camp trinity 2018 summer fee...

NURTURING CHRISTIAN CHARACTER | PROMOTING ACADEMIC EXCELLENCE 123 EAST LIVINGSTON STREET ORLANDO, FL 32801

407.488.1919 TRINITYDOWNTOWN.COM

Camp Trinity 2018 Summer Fee Schedule Camp Hours: 7:00 a.m. – 6:00 p.m.

Registration Fee:

Early Registration:

➢ $75.00 per child, non-refundable and due with complete application by May 25, 2018.

Late Registration:

➢ $100.00 per child, non-refundable and due with complete application after May 25, 2018.

Weekly Rates:

➢ Weekly rates include the cost of all field trips, activities, daily hot lunches, and two daily snacks.

➢ No daily drop-in rate

Full Week:

➢ $190.00/wk, 1st child

➢ $150.00/wk, 2nd child discount

➢ $190.00 for July 2-6

o This rate is the same as a full week because it includes the cost of the field trip to Medieval Times and

the cost of the charter bus.

Partial Week:

➢ $120.00, 3 full days

➢ Aug 6-7, $60.00- Special End of Summer Rate

➢ No sibling rate available

*There is an additional charge of $1.00 per minute if you drop your child off before 7:00 a.m. or if you pick your child

up after 6:00 p.m.*

Dates:

Please select the week(s) below that your child(ren) will attend:

➢ ____ June 4-8 ➢ ____ June 11-15 ➢ ____ June 18-22 ➢ ____ June 25-29 ➢ ____ July 2-6 (Medieval Times, 7/6)

➢ ____ July 9-13 ➢ ____ July 16-20 ➢ ____ July 23-27 ➢ ____ July 30- Aug 3 ➢ ____ Aug 6-7 (2 Days)

Camp is Closed On:

➢ Wednesday, July 4, 2018 ➢ August 8-10, 2018

* See reverse side to read and confirm acknowledgements.*



Please carefully read the acknowledgements and sign for confirmation.

➢ I understand that the registration fee must accompany this application, is non-refundable, and must be paid via check.

➢ I agree to have my child’s weekly fee deducted from the account of my choice on the Friday before my child attends unless I e-mail [email protected] by 5:00 p.m. the Thursday prior to the week my child is signed up to attend.

o Example: For the week of June 4th, you will be billed on Friday June 1st. o By policy, Trinity does not refund Camp Trinity pre-payments.

➢ If the credit or debit payment does not clear on the Tuesday of the week of camp, I will bring in a cash

payment in order for my child to continue attending camp that week.

➢ I agree to drop off my child no earlier than 7:00 a.m. and pick up my child no later than 6:00 p.m. I understand that before 7:00 a.m. and after 6:00 p.m. there is an additional fee of $1.00 per minute.

➢ I give permission for my child to participate in school/church activities anywhere on the property of Trinity Lutheran Church and School.

➢ I also understand that I must sign my child in upon drop off and sign out upon pick-up each day.

➢ I give permission for my child to participate in all scheduled activities. In consideration of the permission granted for my child to attend and participate in scheduled activities, I hereby release and discharge Trinity Lutheran Church and School, its agents, employees and officers from all claims, demands, actions, judgments and executions which the undersigned’s heirs, executers, administrators and assigns may have or claim to have against its successors or assigns to all personal injuries known or unknown, and injuries to property caused by or arising out of the above described attendance and activities.

➢ I understand that I must complete one form per child.

Child’s Name: ____________________ Parent Signature: _____________________Date: ________________



2018 – 2019 Summer Camp Application

Student Information

Student Name: __________________________________DOB: _____________Age: ____________________Gender: ______________

Address: _____________________________________________________________________________________________________

City:__________________________________________________ State:________________ Zip:______________________________

Home Phone:____________________________________Alternate Phone: _______________________________________________

Medical Conditions/Health Concerns/Allergies:

____________________________________________________________________________________________________________

Doctor Name: ___________________________________________ Phone:________________________________________________

Parent/Guardian Information

Parent / Legal Guardian 1: ____________________________________________________________

Home Phone: ________________________________

Office Phone: ________________________________ E-Mail:____________________________ Cell Phone: _______ _________________________

Parent / Legal Guardian 2: ____________________________________________________________

Home Phone: ________________________________

Office Phone: ________________________________ E-Mail:____________________________ Cell Phone: ________________________________

(The office must have a copy of any custody agreements or divorce papers stating visitation and custody rights on file in the office.)

