Welcome to Golden Bear’s 9th Summer Camp! 2022 Summer Camp Registration (TK-6) - Newark CenterMonday-Friday, 9:00am-6:00pmPlease enable JavaScript in your browser to complete this form.Student Name *FirstLastStudent Date of Birth *mm/dd/yyyyStudent Grade in September 2022 *Grade TKGrade KGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Student's Allergy Information Student Name (Sibling)FirstLastStudent Date of Birth (Sibling)mm/dd/yyyyStudent Grade in September 2022 (Sibling)Grade TKGrade KGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Student's Allergy Information (Sibling)Disclosure of Existing Medical Condition(s)If student or sibling has any existing medical condition(s), then please disclose the information to Golden Bear Education.Name of Student's Elementary SchoolMay 2022Week 1 (5/30-6/3)June 2022Week 2 (6/6-6/10)Week 3 (6/13-6/17)Week 4 (6/20-6/24)Week 5 (6/27-7/1)July 2022Week 6 (7/5-7/8)Week 7 (7/11-7/15)Week 8 (7/18-7/22)Week 9 (7/25-7/29)August 2022Week 10 (8/1-8/5)Week 11 (8/8-8/12)Weekly Tuition per Studentfull-day, six weeks or more ($290/week)full-day, four to five weeks ($310/week)full-day, three weeks or less ($340/week)half-day, morning (9:00am-12:00pm) ($190/week)half-day, afternoon (1:30pm-6:00pm) ($190/week)Sibling Discount: 10% off (Note: Sibling discount cannot be combined with referral discount.)Extended Care OptionMorning Extended Care (8:00am-9:00am, $60/week)Morning Extended Care (8:30am-9:00am, $30/week)Evening Extended Care (6:00pm-6:30pm, $30/week)New Student Referral Discount: 10% off (for both referrer and new student. Enter new student's name below.) Note: Referral discount cannot be combined with sibling discount. New student is a student who didn't attend Golden Bear summer camp or afterschool before.Parent/Guardian Name 1 *FirstLastParent/Guardian Email 1 *Parent/Guardian Phone Number 1 *Parent/Guardian Name 2FirstLastParent/Guardian Email 2Parent/Guardian Phone Number 2Home Address *Payment *ZelleWe will send an invoice after processing your registration form. Registration will be confirmed after payment is received. We accept online payment via Zelle. Waiver of Liabilities *Parent(s)/Guardian(s) agree to indemnify and hold harmless Golden Bear Education, its board members, administrators, directors, staffs, teachers, volunteers and service providers from all liabilities and claims, of whatever nature, including but not limited to the infection of communicable diseases, with regard to the child’s enrollment in the programs Golden Bear Education provided.Note: By checking this checkbox above, parent(s)/guardian(s) are electronically signing this waiver of liabilities and agree to the terms and conditions.Questions or ConcernsWebsiteSubmit
