Camp Special | Meadowbrook School

Parent: First name

Parent: Last name

Parent Phone #

Address

Parent Email

Camper Full Name

Camper DOB

Month

Day

Year

Age of Camper (as of today)

Grade Entering in September

Is your child a Meadowbrook student?

Yes

No

Is your child under any medical/physical restrictions?

Yes

No

Is your child taking any medication?

Yes (Please complete the Medication Policy Form)

No

Does your child have any history of an unusual experience, which has required treatment, concern, or which would require special consideration while attending camp? If ‘Yes’, a camp representative will contact you to discuss.

Yes

No

Is this your child's first time attending Camp Meadowbrook?

Yes

No

Specialty Camps are open to campers in grades 2nd through 7th. LUNCH INCLUDED. A non-refundable deposit of $100 is due to reserve your spot. Full payment must be made by May 1st.

Sports Package-Lacrosse, Soccer, Sports Fitness(week 6.16, week 6.23, week 8.11)$999.5

S.T.E.M Package-CSI,Robotics,Chess(week 6.16, week 7.28)$750

Creative Arts-Art, Drama,Creative Writing(week 6.30, week 7.7, week 7.21$925

VALENTINE'S DAY SPECIAL

*Please fill out a separate form for each camper