Holiday Day Camp

Holiday Day Campwebadmin2024-10-21T13:08:36-07:00

Join us for 2024-2025 Holiday Day Camp

For Grades K-6
Games, Arts and Crafts, Creative Arts, Academic Enrichment
including Breakfast, Lunch, and Snack

No charge for students enrolled in Vernonia School District*
Transportation also provided for VSD students

8:00 AM-5:00 PM during Winter Break

December 23, 26, 27, 30, January 2, 3, 6

*Funding for Vernonia School District students comes from the 21st Century Community Learning Centers grant recently awarded to Vernonia School District.

Register Your Student Now:

Student First Name *

Student Last Name *

My student has an IEP, 504 or other medical needs *YesNo

If yes, please explain those needs:

Enrolled School District *Vernonia (Program Free to ALL Vernonia Students)Other ($600, includes breakfast, lunch and snacks)

School *

Classroom Teacher *

Is busing needed?YesNo

Address for bus drop off (within Vernonia School District)

Is there anything else we should know about your child?0 / 180

Parent/Guardian 1 Full Name *

Parent/Guardian 1 Phone Number *

Parent/Guardian 1 Email Address *

Parent/Guardian 2 Full Name

Parent/Guardian 2 Phone Number

Parent/Guardian 2 Email Address

Street Address *

Apartment, suite, etc

City *

State *

ZIP / Postal Code *

Country

Person(s) Other than Parent/Guardian listed above who has permission to pick up student:Students WILL NOT be released to anyone who is NOT listed on this form.

Full Name

Phone Number

Relationship to Student

Photography/Videography Consent: I understand that my child may be photographed or on video as a part of this program. I give permission for such photos and videos to be used for promotional purposes by Vernonia School District and Camp Cedar Ridge. *YesNo

Total

Credit / Debit Card *