Summer Camp Registration Form in Norbeck Montessori Summer Camp Registration Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Type of Student * New Student Returnee Academic Year *2026Child's Name *Gender *MaleFemaleChild's Birth Date *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParent's Name *Relationship to Child *MotherFatherStep-MotherStep-FatherGrandparentLegal GuardianParent's Mobile Number *Parent's E-mail *Parent's Work PhoneSecond Parent's NameRelationship to ChildMotherFatherStep-MotherStep-FatherGrandparentLegal GuardianSecond Parent's MobileSecond Parent's EmailSecond Parent's Work Phone Child's Weeks Work Allergies, if any *Program Plan *Montessori Instruction ProgramSummer Camp ProgramSummer Camp Program Times & Pricing *Extended Day: 7:30 a.m. – 6:00 p.m. Price: $400.00 per week.Full Day: 8:00 a.m. – 3:30 p.m. Price: $375.00 per week.Half Day: 8:45 a.m. – 12:15 p.m. Price: $325.00 per weekMontessori Instruction Program Times & Pricing *Extended Day: 7:30 a.m. – 6:00 p.m. Price: $425.00 per week.Full Day: 8:00 a.m. – 3:30 p.m. Price: $400.00 per week.Half Day: 8:45 a.m. – 12:15 p.m. Price: $350.00 per weekWeeks of Attendance and Themes *6/15 - 6/19: Insects and Spiders: (Norbeck will be closed on Friday, June 19th)6/22 - 6/26: Insects and Spiders6/29 - 7/3: USA: (Norbeck will be closed on Friday, June 3rd)7/6 - 7/10: It’s a Small World7/13 - 7/17: Space7/20 - 7/24: Space7/27 - 7/31: Kid’s Kitchen8/3 - 8/7: Rainforest8/10 - 8/14: Rainforest8/17 - 8/21: What a Mess! (The last day of camp is Thursday, August 20th. Norbeck will be closed Friday, August 21st for Professional day)**Important: Please note that you MUST select at least 8 weeks from above to participate in Norbeck’s Summer Camp Program** I Agree to Below *I have included a $200 NON-REFUNDABLE Deposit.Program Payment *I understand additional childcare is available for children in Half day and Full Day. The additional fee per hour for children in Half day or Full day is $11.00.Sessions Selection *I have checked all the sessions I wish to reserve for my child. I realize I will be billed for each session I have reserved unless I submit written notice to Norbeck Montessori. This notice must be received two weeks in advance. NOTIFYING A STAFF MEMBER DOES NOT CONSTITUTE PROPER NOTICE. *NOTE: No allowances can be made for absences due to illness, disability or change in personal plans. My Child Wears Diapers *YesNoMy Child Wears Pull Ups *YesNoSignature * Clear Signature Signature is Required My Child will take a Nap at Camp After Lunch (Toddler Room Only). *YesNoMy Child is in Underwear All Day. *YesNoDate *Total Amount *Price: $200.00Registration fee and Non-refundable deposit for the summer camp Application for your child in Norbeck Montessori.Stripe Credit Card *Submit
