BB/BTC Camp - Summer 2022

 
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 Broadway Bound/Behind the Curtain - Summer 2022 
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  Thank you for your interest in the Roxbury Community School Summer Camp Programs. Please note all applications will be assessed a $25 per child non-refundable registration fee. If your application is received after June 1st, you will be assessed a $25 per child non-refundable registration late fee.
   
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Roxbury and non-Roxbury residents are welcome!
 
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Roxbury and non-Roxbury residents are welcome!




    
   
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Discounts will be applied to the final balance. Documentation may be requested to apply the discount.
 
  
  
  
   
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Please submit this form. The deposit/registration fee are due at the time of registration. If paying via check/cash, please send payment and make checks payable to the Roxbury Community School (25 Meeker Street, Succasunna, NJ 07876). Please write "BB/BTC" in the memo line. Credit card payments can be made on the next screen.
 
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Please submit this form. The deposit/registration fee are due at the time of registration. If paying via check/cash, please send payment and make checks payable to the Roxbury Community School (25 Meeker Street, Succasunna, NJ 07876). Please write "BB/BTC" in the memo line. Credit card payments can be made on the next screen.




    
   
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Submit your application before 05/13/22 and a $125 deposit/registration fee will hold your child's spot. Unpaid balances are due and payable by the week of 05/16/22. The full fee is due at the time of registration if received after 05/13/22. Registration received after 06/01/22 will incur a $25 late fee per child.
 
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Submit your application before 05/13/22 and a $125 deposit/registration fee will hold your child's spot. Unpaid balances are due and payable by the week of 05/16/22. The full fee is due at the time of registration if received after 05/13/22. Registration received after 06/01/22 will incur a $25 late fee per child.




    
   
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Please mail your check to the Roxbury Community School at 25 Meeker Street, Succasunna, NJ 07876. Please make checks payable to the Roxbury Community School and write "BB/BTC" in the memo line.
 
   
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By completing and submitting this section and form with this information, you authorize the Roxbury Community School to make a one-time electronic payment to your debit/credit card listed below. This is permission for a single transaction only and does not provide authorization for any additional unrelated debits/credits to your account without your written consent. Your balance will be automatically charged to your credit card the week of May 16th.
 

 

 

 

 

 

 

 
   
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If paying the balance via credit card, please note when you would like your balance processed?
 
   
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Confirmations and information will only be shared via email so please be sure to include a valid email address below.
 

 

 

 

 

 

 

 

 

 
   
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Please list the names of those individuals who are authorized other than you to pick up your child? Please name them below so the instructor can check their ID upon pickup. We will not release your child to anyone who is not listed here. For this reason, be sure to LIST YOURSELF and any other parent/guardian to whom your child can be released.
 
   
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In case of illness, please list the contact information for someone to be called in an emergency if the parent/guardian listed above CANNOT be reached.
 

 

 

 

 

 

 
   
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In case of illness, please list the contact information for someone to be called in an emergency if the parent/guardian listed above CANNOT be reached.
 

 

 

 

 

 

 
   
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A school nurse will not be present during this camp.
 

 

 

 

 

 

 

 
   
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Roxbury Community School reserves the right to dismiss a child from camp because of behavioral issues. This program is not designed for one-on-one instruction and if we find this occurring, your child may be dismissed from the program. No refunds will be issued.
 
   
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For participants needing to self-administer medication, please send in a doctor's note to the Community School. The only medication that can be self-administered are an EPI Pen and/or an inhaler. A school nurse will not be present during this camp. In case of an emergency, students will be transported to the nearest medical facility and parents will be contacted. Students and parents agree to abide by all Roxbury School District regulations. The Roxbury Township Board of Education, the Roxbury Community School, and its instructors assume no liability.
 
   
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Confirmations will be sent via email only. All cancelations must be submitted in writing to the Roxbury Community School (comschool@roxbury.org). Deposits cannot be refunded for any reason unless the program itself is canceled by the community school. Cancelations made in writing prior to 06/01/22 will receive 100% tuition refunded, less $100. Cancelations made in writing received between 06/01/22-06/15/22 will receive 50% tuition refunded, less $100. There will be NO refunds for cancelations made after 06/15/22. There is a $35 service charge for returned checks. Participation in Community School activities is at your own risk. Students and parents agree to abide by all Roxbury School District policies and regulations. The Roxbury Township Board of Education, the Roxbury Community School, and the program instructors assume no liability. To read the full Roxbury Community School policy, please visit www.roxbury.org/RCSpolicies.
 
   
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During Community School programs, arrangements are made to take pictures, video, or live-post to social media sites. School personnel, a media student or a newspaper photographer may obtain content for use in local media, in district publications, student publications/outlets to showcase the wonderful things happening within the district. Students' names may be included, especially in a caption of a picture containing their likeness. By completing this form, you agree to participate or have your child participate.
 
   
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COVID-19 DISCLAIMER: Programs will run as health conditions allow. To avoid the spread of any illness/Covid, please keep your child home if they are experiencing health-related symptoms. Participants will need to follow district guidelines in regards to social distancing and masking while on premises.
 
   
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Check all that apply.
 
  
  
  
  
  
  
  
  
  

    
   
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