Office Use Only

Date Received:_________



Emergency Contact Person (other than parent/legal guardian):

Name: _______________________________________________ Relationship: _______________________ Phone number: ____________________

Name: _______________________________________________ Relationship: _______________________ Phone number: ____________________

Persons Authorized to Pick-Up Child (Please list anyone that is NOT a parent or legal guardian):

Name: __________________________________________________________

Phone: __________________________________________

Relationship:_______________________________________

Name: _________________________________________________________

Phone: __________________________________________

Relationship:_______________________________________

*In the event that your pick-up list changes, you must send signed notifications to the front desk or the camp Director. *

Please read the items below carefully before signing.

• I have reviewed and signed Trinity’s 2018 Summer Camp Fee Schedule.

• I have completed and turned in my Tuition Express form that indicates whether I will be billed a monthly or drop-in rate.

• I give Trinity Lutheran School permission to call emergency personnel to transport my child to _______________ hospital, or the nearest hospital in the event of an emergency, at the expense of my child’s family should emergency contacts not be reached.

• I give permission for my child to participate in various activities throughout the property of Trinity Lutheran Church and School.

Parent / Legal Guardian Signature: ____________________________________________________ Date:_____________________________________

Photo and Artwork Release Authorization

_______ I grant permission for the staff of Trinity Lutheran Church and School (including Trinity Extended

Care and Camp Trinity) to photograph my child(ren) and to display those photographs both inside

and outside the campus for purposes of Trinity marketing or in Trinity displays, exhibits or on

bulletin boards.

_____ I also grant permission for Trinity Lutheran Church and School to display my child(ren)’s artwork both

inside and outside of campus for purposes of marketing or in displays, exhibits or on bulletin

boards.

_____ I understand that any artwork created by my child that is displayed publicly may be labeled with

only my child’s first name and age, but will not be labeled with my child’s last name.

** To deny permission, initial the statement below and sign below.**

_______I deny permission for the use of my child’s photograph or artwork.



For Official Use Only _______________ Date Received _______________________ Employee Signature

Automated Payment processing

Safe - Convenient - Easy

We are excited to offer the safety, convenience and ease of Tuition Express™ – an automatic payment processing system that allows on-time tuition and fee payments.

Trinity Lutheran School uses Tuition Express for K-8 tuition, Extended Care and Camp Trinity.

K-8 Tuition (initial one):

______ I will make a one-time annual payment in full for my child(ren). I will receive a 5% discount off the tuition only. The 5% discount does not apply if you receive any tuition assistance or scholarships. The 5% discount does not apply to any application or registration fees.

______ I will make monthly payments through Tuition Express beginning July 1, 2018. Tuition Express processing fees are the responsibility of the parent/guardian.

______ I would like to arrange an alternative payment schedule with the Finance Department.

Extended Care (initial one):

______ Weekly – Drop-in charges will be billed the Monday following the week of care.

______ Monthly – Monthly charges will be billed the first Friday of each month. Monthly rates include Mini-Camps. Monthly rates do not include Camp Trinity – Winter Break, Spring Break, or Summer Camp

Camp Trinity- Winter Break / Spring Break / Summer Camp (initial if you plan to send your children to any camp):

______ Weekly charges will be billed on the Friday prior to the week of camp my child is registered to attend.

AUTHORIZATION FOR CREDIT CARD (Do not complete this portion if you intend to use your Checking Account for Electronic Fund Transfers.)

I hereby authorize Trinity Lutheran School to initiate recurring credit card charges for the items initialed above to my referenced credit card account. I understand that a transaction fee of $3.00 will be added to my bill each week for the ability to use my debit/credit card as my source of payment. To properly effect the cancellation of this agreement, I am required to give a 10 day written notice. Tuition Express accepts Discover, Mastercard, and Visa.

