Extended Day Camp Care Registration Form
One Registration Form per Student
Student Name: Gender: Male Female
Date of Birth: Grade Completed:
Name of Parent/Guardian: Work #:
Cell #: E-Mail:
Emergency Contact/Designated Pick-Up Person: Phone:
Does your student have any health concerns we should be aware of?: YES NO
If YES, please specify:
Select your Camp Care Schedule
June 26th-30th: AM Only 7am-9am $76.00PM Only 1pm-6pm $120.00AM & PM $195.00
July 5th-7th: AM Only 7am-9am $57.00PM Only 1pm-6pm $90.00AM & PM $145.00
* Students staying for Extended Day Camp Care will spend their afternoons engaging in summertime fun! Activities will include: indoor/outdoor games, crafts, free play, etc.
*Students attending the After Camp Care Program should be picked up promptly. Chronic lateness may result in student dismissal without a refund.
I understand I am enrolling my student into MTPS Extended Day Camp Care as a supplement to the Township Summer Recreation Camp at Baker Elementary.
After you submit your registration you will be directed to the Parent Payment Portal where you can pay for tuition under the Items/Fees tab on the horizontal menu in the group Recreation Camp Care.
Moorestown Township Public Schools
803 N Stanwick Rd
Moorestown, New Jersey 08057