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HomeSTEAM Summer Camp Registration

STEAM Summer Camp Registration

"*" indicates required fields

Camper Information

Name*
MM slash DD slash YYYY
Name
MM slash DD slash YYYY

Parent Information

Name*
I hereby grant permission for the Jack & Jill Center STEAM Summer Camp to mention, feature or describe my child/children in printed publications, news stories and/or features about the Center and its activities. I further grant permission to use images of my child/children in printed publications, video, social media, press releases and/or the Jack & Jill website without further consideration. I acknowledge that Jack & Jill has the right to crop or treat photographs at its discretion, and understand that Jack & Jill and/or outside agencies may choose not to use the photo at this time, but may do so at its own discretion at a later date.
I hearby grant permission for my child/children to participate in STEAM Summer Camp field trips and activities off-campus. I understand that I will be notified in advance of each trip and can opt out on a trip by trip basis.
Consent*
I understand that I am responsible for dropping off and picking up my student (s) within the designated camp hours and fees will be charged if I drop off earlier or pick up later than those times.
Consent*
I understand that any weekly camp fees I owe (if applicable) will be billed to me via my account with the school.
For questions about billing, please email Ms. Kathy at kcapobianco@jackandjillcenter.org.
Consent*
By submitting this form, I indicate that my student (s) will be attending Summer Camp at The Madelaine Halmos Academy and I accept responsibility for any fees incurred as a result of their attendance.
MM slash DD slash YYYY
This field is for validation purposes and should be left unchanged.

Many thanks to our Leadership Circle, Founder’s Circle, Scholarship Circle and Champion’s Circle Corporate Partners!

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2[1]
Truist
Truist
Oakpoint Charitable Foundation
Oakpoint Charitable Foundation
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4[1]
Halmos (1)
Halmos (1)
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5[1]
Holman 2
Holman 2
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9[1]
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Oakpoint Charitable Foundation (1)
Oakpoint Charitable Foundation (1)
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Carlos & Lisa Rodriguez
Carlos & Lisa Rodriguez
Willenborg
Willenborg

 

 

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Jack & Jill Center Halmos Family Building 1315 W Broward Blvd Fort Lauderdale 33312-1664 Phone: (954) 463-8772
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