Summer Camp at Seneca Hill Private School Registration Form

Please fill out one registration form per child. This information is necessary to confirm your child's registration in our Summer Camp. 

Your Info

Camper's Info

Yes/No

Additional Contact Info

Parent/Guardian Information

Emergency Contact Information

Important Note: Please provide emergency contact information for individuals other than parents/guardians. In the event of an emergency, we will first attempt to contact the child's parents/guardians. If we are unable to reach them, we will contact the listed emergency contacts.

Authorized Individuals for Pick-up

Medical and Dietary Info

None
Yes/No
Yes/No
If indicating yes, please ensure to fill out the Camp Medication Form before your child's first day of camp.
Yes/No
Please note that while we strive to accommodate the needs of all children, our small camp setting may not be equipped to provide specialized support for every requirement. Acceptance is at the discretion of our team to ensure we can maintain a safe and supportive environment for all participants.

Additional Permissions

Yes/No
Yes/No

After signing, you will be redirected to the payment section.

2025 Summer Camp Payment

To secure your spot, please complete the registration form before making a payment. Note that a non-refundable $25 registration fee is included in the Weekly Rate.

I agree to terms & conditions provided by Seneca Private School.

For any missed weeks of camp (more than 3 days in a week), our official refund policy is to offer a replacement week of camp – this can be used for this summer or as a credit for next year’s summer camp. If there are no additional weeks available, the options are to provide a credit for a free week of camp next summer, or a 50% refund for the missed week.