Heritage Day Camp Application 2025 - Fillable Form - Payment Schedule, Fees, and Participant Information

Sep 3, 2026

Heritage Day Camp Application 2025 provides a structured intake for the child and parents, including child full name, parent full names, addresses, social security numbers, grade/school, and employer details. It includes a bi-weekly 8-week payment schedule with specific due dates from June 23, 2025 through August 11, 2025, and a fee section that distinguishes registration and activity fees, extended-day session fees, and per-week enrollment calculations. It also includes totals and instructions for computing the final payable amount.

LanguageEnglish

CategoryForms

FormatPDF

Pages10

Reading Time4 min

AccessFree to download

Child and Parent Information

Payment Due Dates

Fee Calculation and Totals

| | Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Payment Due Date | | 23-Jun | 30-Jun | 7-Jul | 14-Jul | 21-Jul | 28-Jul | 4-Aug | 11-Aug | | June 9, 2025 | | June 9, 2025 | | | | | | | | | June 23, 2025 | | | | June 23, 2025 | | | | | | | July 7, 2025 | | | | | | July 7, 2025 | | | | | July 21, 2025 | | | | | | | | July 21, 2025 | | | Child’s Full Name | Parent 1 Full Name | Parent 2 Full Name | | --- | --- | --- | | | | | | Address | Address (if different from child’s) | Address (if different from child’s) | | Social Security Number | | --- | | Grade/School | | Social Security Number | | --- | | Employer | | | ELRC Recipients ONLY | Fee | | --- | --- | --- | | A. | Insert bi-weekly co-pay | $ | | B. | Multiply bi-weekly co-pay by 8 weeks | $ | | C. | Total | $ | | Z. | Registration (covered by ELRC) | $75 | | | | | | | Week 1 | Week 2 | Week 3 | Week 4 | Week 5 | Week 6 | Week 7 | Week 8 | | | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | | Payment Due Date | | 23-Jun | 30-Jun | 7-Jul | 14-Jul | 21-Jul | 28-Jul | 4-Aug | 11-Aug | | June 9, 2025 | | June 9, 2025 | | | | | | | | | June 23, 2025 | | | | June 23, 2025 | | | | | | | July 7, 2025 | | | | | | July 7, 2025 | | | | | July 21, 2025 | | | | | | | | July 21, 2025 | | | A | Registration and Activity Fees | Activity Fee | Registration Fee | | --- | --- | --- | --- | | | All Private Pay Families | $100 | $75 | | B | Full 8 Week Session – Extended Day | Fee | Fill in fee, if applicable | | --- | --- | --- | --- | | | | $2,200 | | | C | Per Week Enrollment | Fee | \# of Weeks | Total | | --- | --- | --- | --- | --- | | | | $275 | | $ | | | Total Fees | Fee | | --- | --- | --- | | A | All recipients must pay the registration and activity fee | $175 | | B | Please insert your fee from table B | | | C | Please insert your fee from table C | | | D | Calculate the total by adding lines A, B and C | Total: $ |

FAQs

What information is required from the child and parents on the application?

The form requests the child’s full name, parent 1 and parent 2 full names, and addresses (including an alternate address if different). It also includes social security numbers and grade/school details.

How is the payment schedule organized for the 8-week session?

A table lists payment due dates across Week 2 to Week 8, with due dates shown from 23-Jun through 11-Aug, and example payment entries dated in 2025.

What fees are included and how do recipients calculate totals?

The fee section distinguishes registration and activity fees, an extended-day option fee for the full 8-week session, and per-week enrollment fees. It also instructs users to compute the final total by adding the relevant lines (A, B, and C) to obtain the overall payable amount.

Sep 3, 2026

Upload by Emma Mercer