Cave Junction Summer Camp

July 1, 2, 3, 5
July 7 - 10


10 spots, 8 days

Lorna Byrne Middle School, 8am - 1pm
Breakfast and lunch included 

Your child might be able to catch the bus to camp. We’ll let you know what those routes are when we find out.

This is a program of the Three Rivers Summer School


Cave Junction Camp REgistration Form:

NOTE:

  • This is free to Three Rivers School District students. Please make sure to fill in the school in the form below.

  • Highlighted Items are required.

PARENT INFORMATION
Parent 1 Name *
Parent 1 Name
Parent 1 Phone *
Parent 1 Phone
Parent 2 Name
Parent 2 Name
Parent 2 Phone
Parent 2 Phone
Home Address *
Home Address
FOSTER PARENTS ONLY:
If you are a foster parent, we have a limited number of rides we can offer to get your child to and from camp. There is no guarantee, but are you in desperate need of rides to or from camp for your child?
FIRST CHILD INFORMATION
(1) Child's Name *
(1) Child's Name
(1) Date of Birth *
(1) Date of Birth
(1) Will camper 1 wear glasses at camp?
Child's ethnicity or race (for funding purposes)
Name of the school the camper will attend in the fall.
The grade the camper will be in in the fall.
For example, if your child has temper issues, give us some tips that will help us manage, or if your child is dyslexic, support us in making sure we help your child feel included.
SECOND CHILD INFORMATION
(2) Child's Name
(2) Child's Name
(2) Date of Birth
(2) Date of Birth
(2) Will camper 2 wear glasses at camp?
Child's ethnicity or race (for funding purposes)
What school camper will attend next fall.
What grade camper will be in next fall.
For example, if your child has temper issues, give us some tips that will help us manage, or if your child is dyslexic, support us in making sure we help your child feel included.
THIRD CHILD INFORMATION
(3) Child's Name
(3) Child's Name
(3) Date of Birth
(3) Date of Birth
(3) Will camper 3 wear glasses at camp?
Child's ethnicity or race (for funding purposes)
What school camper will attend next fall.
What grade camper will be in next fall.
For example, if your child has temper issues, give us some tips that will help us manage, or if your child is dyslexic, support us in making sure we help your child feel included.
FOURTH CHILD INFORMATION
(4) Child's Name
(4) Child's Name
(4) Date of Birth
(4) Date of Birth
(4) Will camper 3 wear glasses at camp?
Child's ethnicity or race (for funding purposes)
What school camper will attend next fall.
What grade camper will be in next fall.
For example, if your child has temper issues, give us some tips that will help us manage, or if your child is dyslexic, support us in making sure we help your child feel included.
SCHOLARSHIP INFORMATION
Does your family qualify for free or reduced lunch?
EMERGENCY CONTACT INFORMATION
Not person filling out form--we will consider the parent(s) as first emergency contact(s).
Emergency Contact *
Emergency Contact
Emergency Phone *
Emergency Phone
Authorized Drop Off/Pickup *
FRIEND LIST
If your child is attending camp with friends, please list them here. We will try our best to put them in the same group, however this is not always possible.
AUTHORIZED DROP OFF/PICKUP LIST
Girls Build uses an app called Kinderlime to check the girls in and out of camp. Each person authorized to pick up your child will need their own PIN (sent out closer to camp). If you are car pooling or if grandparents or other parents/guardians are picking up or dropping off the campers, they must be on the authorization list.