JUSTICE LEAGUE CAMP FREE 2 week-long camp for students that attend a Santa Fe Public School. For households who earn over $58,000 per year, this camp is offered with a sliding scale $25-$295.FOR 3 OR MORE CAMPS (Payment Plan)A Non-refundable $590 deposit and any before care fees are required upon registration. NO camp spots will be reserved without the initial deposit payment. The full remaining BALANCE IS DUE BY JUNE 1st. Any camps not paid in full by June 1st may be released for enrollment to other campers. CONFIRMATIONSWe will email confirmation once your deposit/payment has been made. All camps will be FULLY SECURED once your final balance has been paid.REFUND POLICYDeposits and camp payments are non-refundable. In the event of illness, alert us right away and provide a doctor’s note OR notice of your camper’s positive covid test. In these cases, we will provide a prorated refund of camp payment less a $50 admin fee.Will you be applying for Financial Aid? *YESNOPlease pay a deposit of $50 if you will be applying for financial aid. We offer financial aid for up to 2 camps. Please submit a financial aid form along with your complete 2022 or 2023 tax forms (all schedules must be included) by the DEADLINE: SUNDAY, APRIL 23. The deposit is required to hold your chosen camp(s) while your request is processed. If you accept the financial award offered, your $50 deposit will count toward your camp payment. If you decline the offered award, your deposit will be returned, minus a $25 Registration Fee. Our summer camp program accepts ECECD funds. Does your family qualify for this support? *YESNOUNSURECheck their website to see their guidelines: General Assistance and Specific Income Guidelines. If applying for ECECD, there is a $25 Registration Fee required to hold your chosen camp(s).Do you need a payment plan? (Optional if registering for 3 or more camps)YESNOPAYMENT WILL BE MADE *ONLINEBY CHECKIf by check, make payable to “Arts & Sciences”. Mail to: SFSAS, 5912 Jaguar Dr, Santa Fe, NM 87507. Click here to make an online payment.Signature *Clear SignatureAdd your signature using your mouse (click & drag), touch screen, or touch pad.Date *PreviousSubmit
