Mini Camp Application

Prices

Registration:

All participants in KidzHOME programs are required to pay for registration. Registration is valid for a school year (September to August). The fee is paid once and covers all KidzHOME programs, including Malenkaya Kompaniya Russian Theater Studio and the Theater Summer Camp. Please refer to the table of registration fees below.

New Students	$35
New Students with Sibling Discount	$50 ($25 each)
Returning Students	$25

Camp Prices:

1 Day	$105
2 Days	$205
3 Days	$300
4 Days	$390
5 Days	$475
6 Days	$550
7 Days	$615

Early drop-off (from 7:45 AM) and/or late pick-up (until 6:30 PM)

	Early drop-off OR late pick-up	Early drop-off AND late pick-up
1 Day	$30	$51
2 Days	$40	$72
3 Days	$55	$90
4 Days	$70	$105
5 Days	$85	$120

Discounts

Sibling Discount: Oldest child pays full price, second child receives 10% off, third child 15% off

Find a Friend Discount: Get $20 off for referring a new student

KidzHOME students and returning campers receive 10% off all our camps!

Extended Day: Early drop off and later pick up available at additional fee.

Please fill out the application form below. If you have any questions please email info@kidzhome.org or text (646) 508-4450. We will be happy to assist you!

Camp Application Form

Application Form

First Child Information

Child’s Name

Child's Name

First

Last

Preferred name

Date of birth

mm/dd/yy

School and grade

Food Allergies

Please specify

Does your child have any physical or emotional limitations that would prohibit him/her from participating in any activities at KidzHOME? If YES, please explain:

Is your child currently taking any medications? If YES, please indicate type of medication, the reason for the medication, and how it is taken:

Second Child Information

Child’s Name

Child's Name

First

Last

Preferred name

Date of birth

mm/dd/yy

School and grade

Food Allergies

Please specify

Is your child currently taking any medications? If YES, please indicate type of medication, the reason for the medication, and how it is taken:

Does your child have any physical or emotional limitations that would prohibit him/her from participating in any activities at KidzHOME? If YES, please explain:

Parent/Guardian Information

Parents/Guardians’ names

Parents/Guardians’ email

Parents/Guardians’ cellphone

Parents/Guardians’ other phone

Emergency Contact

Name and contact information in case of emergency

Persons Authorized to Pick Up Child

Name, contact information. and relation to child

Program Information

Please write the days when you want to attend

Payment method

If your child attends other KidzHOME programs, please name them

This is important for calculating discounts

Comments

Important information about your child that we should know. All information will be kept strictly confidential

How did you learn about us?

I hereby give my permission for my child(ren) to participate in all programs and trips (unless specifically proscribed in the completion of this form). I understand and fully recognize that risks are involved, and I hereby release KidzHOME from any liability arising out of any injury to my child(ren).

I understand that KidzHOME reserves the right to suspend or terminate my child’s enrollment due to unacceptable behavior. Disrespect to staff or other children, or breaking the rules may result in the student being expelled from any KidzHOME program.

Signature

By signing this application I permit the organizers to take pictures/videos of my child and publish them in the Malenkaya Kompaniya magazine, on its website and Facebook page, as well as in its publicity materials.

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