Summer Camp Application 2024Monday through Friday, 7:30 a.m. to 5:30 p.m. Student's Name * New application must be completed for each student First Name Last Name Student's date of birth * MM DD YYYY Student's Age * Student's Grade * Is your child potty trained (only underwear - no pull ups)? * Yes No If no, please explain: * If yes, type N/A Attendance Type Full Time (4-5 days) Part Time (1-3 days) Half Days (8 a.m. - 12 p.m.) Preferred Schedule Required for Half Days (8 a.m. - 12 p.m) and Part Time (1-3 days) Monday Tuesday Wednesday Thursday Friday What weeks should we expect your student? Required for Part time May 13th-17th (AHCS K4 & K5 only) May 20th - 24th May 27th - 31st June 3rd - 7th June 10th - 14th June 17th - 21st June 24th - 28th July 1st - 5th July 8th - 12th July 15th - 19th July 22nd - 26th July 29th - August 2nd August 5th - 9th August 12th - 14th August 15th - 16th (Current AHCS Students) Has student ever been suspended, expelled or dismissed from School? * If yes, explain Select Yes No If yes, please explain: * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Student's Email Father's Name First Name Last Name Email Phone (###) ### #### Employer Mother's Name First Name Last Name Email Phone (###) ### #### Employer Marital Status * Married Single Divorced Separated If divorced or separated, who has legal custody and/or guardianship rights? * Financial Agreement - Payment will be made weekly, payable to FACTS or Auburn Hills Christian School. Allow sufficient delivery time if mailed. Student will not be admitted to class if payments are over 10 days in arrears. Checks returned will require secured funds for subsequent payment. I understand and agree to the established regulations, discipline and financial obligations set within. Yes Thank you for applying to AHCS Summer Camp 2023. Will will contact you on the status of your application and next steps.