604-498-3233 | info@surreychristian.com | www.surreychristian.com

SUMMER CARE REGISTRATION 2023

Join us for our summer care program offered at the Cloverdale Campus only (5950 179 Street). With field trips and plenty of outdoor play in this week-long, summer camp-like setting, our program will include something for everyone to enjoy.

We will have two field trips per week. Please note the schedule below, including the field trips, are tentative and subject to change. Surrey Christian School reserves the right to make changes to this schedule depending on availability, COVID restrictions and/or weather conditions.

If your child has a diagnosis, and/or requires a support worker during the regular school year, Surrey Christian School has the right to determine whether he/she will be a good fit for the program with or without extra support. If applicable, please include details in the medical section below.

Please complete one form per child.

-Students currently enrolled at Surrey Christian School are eligible to register.
-Students entering grades 1-5 this fall are eligible to register.
-Summer care is limited to 25 attendees daily. Families currently enrolled in our Out of School Care program will have the opportunity to register first.
-Waitlists will be available. Waitlisted families will only be charged at the appropriate time once acceptance is confirmed.
-Dates: June 26 - August 4, 2023.
-Times: 8:00 am - 5:00 pm daily.
-Registration is for a 5-day week, Monday to Friday. Please sign up for each week individually.
-Cost: $250 per child, per week (including a $50 non-tax-deductible field trip fee).

Please be sure to read the Parent Handbook to be informed of our policies and procedures.

Please note, that this is a nut-free environment.

Today's date * +

STUDENT DETAILS

Student's legal first name *

Student's middle name

Student's last name *

Name student responds to (if different than legal first name) *

Student's date of birth * +

Gender *

Campus *

Grade entering in September 2023 *

HOUSEHOLD INFORMATION

The student lives with *

Other *

Language spoken at home *

Other language

If a court order has been made concerning the care/custody of the child please attach a copy when you get to the section that allows attachments to be uploaded.

PRIMARY PARENT/GUARDIAN INFORMATION

Primary parent/guardian first name *

Primary parent/guardian last name *

Relationship to student *

Other relative relationship *

Primary parent/guardian email address *

Add a secondary parent/guardian

SECONDARY PARENT/GUARDIAN INFORMATION

Secondary parent/guardian first name *

Secondary parent/guardian last name *

Relationship to student *

Other relative relationship *

Secondary parent/guardian email address *

ADDITIONAL INFORMATION

What are your child's interests? *

Is there anything else you want us to know about your child? (Health concerns, speech, hearing or vision problems etc.) If yes, please provide details. *

Please provide details of any concerns *

Are there any special family circumstances the school should know about? *

Please provide details of any special family circumstances *

IMMUNIZATION RECORDS

Vaccination Status *

If your child's vaccinations are COMPLETE choose one of the following *

If your child's vaccinations are INCOMPLETE choose one of the following *

Year of last vaccine *

Received in (city, province, country) *

CONSENTS

FIELD TRIP CONSENT

Acknowledgement of Risk

Students occasionally go on a walk through the neighborhood. I have read the school's Acknowledgement of Risk form (link above) and consent to having my child go on supervised walks during summer care. *

Yes

No

PHOTOGRAPH PUBLISHING CONSENT

I consent to have the student’s picture published in the school newsletter, on SCS social media, on our website or other school related publications/marketing. The school only publishes first names of students. *

Yes

No

EMERGENCY MEDICAL TREATMENT CONSENT

In case of an emergency where parents cannot be contacted I authorize the principal or school representative to contact the family doctor or take the necessary steps to ensure the health and safety of my child. *

Yes

No

HANDBOOK

Please read through the Parent Handbook. Click on the link below and scroll to the bottom of the page to download.

Parent Handbook

I have read and understand the Parent Handbook. *

Yes

PROTECTING YOUR PERSONAL INFORMATION

Surrey Christian School collects and uses personal information for the sole purpose of maintaining accurate student records in the administrative offices, and to respond immediately to an emergency. SCS commits to using and storing this information responsibly and will not release this information to a third party without your verbal or written consent unless permitted under the PIPA (Personal Information Privacy Act) legislation. Please note that your personal data stored in our online student information system, MySchool Management, is housed in the European Union, not in Canada. If you have questions about SCS’s use, storage or disclosure of personal information, please contact our privacy officer.

I consent to having SCS collect, use and disclose this personal information as outlined above. *

Yes

SUMMER CARE SCHEDULE

Week 1 Oh Canada - FULL. WAITLIST ONLY

Dates: June 26 - 30 (Please note that this week is full. However, a waitlist is available).

Let's celebrate Canada's birthday by visiting the museum and local parks, and by learning a bit about our country.

Week 2 Mad Science

Dates: July 4 - 7 (Closed July 3, 2023 for Canada Day)

Grab your lab coats and safety goggles because this week we’re going mad for science! With daily science experiments and a trip to Science World and Hawthorne Park, this week will be a BLAST!

Week 3 Legendary Creatures

Dates: July 10 - 14

Gather around and explore the wild imagination of Legendary Creatures! Join us as we build fairy houses for our trip to Redwood Park and Fleetwood Park!

Week 4 Environmental Warriors

Dates: July 17 - 21

This week we will be learning about the environment and taking care of God’s earth. Let your imagination go wild as we build with recycled materials, take a trip to ARocha and hang out at Maple Ridge Park!

Week 5 Forest Explorers

Dates: July 24 - 28

Get your backpacks and binoculars because this week we will go on a scavenger hunt at Bear Creek Park and check out some amazing birds at the bird sanctuary.

Week 6 Under the Sea

Dates: July 31 - August 4

Sunscreen? Check! Beach towel? Check! Bathing suit? Check! Join us for our last week of summer fun at Centennial Beach and the Vancouver Aquarium!

FINANCIAL COMMITMENT

I understand that I can make changes to my 2023 Summer Care registration without penalty up until May 1, 2023. After May 1, 2023, a $75 change fee will be applied. *

Yes

I understand that May 1st, 2023 is the deadline to cancel June 2023 Summer Care without penalty. June 1st, 2023, is the deadline to cancel July and August 2023 Summer Care without penalty. All withdrawals after the deadline will incur a penalty equal to the cost of care. *

Yes

I understand that payment for the last week of June will be withdrawn on June 1, 2023. Payment for all other weeks will be withdrawn on July 1, 2023. *

Yes

Please select the weeks that you would like to register your child for *

Week 1 Oh Canada (June 26 - 30) - WAITLIST ONLY

Week 2 Mad Science (July 4 - 7)

Week 3 Legendary Creatures (July 10 - 14)

Week 4 Environmental Warriors (July 17 - 21)

Week 5 Forest Explorers (July 24 - 28)

Week 6 Under the Sea (July 31 - August 4)

Current Total:

$0.00

NOTE: The weekly fee of $250 per child includes a $50, non-tax-deductible field trip fee. Waitlisted families will only be charged at the appropriate time once acceptance is confirmed.

Fee payment *

My banking information is on file with the finance office. Please debit my account for the monthly fees on June 1 and July 1.

I will submit a pre-authorized debit form (see link below). Please debit my account for the monthly fees on June 1 and July 1.

Link to Pre-authorized Debit Form