Hopwood School & Camp

New Family Enrollment for Hopwood School & Camp

Thank you for your interest in Hopwood Summer Camp!

To create your Campsite Parent Dashboard account, please fill out the form below. Your email is your username and a temporary password will be emailed to you.

If you have any questions or concerns, please call our office at 215-368-1135.

* are mandatory fields

Child / camper information

First name

Last name

Gender

Date of birth

Grade entering, Fall 2024

Cell phone

Add another child / camper...

Home address

International Address

Address

Apt, Suite, Bldg.

City

Zip

State

Region

Country

Home phone

Parent / guardian 1 information

First name

Last name

E-mail address

Password

Confirm password

Relationship

Cell phone

+ Add second parent / guardian...

Family questions

PARENT / GUARDIAN (1) EMPLOYMENT INFORMATION

Business NAME (required)

Business ADDRESS (required)

Business TEL# (required)

______________________________________________________________________

PARENT / GUARDIAN (2) EMPLOYMENT INFORMATION

Business NAME

Business ADDRESS

Business TEL#

______________________________________________________________________

CHILD(REN)'S PHYSICIAN / MEDICAL CARE INFORMATION

Physician's FIRST and LAST NAME (required)

Physician's ADDRESS (required)

Physician's TEL# (required)

______________________________________________________________________

HEALTH INSURANCE INFORMATION

Provider NAME (required)

POLICY # (required)

______________________________________________________________________

EMERGENCY CONTACT (1) (other than parent)

Emergency (1) FIRST AND LAST NAME (required)

Emergency (1) ADDRESS (required)

Emergency (1) TEL# (required)

______________________________________________________________________

EMERGENCY CONTACT (2) (other than parent)

Emergency (2) FIRST AND LAST NAME

Emergency (2) ADDRESS

Emergency (2) TEL#

______________________________________________________________________

PERSON TO WHOM MY CHILD(REN) CAN BE RELEASED (1)

Release (1) FIRST AND LAST NAME (required)

Release (1) ADDRESS (required)

Release (1) TEL# (required)

______________________________________________________________________

PERSON TO WHOM MY CHILD(REN) CAN BE RELEASED (2)

Release (2) FIRST AND LAST NAME

Release (2) ADDRESS

Release (2) TEL#

______________________________________________________________________

CONSENT

Type your FULL NAME to consent to the following: I hereby give my consent for Hopwood Nursery School, Inc. to, as needed, obtain emergency medical care, administer minor first aid, provide walks and trips, apply sunscreen, provide transportation, provide swimming / wading for my child(ren).

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New Family Enrollment for Hopwood School & Camp

Child / camper information

Home address

Parent / guardian 1 information

Parent / guardian 2 information

Family questions

PARENT / GUARDIAN (1) EMPLOYMENT INFORMATION

______________________________________________________________________

PARENT / GUARDIAN (2) EMPLOYMENT INFORMATION

______________________________________________________________________

CHILD(REN)'S PHYSICIAN / MEDICAL CARE INFORMATION

______________________________________________________________________

HEALTH INSURANCE INFORMATION

______________________________________________________________________

EMERGENCY CONTACT (1) (other than parent)

______________________________________________________________________

EMERGENCY CONTACT (2) (other than parent)

______________________________________________________________________

PERSON TO WHOM MY CHILD(REN) CAN BE RELEASED (1)

______________________________________________________________________

PERSON TO WHOM MY CHILD(REN) CAN BE RELEASED (2)

______________________________________________________________________

CONSENT