TREC Summer Care Registration

Required

Please complete this form to enroll your child(ren) in the Summer Care Program. There is a $50 per child non-refundable registration fee that will be charged to your FACTS account. The registration fee is an annual fee. 

Student's Namerequired
First Name
Last Name
Student's Current Graderequired
Student #2 Name
First Name
Last Name
Student #2 Current Grade
Student #3 Name
First Name
Last Name
Student #3 Current Grade
Street Address City, State and Ziprequired
Father's Namerequired
First Name
Last Name
Father's Cell Phonerequired
Father's Email Addressrequired
Father's Employerrequired
Father's Work Phonerequired
Mother's Namerequired
First Name
Last Name
Mother's Email Addressrequired
Mother's Cell Phonerequired
Mother's Employerrequired
Mother's Work Phonerequired
Please list below who may pick up your child(ren) from Summer Care and is able to make medical decisions for your child(ten).
Name
First Name
Last Name
Name
First Name
Last Name
Please list all concerns, allergies or special information that we need to know about your child(ten).
Concerns, Allergies, Etc. required
Doctor's Namerequired
First Name
Last Name
Doctor's Phonerequired
Hospital Preference required
This certifies that permission is given to TRA to seek medical treatment form the names listed above, in the event that parents or emergency contacts cannot be reached immediately. 
Parent's Signaturerequired
Each chid will have a $50 registration fee charged through FACTS.
 
You will need to choose one of the options below.Payments begin June 15th with the last payment being July 30th. 
Attendance and Payment Optionsrequired
Late pick-up policy: After Care ends at 5:30pm daily. A fee of $1 per minute will be charged for late pick up after 5:30pm. If you are concerned you may be late, please contact Ms. Amber Adler. 

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Tipton-Rosemark Academy is a college-preparatory school grounded in both Christ and family and dedicated to guiding our students toward their full potential.