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Youth Activities
Summer Kids Camp
Summer Kids Camp 2026 Registration
Member ID:
*
Camper Name:
*
Date of Birth:
*
Years of Age:
*
Gender:
*
Parent / Guardian #1:
*
U.S. phone number:
*
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First three digits
Second three digits
Last four digits
E-mail:
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Parent / Guardian #2:
U.S. phone number:
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First three digits
Second three digits
Last four digits
E-mail:
Emergency Contact #1:
*
U.S. phone number:
*
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First three digits
Second three digits
Last four digits
Relation to Camper:
*
Emergency Contact #2:
U.S. phone number:
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-
First three digits
Second three digits
Last four digits
Relation to Camper:
Likes:
Board Games
Arts & Crafts
Team Sports
Individual Sports
Diving / water slides
Outdoor free play
Tag / chase games
Quiet activities (reading, drawing, Lego, etc.)
Music / dance
STEM / building activities
Which activities does your child generally enjoy?
Dislikes:
Loud / noisey envrionments
Competitive sports
Swimming
Diving / deep water
Being outdoors for long period (over an hour)
Tag or physical contact games
Large group / highly competitive games
Being separated from friends / siblings
Which of the following does your child dislikes or prefers to avoid? (Selecting an option does not mean your child will never encounter this activity, but it helps our staff plan support and alternatives when possible.)
Allergies / Dietary needs:
Please list any source of a known allergic reaction, the severity and nature of the reaction, of if there is a dietary need that must be followed while at Kids Camp.
Medical conditions / Limitations:
Medications cannot be administered or dispensed to a camper by Summer Camp Staff. If there is history of chronic or recurring medical conditions, or there is a limitation that should be planned for at Kids Camp, please list these above.
Social / Sensory notes:
Is there anything you would like our staff to know to help your child have a successful time at Kids Camp? (Sensory sensitivities, anxiety triggers, current or near-future big transitions, emotional regulation needs, etc.)
Attendance:
*
All: 22 Sessions (2 Sessions Free)
Wednesday, May 27th
Thursday, May 28th
Wednesday, June 3rd
Thursday, June 4th
Wednesday, June 10th
Thursday, June 11th
Wednesday, June 17th
Thursday, June 18th
Wednesday, June 24th
Thursday, June 25th
Wednesday, July 1st
Thursday, July 2nd
Wednesday, July 8th
Thursday, July 9th
Wednesday, July 15th
Thursday, July 16th
Wednesday, July 22nd
Thursday, July 23rd
Wednesday, July 29th
Thursday, July 30th
Wednesday, August 5th
Thursday, August 6th
Which dates will the camper attend Kids Camp? Carefully select below. Pricing is $55.00 per day, per child. OR sign-up for all sessions and receive the final week free!
# of Camp Sessions:
We will double-check and verify this number prior to billing. Please carefully confirm the number of camp sessions selected above.
Enrollment Agreement (Check ONLY the I / We Acknowledge to acknowledge):
*
SUMMER KIDS CAMP AT TERRADYNE COUNTRY CLUB IS PLEASED TO OFFER FULL-DAY SUMMER CAMP SUPERVISION FOR ITS MEMBERS ON WEDNESDAYS AND THURSDAYS EACH WEEK THIS SUMMER THE PROGRAM IS DESIGNED TO PROVIDE A STRUCTURED, ENGAGING, AND SAFE ENVIRONMENT FOR CHILDREN DURING THE SUMMER MONTHS, LED BY TRAINED KIDS CLUB STAFF UNDER THE DIRECTION OF THE YOUTH DIRECTOR.
TERRADYNE SUMMER KIDS CAMP, "KIDS CAMP", WILL OPERATE FROM 8:00 A.M. UNTIL 6:00 P.M. ON WEDNESDAYS AND THURSDAYS BEGINNING WEDNESDAY, JUNE 3RD, 2026 AND ENDING THURSDAY, AUGUST 6TH, 2026.
KIDS CAMP IS OPEN TO CHILDREN AGES 5 THROUGH 12. IT IS RECOMMENDED THAT PARTICIPATING CHILDREN HAVE COMPLETED KINDERGARTEN, AS THIS PROGRAM IS DESIGNED TO SUPPORT SCHOOL-AGE CAMPERS IN A STRUCTURED, FULL-DAY ENVIRONMENT.
THERE IS NO REDUCTION IN FEE OR REFUNDS FOR DAYS MISSED. THERE ARE NO REFUNDS OR FEE REDUCTIONS FOR MISSED DAYS. REGISTERED DAYS ARE RESERVED IN ADVANCE AND STAFFING IS SCHEDULED ACCORDINGLY. COSTS PER ATTENDANCE WILL BE CHARGED TO TERRADYNE COUNTRY CLUB MEMBER ACCOUNTS.
THE COST IS $55.00 PER SESSION PER CHILD. FAMILIES WHO REGISTER FOR ALL TWENTY-TWO (22) KIDS CAMP SESSIONS WILL BE GRANTED TWO (2) FREE KIDS CAMP SESSIONS.
ALL CHILDREN MUST BE PICKED UP BY 6:00 PM. IF PARENT/GUARDIANS OR EMERGENCY CONTACTS CANNOT BE REACHED BY 6:30 PM, EMERGENCY SERVICES MUST BE CONTACTED TO ASSIST.
A MINIMUM OF FIVE (5) CAMPERS MUST BE REGISTERED AT LEAST TWO (2) WEEKS PRIOR TO A SCHEDULED KIDS CAMP SESSION FOR THAT SESSION TO OPERATE. FAMILIES WILL BE NOTIFIED TWO (2) WEEKS PRIOR IF A SESSION IS CANCELLED DUE TO LOW ENROLLMENT.
PARENTS ARE RESPONSIBLE FOR UPDATING CONTACT INFORMATION AND PHONE NUMBERS AND EMERGENCY CONTACTS.
WHEN A CHILD BECOMES ILL WHILE ATTENDING KIDS CAMP, PARENTS WILL BE NOTIFIED AND ARE EXPECTED TO PICK UP THEIR CHILD PROMPTLY.
MEDICATIONS CANNOT BE DISPENSED OR ADMINISTERED TO ANY CHILD BY A KIDS CAMP STAFF MEMBER.
I / We Acknowledge - SELECT NO OTHER BOX
By selecting ‘I / We acknowledge,’ I confirm that Parents/Guardians/Club members have read, understand, and acknowledge to the Terradyne Summer Kids Camp enrollment terms and policies.
Clicking "Submit" will send all information to the Youth Director for review.
Need to register another child?
After "Submitting," return to the refresh the page and re-enter all information as needed.
Repeat as needed.