Spring Break Camps

Are you a family currently enrolled in our programs?

Yes, we are in your programs
No, our family has not been enrolled in any of your programs

Parent/Guardian Name*

First Last

Email*

Phone*

Which school does your child(ren) attend?

Sir James Douglas Elementary
Margaret Jenkins Elementary
Other

Child's Name*

First Last

Child's current grade in school*

2nd Child's Name , if registering 2 children who will be attending the exact same week(s)

First Last

2nd Child's current grade in school

Camp runs 8:00am - 5:30pm, Fairfield Gonzales Community Place, 1330 Fairfield Rd.

Select the week(s) you want*

Mar 20– Mar 24 (5/$50)
Mar 27 – Mar 31 (5/$50)

Registration Package*

Yes, I have registered with your programs before and you have my information on file
No, I have not registered with you before and I need to complete a registration package.

Emergency Contacts*

Yes, my emergency contacts are up to date.
No, I need to update my emergency contacts and will provide that information in the "additional comments" box

Additional comments (if you want to register more then 2 children, add that info here)

Refund Policy: We require 15 business days notice in order for you to receive a refund. After the withdrawal deadline there will be no refunds issued. If the FGCA cancels programming, you will receive a refund.*

I understand and agree to the refund policy.

SPRING BREAK CAMP

5 -12 YEARS

REGISTRATION

2023 Spring Break Camp Request Form

Camp runs 8:00am - 5:30pm, Fairfield Gonzales Community Place, 1330 Fairfield Rd.

CONTACT