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2017 Schedule
2017 Class Descriptions
2017 General Information
2017 Registration and Fees
2017 Required Forms
2017 Before-care
2017 After-care
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2017 Required Forms

1. For families new to Pinecrest Pavilion, the following two forms plus the documentation in #2 below are necessary. For returning campers, only the Medical/Emergency Care Form is necessary. If your child requires medication while at camp, the additional form in #3 below is required.

Medical Emergency Care Form – Required for all campers

  • A complete medical/emergency care form must be submitted online by Friday, May 12, 2017, or within 7 days of registering after May 12. If you register later than 7 days prior to the start date, forms must be submitted by the first day of class. Children without proper paperwork will not be allowed to attend until all forms are submitted, and a $50 late fee will be assessed.
  • The form is online here: https://fs9.formsite.com/pinecrest/MEsummer2017/index.html
  • A $5 fee per field will be assessed for any fields on the medical/emergency form not filled out completely or accurately.
  • All information requested on this form is required by the Commonwealth of Virginia licensing requirements, and we must have the information on file in order for a child to attend camp.
  • If needed, you will also be asked to submit a Medication Administration Form.

School Entrance Health Form

  • In accordance with Commonwealth of Virginia licensing requirements, parents/guardians must submit a complete Commonwealth of Virginia School Entrance Health Form, including immunization record, by Friday, May 12, 2017, or within 7 days of registering after May 12. If you register later than 7 days prior to the start date, forms must be submitted by the first day of class. Children without proper paperwork will not be allowed to attend until all forms are submitted, and a $50 late fee will be assessed.
  • This form must be signed by a physician or his/her designee, a registered nurse, or an official of a local health department. If a child is under six years old, the exam must have taken place within the last year.
  • Failure to provide a complete health history will result in forfeiture of deposit, and the child will not be permitted to attend camp.
  • Parents/Guardians of children over six years old who currently attend or previously attended Pinecrest School for school or camp do not need to submit this form as it is already on file.
  • It is possible an updated form may be needed from children who were in kindergarten in 2016-17 or in preschool camp during the summer of 2016 depending on the dates of their physicals.
  • Pinecrest Pavilion adheres to all Pinecrest School’s policies on health, illness and communicable diseases as stated in the Pinecrest School Community Handbook stated in the Pinecrest School Community Handbook.

2. For families new to Pinecrest, the following must be presented in person at Pinecrest School:

Proof of Identity and Age

  • In accordance with Commonwealth of Virginia licensing requirements, parents/guardians must verify a child’s identity. To do this, parents/guardians will need to present one of the following: a certified copy of a birth certificate, a birth registration card, a passport or an original Virginia public school report card.
  • This information must be presented in person at Pinecrest School by Friday, May 12, 2017, or within 7 days of registering after May 12. If you register later than 7 days prior to the start date, forms must be submitted by the first day of class. Children without proper paperwork will not be allowed to attend until all forms are submitted, and a $50 late fee will be assessed.
  • Children who do not satisfy Virginia’s proof of identity requirements will not be allowed to attend camp. Parents/guardians of children who currently attend or previously attended Pinecrest for school or camp do not need to provide this information as it is already on file.

3. If my child has a chronic condition or health issue that requires medication:

Parents/guardians of any child requiring prescription medication during the camp day are required to submit an Authorization to Administer Medication form that has been completed by parents/guardians and the child’s physician, Pinecrest accepts only the Pinecrest School Authorization to Administer Medication form. A separate form must be provided for each medication being used. Form(s) must be on file no later Friday, May 12, 2017 or within 7 days of registering after May 12. If you register later than 7 days prior to the start date, forms must be submitted by the first day of class. Children without proper paperwork will not be allowed to attend until all forms are submitted, and a $50 late fee will be assessed. A parent/guardian guideline sheet to ensure the Authorization to Administer Medication form is correctly filled out is included with the link to the form.

 

7209 Quiet Cove, Annandale, Virginia 22003 | Phone: 703-354-3446 | Email: pinecrest@pinecrestschool.org

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