Summer Camp Deposit – Springrose Childcare

Congratulations, your child has been selected for admission in the SpringRose Summer Camp program starting June 14, 2021!

To finalize your child's enrollment in the SpringRose Summer Camp please complete the information below no later than April 16, 2021. Spaces in the program will be reserved only upon completion of this form. After April 16th all available spaces will be made available to the next child on our waiting list.

SpringRose Childcare will charge your credit card, with the information you provide us below, a one (1) week non-refundable tuition deposit equal to the amount of your weekly summer camp tuition. Tuition deposits will be collected for ALL students including those already enrolled in our program. Please note Summer Camp 2021 runs from June 14th to August 20th. Registration for summer camp is an 10 week commitment. SpringRose does not offer tuition credit for vacations or illnesses during the summer.

Fields marked with an asterisk (*) are required.

Choose the Approved Camp Schedule

You may pay for up to three children

Child One*

Child Two

Child Three

Date to be charged*

Please select the date you would like SpringRose Childcare to charge you for the one-week non-refundable deposit. The one-week non-refundable deposit will be charged on the date selected below and applied to the final week of summer camp.

April 23rd
April 30th

Payment Info*

My child is currently enrolled at SpringRose, please use credit card already on file
I am a new client/I would like to use a different card to pay for Summer Camp (this card will be used for both the deposit and weekly charges)

Credit Card Information

Type of Card*

Cardholder Name*

Enter your name as it appears on the card

Enter your credit card number*

Expiration Month*

Expiration Year*

Security Code*

CVV Number on back of card

Billing Address*

Street Address Address Line 2 City State ZIP Code

Phone Number*

Email*

Enter Email Confirm Email

Summer Camp T-Shirts

If you need to purchase a new summer camp t-shirt please select below:

Students must wear Tie Dye Summer Camp shirts on ALL field trips. Please be advised there are 2-3 field trips per week.

Summer Camp T-Shirt

Choose the size and quantity below

Youth-Small (6-8)

Price: $15.00 Quantity:

Youth-Medium (10-12)

Price: $15.00 Quantity:

Youth-Large (14-16)

Price: $15.00 Quantity:

Adult-Small

Price: $15.00 Quantity:

Adult-Medium

Price: $15.00 Quantity:

Adult-Large

Price: $15.00 Quantity:

Staff In Training T-Shirt

Only for students who will be in 6th grade or older in the fall

Youth Small (6-8)

Price: $18.00 Quantity:

Youth Medium (10-12)

Price: $18.00 Quantity:

Youth Large (14-16)

Price: $18.00 Quantity:

Adult Small

Price: $18.00 Quantity:

Adult Medium

Price: $18.00 Quantity:

Adult Large

Price: $18.00 Quantity:

Grand Total

Total

$0.00

Authorization

Consent*

I Agree

By clicking "I Agree", I acknowledge that I am reserving a space at SpringRose Childcare for the 2021 Summer Camp program by allowing us to charge your credit card listed above, and that my tuition deposit is non-refundable. NOTE: The SUBMIT button will not appear until this consent box is selected.