Test Registration

Camp Bailey Registration

Step 1 of 5

Parent/Guardian Information

Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Name

First Last

Phone

Address

Street Address Address Line 2 City State ZIP Code

Parent/Guardian with legal custody

Parents Are

Emergency Contacts in NWA

(Other than parents or guardians)

Name(Required)

First Last

Phone(Required)

Relationship to Child(Required)

Name(Required)

First Last

Phone(Required)

Relationship to Camper(Required)

Camper Pick-Up Information

Please list below the people who *DO HAVE PERMISSION* to pick up your camper. *Note Anyone picking up your camper must have a picture ID.

Name

First Last

Phone

Relationship to Camper

Name

First Last

Phone

Relationship to Camper

Name

First Last

Phone

Relationship to Camper

After-School Care (ASC) Consent

After-School Care (ASC) at THS Elementary(Required)

I understand and agree that ASC is only offered at The Hill School Elementary at 2828 N. Crossover Rd.

By signing this, I understand and agree that if/when I enroll my camper in After-School Care (ASC), my camper will need to be picked up at The Hill School Elementary campus by 5:30pm on their scheduled day. After-School Care (ASC) for Camp Bailey campers is NOT available at THS Preschool. If campers shuttle back to THS Preschool, they will need to be picked up by 3:30pm. Camp Bailey After-School Care (ASC) is only available at The Hill School Elementary campus.

Activities Release & Field Trip Permission

Photographic Waiver

DHS Acknowledgements

Signature(Required)

Camp Bailey Registration

Price: $0.00

Payment Details

Subtotal

$0.00

Processing Fee

$0.00

3.5% Processing fee via CC Processing Company

Total

Coupon

Credit Card(Required)

Cardholder Name

Card Details

Camper’s Full Name	Date of Birth	Grade Level Camper Graduated	Does your camper have any allergies?	T-Shirt Size	Actions

There are no Children.

Camp Bailey Registration

Parent/Guardian Information

Emergency Contacts in NWA

Camper Pick-Up Information

Camper's Information

After-School Care (ASC) Consent

Activities Release & Field Trip Permission

Photographic Waiver

DHS Acknowledgements

Payment Details

Academics

Admissions

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