Summer Camp Registration 2022 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 2022) *3456789101112131415161718Date of Birth *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920School *Grade entering in Fall 2022 *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 hoursAddress (if different from above)Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateWe 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.Immunization or Exemption Upload Click or drag files to this area to upload. You can upload up to 5 files. Up-to-date immunization records or exemption forms are required before your child may begin camp. Upload records here or ask the doctor's office to send records to office@santafeschool.org or fax to 505-438-0080NextCAMP WeeksWeek 1 June 13-17 Week 2 June 20-24 Week 3 June 27-July 1 NO CAMP July 4-8 Week 4 July 11-15 Week 5 July 18-22 Week 6 July 25-29 Week 7 Aug 1-5 MOVE 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. Week 1 - Bugs and Creepy Crawlies (WAITLIST ONLY)Week 2 - Plants, Seeds and Green Things (WAIT LIST ONLY)Week 3 - Colors, Paint and Pop! (WAIT LIST ONLY)Week 4 - Mad Science and Fun Concoctions (WAITLIST ONLY)Week 5 - Construction, Building and Blocks (WAITLIST ONLY)Week 6 - Ooey-Gooey Art and Sculpture (WAITLIST ONLY)Week 7 - Fairies, Wizards, and Elves (WAITLIST ONLY)Camps cost $285 per week. NO CAMP July 4-July 8. *If camp week is full, please select it to be added to our wait list.IMAGINE THAT CAMPS For ages 5 & 6, entering Kindergarten-1st Grade in the fall. Please select one or more camps. Week 1 - Under the Sea (WAIT LIST)Week 2 - PrintmakingWeek 3 - Insectomania (WAIT LIST)Week 4 - Pirate & Princess AdventureWeek 5 - Space CampWeek 6 - Camping with Forest AnimalsWeek 7 - Dinosaur "ROAR"Camps cost $285 per week. NO CAMP July 4 - July 8.DISCOVERY CAMPSFor ages 6-7, entering 1st-2nd grade in the fall. Please select one or more camps. Week 1 - Lab Rats (WAIT LIST)Week 2 - Pokémon (WAIT LIST)Week 3 - Pet Shop (WAIT LIST)Week 4 - Get in the Game (WAIT LIST)Week 5 - Comic Book CreationsWeek 6 - Minecraft in Real Life (WAIT LIST)Week 7 - Art Parts (WAIT LIST)Camps cost $285 per week. NO CAMP July 4 - July 8. *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. Week 1 - Inventor's Workshop (WAIT LIST)Week 2 - Building, Bridges, and Wrecking Balls (WAIT LIST)Week 3 - Game Time (WAIT LIST)Week 4 - Wilderness Skills (WAIT LIST)Week 5 - Story through Movement (WAIT LIST)Week 6 - Challenge by Choice (WAIT LIST)Week 7 - On the Air (WAIT LIST)Camps cost $285 per week. NO CAMP July 4 - July 8. *If camp week is full, please select it to be added to our wait list.EXPLORATION CAMPSFor ages 11-14, entering 6th - 9th Grade in the fall. Please select one or more camps.Week 1 - In the Artist's Studio (WAIT LIST)Week 2 - Fabulous Fiber Art (WAIT LIST)Week 3 - Moving ImagesCamps cost $285 per week. NO CAMP July 4 - July 8.MENAGERIE CAMPSFor ages 11 and up, entering 6th Grade - High School in the fall.Please select one or more camps. *Week 4 - Worldbuilding 101 (WAIT LIST)*Week 5 - Venture Academy: Mischief Determined *Week 6 - Venture Academy: Matsuri Mayhem*Week 7 - Venture Fleet: Lightning and Rain (WAIT LIST)Camps cost $285 per week. NO CAMP July 4 - July 8.*Campers are required to EITHER have previous LARP experience with Arin Dineen or attend a Character Design Workshop the Sunday prior to camp week, 2pm-4:30pm, in order to attend Menagerie Camps. Math Mindset CampsFor students who are entering 7th, 8th or 9th grade. Camp hours are from 9am to 3pm. Please select ONE campMath Mindset Week 5, July 18 - July 22Math Mindset Week 6, July 25 - July 29Cost of Camp: $25-$285 Sliding scale offered. FREE week-long camp for students from households with annual income less than the median income in Santa Fe: $58,000 per year.Does your household have an annual income less than $58,000 per year? *YesNoIf you do not, how much can you pay for Math Mindset 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 or Aftercare?YesNoCamp hours are 9am-3pm. Beforecare is 8am-9am for $10/day. Aftercare is 3pm-5:30pm for $20/day.Please list the days of the week you will you need Beforecare and/or Aftercare?for example, "Beforecare and Aftercare, Mon-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 PhoneHas your child had chicken pox? If yes, when? *Please note if vaccinatedNextCAMP PAYMENT INFORMATIONCamps are $285 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. 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 MINDSET 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-$285.FOR ONLY 1 CAMPNon-refundable payment of $285 is required upon registration. Any before or after care fees are also required upon registration. Your camp spot will NOT be reserved until full payment is made.FOR 2 CAMPSNon-refundable payment of $570 is required upon registration. Any before or after care fees are also required upon registration. Your camp spots will not be reserved until full payment is made.FOR 3 OR MORE CAMPSA Non-refundable $570 deposit and any before or after care fees are also 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. REGISTERING AFTER JUNE 1?Full non-refundable payment for all camp weeks is due upon registration. NO camp spots will be reserved without full payment.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 are non-refundable. Final camp payment is non-refundable unless you are able to provide a doctor’s note OR if camp is canceled because of a confirmed case of COVID-19 in the camp.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 2021 or 2022 tax forms (all schedules must be included) by the DEADLINE: THURSDAY, 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. Our summer camp program accepts CYFD/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 CYFD/ECECD, there is a $25 deposit required to hold your chosen camps.PAYMENT 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 *Submit
