Camp Trinity Registration

Please complete the following form to sign your child up for TCA's Summer Camp. Thank you.

Application fee is $25.00 per student; weekly rate is $150.00. A $75 Deposit is required for each week, which is non-refundable and non-transferable.

Please review our Summer Camp Handbook for more information about our policies.

Camper Information

Student Name(Required)

First Middle Last

Goes by

DOB(Required)

Sex(Required)

Grade Completed 2022(Required)

Please choose each week(s) camper will attend(Required)

Authorized Pick-Up and Student Release

No child will be released to any person whose name does not appear on this Authorization Pick-Up List or has been approved and added by using the authorized addition form.
Before any person can remove a child, proper I.D., such as a current Driver's License, must be shown.
If there is ever any question as to the identification of any person attempting to remove a child from TCA the legal parent or guardian will be notified immediately.
The legal parent or guardian must provide advanced written authorization before any person not appearing on our Authorized Pick-Up List will be allowed to remove a child from TCA.

For your child's protection, THEY WILL NOT be released to an unauthorized person. Approved picture identification (driver's license) will be required. A list of these persons will be placed in the sign in / out book.

List below those who have permission to pick up your child.

Name(Required)

First Last

Relationship(Required)

Phone(Required)

Name

First Last

Relationship

Phone

Name

First Last

Relationship

Phone

Name

First Last

Relationship

Phone

TCA defines a legal parent or legal guardian to be person(s) who enrolled the child and whose signature is found on the enrollment form. An official birth certificate proving he/she is the legal parent or guardian is also required. In the case where a divorce or legal separation has occurred or is in process, legal court documentation must be presented as proof that he/she has been awarded temporary or permanent custody of the child in question. We will not hesitate to call 911 immediately if any disruptions or disputes develop on school property. The safety of the minor child in our custody will always take top priority in any situation.

This also applies to those allowed to pick up the child from TCA. Official court documents, whose authenticity has been verified, will supersede any other documents received or placed on file.

Authorized Pick-up Person Consent(Required)

I hereby authorize all above listed names as active and approved people to pick up my child from TCA facility.(Required)

Medicine Authorization Form

Prescription medication can only be administered at TCA when failure to take such medication could jeopardize a student’s health.
Medication must be brought to TCA by the parent/guardian. It must be in the original container labeled by the pharmacy to include the following and must exactly match the doctor’s orders below:
1. Name of student
2. Name of doctor (licensed and authorized by Florida law to order prescription medication)
3. Name of medicine
4. Instruction for dosage (amount and time)
5. Indication of special storage, if needed (refrigeration, etc.)

Parent/Guardian Permission

I hereby request that my child be given the medication provided in the Doctor’s Authorization Form while in school or away for school activities. I understand the law provides that there shall be no liability for civil damages as a result of the administration of such medication where the person administering such medication acts as an ordinary responsible prudent person should have acted under the same circumstances.

By checking the boxes below, I further understand that:

Provide necessarily supplies(Required)

1. I must provide the necessary supplies and equipment, including a 3-day emergency supply of medication.(Required)

Notify teacher of changes(Required)

2. I will notify the teacher if there is a change in the student’s health status or change of physician.(Required)

Notify administration of changes(Required)

3. I will notify school administration immediately and provide new consent for any changes in doctor’s orders.(Required)

Doctor's Authorization for Prescription Medicine

I will require a doctor's authorization form for my student.

Download Form

Please return this form to the Business Office.

Parent's Authorization for Over-the-Counter Medication

I give permission to dispense the following over-the-counter medication(s):

Over-the-Counter Medication(s)

1. Medication(Required)

Dosage(Required)

Reason to be administered at TCA(Required)

Possible reactions or side effects(Required)

2. Medication

Dosage

Reason to be administered at TCA

Possible reactions or side effects

Emergency Contact Information

First Call

Name(Required)

First Last

Relationship(Required)

Mobile Phone(Required)

Second Call

Name(Required)

First Last

Relationship(Required)

Mobile Phone(Required)

Other

Name

First Last

Relationship

Mobile Phone

Preferred Hospital(Required)

Hospital Phone(Required)

Field Trip Consent/Summer Camp(Required)

I give my child permission to attend all field trips sponsored by Trinity Christian Academy. I realize Trinity Christian Academy and any staff member, parent, or guardian who may accompany the class is released from all liabilities.

Agree

Sunscreen(Required)

Campers are required to apply sunscreen for all outdoor activities. Campers are to bring their personal spray on sunscreen for re-application purposes during outdoor activities. Campers cannot share their sunscreen with other campers due to possible allergic reactions. Campers must put their own sunscreen on. Please put your child’s name on their sunscreen.

Agree

Photo Release

I give permission for my child’s photograph to be taken while he/she is in the care of Camp Trinity personnel. Such images may be posted in classrooms, craft projects, presentations, promotional materials, or distributed to staff. I understand that I may terminate this permission at any time in the future.

Agree

Handbook(Required)

I acknowledge that I have received a copy of the Summer Camp Handbook which includes the policies and procedures.

Agree

Fees

Application fee is $25.00 per student; weekly rate is $150.00. A $75 Deposit is required for each week, which is non-refundable and non-transferable.

Application Fee(Required)

Price:

T-Shirts

Campers will be required to wear their shirt daily.

Child Sizes

Youth Extra Small

Price: $15.00

Youth Small

Price: $15.00

Youth Medium

Price: $15.00

Youth Large

Price: $15.00

Youth Large

Price: $15.00

Adult Sizes

Small

Price: $15.00

Medium

Price: $15.00

Large

Price: $15.00

Extra Large

Price: $15.00

Payment

Total

Credit Card

Card Number

Exp Date

CVV

Zip Code

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Camp Trinity Registration