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Cardholder Name Phone #

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Cardholder Address City State Zip --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

FULL Credit Card Number Expiration Date Three Digit Security Code

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Signature Today's Date

**NOTE:

There will be a $25.00 fee for all declined transactions.

Please turn form over to fill out the authorization for using a bank account.



AUTHORIZATION FOR BANK ACCOUNT ELECTRONIC FUNDS TRANSFER (Do not complete this portion if you intend to use your debit/credit card for payments.)

I hereby authorize Trinity Lutheran School to initiate debit entries from my Checking or Savings Account indicated below in accordance with my selected payment schedule. I understand that there is no fee for using my Bank Account as my source of payment. To properly effect the cancellation of this agreement, I am required to give a 10 day written notice.

Credit Union Members: Please contact your Credit Union to verify account and routing numbers for automatic payments. Please Print: ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Your Name Phone #

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Address City State Zip

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Bank or Credit Union Name

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Bank or Credit Union Address City State Zip Checking Savings ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

Routing Transit Number (see sample below) Account Number (see sample below)

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Signature Date **NOTE: There will be a $25 fee for all NSF transactions.

For Official Use Only

_________________ Date Received

_____________________________

Employee Signature

**You must supply a voided check or a pre-printed voided deposit check with this section of the form. The check

or deposit slip must be printed with your name, address, routing and account numbers.

Your credit card or bank account information will be kept in the strictest of confidence and will be Appropriately discarded as soon as possible.



Camp Trinity 2018 Field Trip Permission Form

Every week, Camp Trinity will participate in various field trips. Please read carefully and sign the

acknowledgements on the back of this form to give permission for your child to attend these trips.

Tuesdays and Thursdays:

➢ 10:00-11:30

o Camp Trinity rides the LYMMO bus to the library and watches live shows.

➢ 12:30-2:30

o Camp Trinity walks to the pool at Lake Highland Preparatory School where campers will

swim under the supervision of lifeguards.

Wednesdays:

There are two possible field trips on Wednesdays; dependent upon movie option and weather.

➢ 9:00-10:30

o Camp Trinity walks to the park at Lake Eola and plays on the playground.

▪ Weather permitting

➢ 10:00-12:00

o Camp Trinity rides the LYMMO bus to the Cobb Plaza Cinema Café 12 and watches a

G or PG rated film while enjoying a child-sized popcorn and Sprite (or water).

Friday Field Trips:

➢ 6/22/18

o From 11:00-3:30, campers ride the LYMMO bus to the Amway Center to watch the

Mascot Games. We will be taking a packed lunch provided by Mr. Poole.

➢ 7/6/18

o From 9:30-2:00, campers ride a charter bus to enjoy a show and lunch at Medieval

Times.

➢ 7/13/18

o From 9:30-3:00, campers will ride a charter bus to WonderWorks. We will be taking a

packed lunch provided by Mr. Poole.

➢ 7/27/18

o From 10:00-2:00, campers will travel by van to the Crayola Experience. We will be taking

a packed lunch provided by Mr. Poole.

*See reverse side to read and sign the Permission Slip Acknowledgements.*



Permission Slip Acknowledgements

➢ I understand that I must sign this form in order for my child to attend the field trips listed.

➢ I understand that if I do not want my child to attend a scheduled field trip, I must make other plans for them that day.

o I also understand that Camp Trinity does not have additional paid staff to stay on campus for my child.

➢ Please list any field trips that your child will not be attending on the line below:

o ______________________________________________________________

My child, ___________________________, has permission to attend all of the field trips described above unless otherwise listed above. I understand that all safety precautions will be taken for the protection of my child. I understand that my child’s conduct on these field trips will be a credit to him/her and Camp Trinity/Trinity Lutheran School. I will not hold the school, drivers, or host liable in case of an accident during transportation or participation. Parent/Guardian Printed Name: ____________________________________ Parent/Guardian Signature: ________________________________________ Relationship to Student: ___________________________________________ Emergency Phone #: ______________________________________________

Total Enrollment Packet: 8 pages

camp trinity 2018 summer fee...

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