Pinecrest Pavilion Summer 2017

Class Selections (one form per child)

Class Pricing: Weeks 1 and 3-8 are $190 per class.  Week 2 is $155 per class. 
Sibling Discount: Families with multiple children enrolled at the camp will pay full camp fees for the child taking the most classes/with the highest balance. For each additional child, a discount of $10 per class is deducted from the total balance. The discount will be reflected in the invoice parents/guardians receive by email in April.
Class Availability: If this online form allows you to select and register for a class, your child is confirmed in that class. A message of "Insufficient Quantity Remaining" on this form means a class is full; please select another option. Please email Ms. Mitlo at if you would like your child to be waitlisted for a class. 

Child Information

Proof of Identity Verification - My child is: *
My child will require medication during the camp day. *

Parent/Guardian Contact Information

Before-care and/or After-care

Before-care (begins at 7:30 a.m.) *
After-care (Preschool: 12-6 p.m. / K-6: 3:45-6 p.m.) *


I give permission for my child to ride Pinecrest School-contracted transportation for field trips. *
I give permission for my child to ride in personal vehicles driven by Pinecrest staff for field trips. *
Photos and videos are taken regularly at Pinecrest. I understand that with the completion and submission of this camp registration form to Pinecrest School that my child’s photo and/or video will be shared with the Pinecrest community and could be used in school or camp brochures, ads, media coverage, on the school website, on the school's social media sites, et cetera. Names are never used with student photos or videos. Concerns about this should be addressed directly with the Head of School.
Pinecrest School does not share families’ contact information with third parties.

Last Step Before Check Out

Registration Fee (non-refundable, non-transferable) *
Deposit (non-refundable, non-transferable) *
Clicking CONTINUE sends your data to Pinecrest Pavilion for processing.
Please only click CONTINUE if you are ready to pay at this time. 
Thank you! :)