Roseys Romper Room - Canton, MI

Rosey's Romper Room

Summer Camp 2026 Enrollment Form

Children that have COMPLETED Kindergarten-5th Grade

This year Rosey's Summer Camp has a lot of fun activities planned for the kids!

The kids will be going to a local park once a week, we will be having special guests and events at the center, we will be having water day every week…we are also planning a few field trips away from Rosey's! Don't worry though, the kids will have a blast!!

Weekly Themes:

Week 1Kicking Off Summer Camp!

Week 2Spirit Week

Week 3Celebrate the USA

Week 4Michigan Adventures

Week 5Down on the Farm

Week 6Sports Galore

Week 7Space is the Place

Week 8Lights, Camera, Action!

Week 9Super Hero Vs. Villian

Week 10Back to the Beach

During the 2026 Rosey's Summer Camp the kids will be introduced to a lot of new friends, activities/games and crafts. We will be focusing mostly on play, healthy habits, being kind to one another and just having fun! There is a schedule that will be followed most days, but there could be an occasional activity or "special day" every now and then. Please always look at the board for updates on a day-to-day basis.

Downtime: Every day the kids will take a break after lunch for some downtime. During this time, they will be able to read, write, draw, color, do workbooks, etc.

Electronics: The kids will be able to use electronics daily and we will limit the time. Since it is summer and we want the kids to be able to relax, but still be active. In the past, it has been 1 hour in the morning and 1 hour in the afternoon.

💧 A water bottle - Please have your child bring a water bottle everyday. It is very important to stay hydrated throughout the day and we will be spending a lot of time outside when it is nice. They are able to refill the bottle during the day. Don't forget to label it and take it home to wash it.

🥪 A packed lunch for park days - On park days they will be eating at the park. Please make sure your child brings a lunch on their park day. NO NUTS!

🍽️ Lunch from home - Rosey's provides lunch for all kids except on park days. Summer Camp follows the same menu as the rest of the center and we do not make substitutes to the menu. Your child is welcome to bring their own lunch as long as it doesn't contain anything with nuts. We take lunch count at 9am and it is the child's job to let us know if they brought a home lunch or will need a Rosey lunch.

🍎 Snacks - Rosey's does offer snacks, however, it may not always be something your child wants. Please pack snacks for your child each day as a backup. NO NUTS!!

☀️ Sunscreen - This is highly recommended. If you would like your child to have sunscreen, you will need to provide it and make sure that it is labeled.

🏊 Swimsuit, towel, water shoes, water toys - Summer Camp will have water day every Friday. It is optional for all children, but they would need to have a swimsuit and towel on these days.

👕 Extra clothes - It is always a good idea to have extra clothes available no matter what age they are. Rosey's does not have extra clothes and we would have to call you at work if your child needs a change of clothes.

Child's Information

Date of Application

Child's Full Name

Name usually called

Sex

Age

Birth Date

Grade Completed

Child's Home Address

City

Zip

Home Telephone Number

Email Address

Attendance Schedule

Please choose the days that your child will attend this summer. You can only make a change in your schedule with a two-week notice, otherwise you will be charged for the days indicated.

Parent/Guardian Information

Child's Primary Caregiver(s) is/are:

Single

Married

Separated

Divorced

Widowed

Other Family Member

Please list the primary adult(s) that reside in the home with the child:

1. Name

Relationship to child

2. Name

Relationship to child

Child's Health Information

Does your child have any allergies to foods, medications or dietary restrictions that would affect them while they are in our care?

YES

Please list the allergy & medications taken for it and any side effects or reactions to watch for. Also, please list any dietary restrictions:

Besides the listed above, does your child currently take any medications or supplements we should be aware of?

YES

Please list medications or supplements and any side effects or reactions we should watch for:

Is there additional information about your child or family that you feel Rosey's Romper Room should be aware of?

Additional Information

Has your child previously been in a Summer Camp?

YES

Where?

What prompted you to choose Rosey's?

How did you hear about Rosey's?

Enrollment Policy Agreement

Please read the policies of Rosey's Romper Room Summer Camp.

Tuition Rates:

1 day: $120
2 days: $190
3 days: $220
4 days: $235
5 days: $250

I understand that the summer activity fee for children currently enrolled at Rosey's is $75 for one child and $50 for each additional child. I understand that the summer activity fee for newly enrolled children is $125 for one child and $75 for each additional child. All activity fees are NON-REFUNDABLE. The activity fee will help offset the cost of field trips, activities and special events.

I understand that tuition payment is due even if my child is unable to attend due to illness or other circumstances and no make-up days are provided. You can only make a change in your schedule with a two-week notice, otherwise you will be charged for days originally scheduled.

Tuition payments are due Monday mornings for the current week. Payments can be made by cash, check or credit card. Automatic credit card/ACH payments can be set up in the office. I understand there will be a $35 fee for all returned checks. I understand there will be a $20 fee for payments made after 6pm on Monday.

Rosey's Romper Room hours of operation is from 6:30am to 6:00pm. If my child is not picked up by 6:00pm, I will be assessed a late fee of $1.00 per minute and this amount will be applied to my tuition account. Late fee increases to $25 after 6:15pm.

I have read and understand the above policies and understand that it is required that my child/children have the following forms on file to stay enrolled in Rosey's Summer Camp.

Required Enrollment Checklist

The following forms are required to be on file to stay enrolled:

Enrollment Form
Child Information Form/Field Trip Form
Enrollment Policy Agreement

Statement of Good Health Form
Non-Routine Transportation Form
Emergency Information Card

Field Trip Permission

I, give permission for my child to attend field trips with Rosey's Romper Room. I understand my child will be transported by Rosey's Romper Room buses. I have received and reviewed the field trips that my child will be attending. I understand that during field trips Rosey's Romper Room staff will supervise my child.

Health Statement & Transportation Permissions

School Age Health Notice: I certify to the best of my knowledge that my school age child is in good health and is up to date on immunizations with records on file at our local school. These records are updated annually.

Non-Routine Transportation: I give permission to Rosey's Romper Room to transport my child daily on non-routine transportation routes.

Topical Nonprescription Medications: I give permission to Rosey's Romper Room to administer topical nonprescription medications such as insect repellent, sunscreen, first aid ointment, etc. to my child when there is a need.

Signature

Parent/Guardian Signature

Date

Quick Inquire

location

8116 N Canton Center Rd, Canton MI 48187

open hours

Mon-Fri 6:30am-6pm

phone

+1 734-416-1580

email

roseysromperroom@gmail.com

Rosey's Romper Room is geared to the individual needs of children. Each room provides a play centered environment with a wide range of materials and developmentally appropriate activities that allow children to manipulate, discover, explore, make choices and create according to their interests.

Week #	WEEK OF:	Monday	Tuesday	Wednesday	Thursday	Friday
1	June 15-19
2	June 22-26
3	June 29-July 3
4	July 6-10
5	July 13-17
6	July 20-24
7	July 27-31
8	August 3-7
9	August 10-14
10	August 17-21
11	August 24-28