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

SUMMER CARE REGISTRATION 2024

Join us for our Summer Care program offered at the Fleetwood Campus only (8888 162nd St). 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.

Children who have an IEP and additional EA support at school will be assessed to determine our ability to meet his/her needs. A decision will be made by Surrey Christian School to confirm whether we would be able to meet your child’s needs. If applicable, please include details in the medical section below.

Please complete one form per child.

-Students enrolled for the 2024/25 school year 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 24 - August 2, 2024.
-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 (including the government fee reduction and a $50 non-tax-deductible field trip fee):
Children going into grade one: $200 per child, per week
Children going into grades two - five: $250 per child, per week

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 your student is currently enrolled in *

Grade entering in September 2024 *

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 *

AUTHORIZED PICKUP

Please enter the names of people other than the primary and secondary parent/guardian who are authorized to pick up your child. Please note that photo ID may be required.

First Name *

Last Name *

Phone number *

Relationship to student *

Add another individual

First Name *

Last Name *

Phone number *

Relationship to student *

Add another individual

First Name *

Last Name *

Phone number *

Relationship to student *

Add another individual

First Name *

Last Name *

Phone number *

Relationship to student *

HEALTH

BC Personal Health Number *

Name of family doctor or walk in clinic *

Phone number of family doctor or walk in clinic *

Does your child have a life threatening condition? If yes, please provide details. *

Life threatening condition details *

Is your child currently taking any medication on a regular basis? If yes, please provide details. *

Medication details *

ADDITIONAL INFORMATION

What are your child's interests? *

Does your child have an IEP and additional EA support at school? If yes, please provide details. *

Please provide details *

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 Camp Courage

Where young hearts soar, courageous as David.

Dates: June 24 - 28

Week 2 Humble Hearts

Inspired by Jesus.

Dates: July 2 - 5 (Closed July 1, 2024 for Canada Day)

Week 3 Hopeful Hearts

Where hearts shine bright, guided by God everyday.

Dates: July 8 - 13

Week 4 Blaze Busters

Fierce faith and fearless obedience in the furnace.

Dates: July 15 - 20

Week 5 Job's obedient quest

Follow faith and adventures with us.

Dates: July 22-27

Week 6 Embracing forgiveness

Joseph's colourful coat.

Dates: July 29 - August 2

FINANCIAL COMMITMENT

I understand that I can make changes to my 2024 Summer Care registration without penalty up until May 1, 2024. After May 1, 2024, a $75 change fee will be applied. *

Yes

I understand that May 1st, 2024 is the deadline to cancel June 2024 Summer Care without penalty. June 1st, 2024, is the deadline to cancel July and August 2024 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, 2024. Payment for all other weeks will be withdrawn on July 1, 2024. *

Yes

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

Current Total:

$0.00

NOTE: The weekly fee 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.

Link to Pre-authorized Debit Form