Summer Enrichment Program

Students ages 5 -12 years old

Monday through Friday 8:30 a.m. to 3:00 p.m.

$25 per child, per week

Department of Social Services Camp Payments Accepted
Registered by the New York Stated Office of Children and Family Services, Inc.

To Learn More and Stay up to Date Click Here

Have any Questions? Contact the Summer Enrichment Program directly at jewhite@nfha.org

PACKARD COURT COMMUNITY CENTER
SUMMER ENRICHMENT PROGRAM 2025

Sign Up

Gender
MM slash DD slash YYYY
Address(Required)
Please list ALL responsible persons able to pick your child up from the Summer Enrichment Program. Be informed, if their name is not listed your son/daughter WILL NOT be released to that person:
Initial
Initial
Initial
Does your child have ANY illness/allergies food or otherwise that we should be aware of? {IF YES, Please List}
Does your child have ANY Behavioral, Social, Emotional, Special Needs etc. issues/concerns or otherwise that we should be aware of? {IF YES, Please List}
List all Medication Taken By Your Child:

Permission To Walk Home

ONLY FOR CHILDREN 9 YEARS OLD AND OLDER NO EXCEPTIONS ~~ 5-8 CANNOT WALK HOME ALONE~~ MUST BE SIGNED OUT BY A PARENT/GUARDIAN, AUTHORIZED PICK UP/ADULT
If child walks home every day or if on occasion; please complete the following:
(Parents/Guardian Name)
(Child's Name)
to walk home after the Summer Enrichment Program.
Clear Signature
MM slash DD slash YYYY

Permission Slip Form

Please, completely fill out this form if you wish your child to attend the Niagara Falls Housing Authority's Summer Camp Fields trips/outings
(Parents/Guardian Name)
(Child's Name)
permission to attend all the 2025 Summer Enrichment Program field trips, operated by the Niagara Falls Housing Authority.
I grant the Housing Authority permission to transport my child by bus, van and/ or public transportation to these various trips. I believe that he/she will be under competent leadership at all times and that all reasonable measures will be observed. I agree that the Niagara Falls Housing Authority will NOT be responsible for any unforeseen accidents, incidents, problems, etc., or lost, stolen or misplaced items.

To be signed by Parent/Guardian

I have read this application and approve of participation in this program. I assume full responsibility for my child’s conduct.
Clear Signature
MM slash DD slash YYYY
I understand that as a member of the Packard Court Community Center Program(s), I will attend sessions, participate in the program and be on my best behavior.
Clear Signature
MM slash DD slash YYYY