This must have ALL information sections completed, including three emergency contacts (other than parent/guardian) with valid phone numbers. If you do not have 3 contacts, please write "Child Protective Services" on the form. Note that medical/dental info needs phone numbers included as well.
CDHPE Immunization Form *Updated and available in January 2018
This form must be completed annually and signed by your physician or state recognized medical personnel. It doesn't require a physical; your doctor's office should be able to fill out the form without a visit from your child.
Immunization Exemption Form Immunization Exemption
Facility Usage Fee
There is an additional usage fee for the Funshine Summer Camp to help defray some of their incurred costs while hosting the program.
Funshine is a state licensed summer day program for ages 6- 12 years old.
| All About Funshine
|Dates:||June 4th -July 27th|
The Funshine program allows families to either pay the full camp fee at the time of registration or split payments over the course of five (5) weeks and follow the schedule below. Paying the $100 deposit infers the understanding that payments will be received no later than the due dates below or your child’s spot may be filled.
A $100.00 non-refundable deposit is required at the time of registration and will be counted toward the total balance due.
First Payment May 1
Regular Hours $TBA+ $TBA Facility Fee
Regular Hours TBA
PLEASE READ THE FOLLOWING INFORMATION CAREFULLY AS THE REGISTRATION PROCESS HAS CHANGED
Parent Meeting - 2018 TBD
Please note that any child who may need medication during Funshine MUST have the forms fully signed off on by their healthcare provider and the medication must be turned in prior to their admission to Funshine. Any child who does not have the appropriate instructions/forms turned will not be able to attend Funshine until this is resolved.
Funshine staff will provide you with the appropriate Medication Administration Form(s), if we will need to administer medication for your child while they are in our care. The Medication Administration form must be completed by your child's physician. It is your responsibility to provide the appropriate, signed forms before your child attends camp.
Information about the forms:
- All instructions must be written in layman's terms (no medical shorthand, symbols, etc) or they cannot be accepted.
- If your child uses an inhaler, complete the Inhaled Medication Form and Asthma Health Care Plan
- If your child has severe allergies and carries an Epi-Pen, complete the Severe Allergy Plan
- If your child will take any other medications (including over the counter) at camp, please complete the Medication Administration Form