Summer Camp Application 2016

Full. Registration is closed.

Student Information
Child's Full Name *
Child's Full Name
Birth Date *
Birth Date
Home Telephone Nubmer
Home Telephone Nubmer
Cell Phone Number *
Cell Phone Number
Parent/Guardian Information
*We are required to keep copies of all custody documents on file. Please bring copies to the first day of camp registration. Otherwise we will be legally required to release the child to either parent.
Parent/Guardian 1 *
Parent/Guardian 1
Work Phone Number
Work Phone Number
Parent/Guardian 2
Parent/Guardian 2
Work Phone Number
Work Phone Number
Tell us about your child
Please include church, camp, or community gatherings.
If yes, please apply when you submit the application for admission. If you are currently receiving financial aid for the school year, your existing documents are acceptable.
Reserved for those without transportation.
Potty training is not required, but strongly encouraged.
Choose your weeks:
Payment for camp is due when you register.* Payment can be in the form of check, cash or credit card. if you register for multiple camps, a %50 deposit will be required, with the remaining %50 due by June 1st. Registration can be dropped off at Tiny Tykes between 9 am and 2 pm, Monday through Friday, at 1920 Fairmount Avenue, Richmond, VA 23223. *If you are not an existing Tiny Tykes student, additional paperwork may be required.