CAmp VELOCITY CHILD application

Thank you for your interest in enrolling at Momentum Early Learning Camp Velocity! Please fill out one of the applications below depending on which campus you would be interested in. Once you apply, a Center Director will reach out to give more information for signup.

SUSSEX campus

Number of Children

Please select number of children you would be looking to enroll in camp.

Children's Names & Birthdates

Days Attending

Please check all that apply. *Please note that 4 or 5 days per week is only offered. If only choosing 4 days per week, Friday & Monday are only available to be removed.

Monday

Tuesday

Wednesday

Thursday

Friday

Parent's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Preferred Contact Email

Preferred Phone Contact

(###)

###

####

How did you hear about Momentum's Camp Velocity?

Website Search

Word of Mouth

Current Family Referral

Why are you interested in having your child(ren) attend Momentum's Camp Velocity?

Please list any important information for Momentum Early Learning to know for/about your child(ren).

Germantown campus

Number of Children

Please select number of children you would be looking to enroll in camp.

Children's Names & Birthdates

Days Attending

Please check all that apply. *Please note that 4 or 5 days per week is only offered. If only choosing 4 days per week, Friday & Monday are only available to be removed.

Monday

Tuesday

Wednesday

Thursday

Friday

Parent's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Preferred Contact Email

Preferred Phone Contact

(###)

###

####

How did you hear about Momentum's Camp Velocity?

Website Search

Word of Mouth

Current Family Referral

Why are you interested in having your child(ren) attend Momentum's Camp Velocity?

Please list any important information for Momentum Early Learning to know for/about your child(ren).

Waukesha Campus

Number of Children

Please select number of children you would be looking to enroll in camp.

Children's Names & Birthdates

Days Attending

Please check all that apply. *Please note that 4 or 5 days per week is only offered. If only choosing 4 days per week, Friday & Monday are only available to be removed.

Monday

Tuesday

Wednesday

Thursday

Friday

Parent's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Preferred Contact Email

Preferred Phone Contact

(###)

###

####

How did you hear about Momentum's Camp Velocity?

Website Search

Word of Mouth

Current Family Referral

Why are you interested in having your child(ren) attend Momentum's Camp Velocity?

Please list any important information for Momentum Early Learning to know for/about your child(ren).

CAmp VELOCITY CHILD application

SUSSEX campus

Germantown campus

Waukesha Campus

Momentum Early Learning

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