SSL Certificate

Registration Forms

The following forms must be completed for all campers and submitted to Camp Director Anna Pollitt prior to the first day of camp:

Full Day Camp Form - Registration
Half Day Camp Form - Registration
Medical Form

The following forms must be completed for all campers who wish to use our bus service or extended care:

Transportation Form
Before and After Care Form

The following forms are required for any campers with a medical history of anaphylaxis, seizure, or asthma:

Anaphylaxis Action Plan Form
Seizure Action Plan Form
Asthma Action Plan Form

The following form is required for any camper who requires administration of a prescribed drug (including epi-pens and inhalers) while present at camp:

Medication Authorization Form

An independent private school in
Montgomery County, Maryland
offering innovative preschool
through 8th grade programs.

Barnesville School

21830 Peach Tree Road
PO Box 404
Barnesville, MD 20838

p: 301.972.0341
f: 301.972.4076

A BARNESVILLE EDUCATION

We offer a vigorous academic program for students as well as engaging, hands-on learning experiences.

WHAT WE STAND FOR

Our positive, supportive learning environment promotes imagination, exploration, personal growth, and achievement.


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