AVAILABLE CLOSER TO THE START OF CAMP. 

Camp calendars listing trips and activities will be posted once arrangements have been finalized.

• Greenville
• H.M. Pearson
• P.B. Smith
• Teen Camp

• If not already on file: the child’s original birth certificate (for verification purposes only)
• If not already on file: a physical or well check, no older than 2 years, signed or stamped by physician (NEW ENROLLEES)
• If not already on file: immunization records, signed or stamped by physician (NEW ENROLLEES).
  • The following School Entrance Health Form can be used for your child’s health records; Part I is completed by a parent or guardian, Part II and Part III must be completed by the Medical Provider.
• Health Record Release Form If you have turned in your health records to your school they can make a copy for us upon completion of this form. Please submit to your school’s main office along with a copy of your driver’s license.

A $55.00 non-refundable registration fee is due, per child, at the time of sign-up.  Payment for the first week your child is enrolled is due on or before May 13, 2022.  REGISTRATION IS NOT COMPLETE UNTIL BOTH PAYMENTS ARE RECEIVED.

• Payment Methods: Check, Cash or Money Order only. Checks must be written in black or blue ink.
• FCCC does not hold payments or accept post-dated checks.
• 2022 Camp Tuition Chart

FCCC is no longer providing payment books.  Please make sure to write your child’s name on your check and what you are paying for on the memo line.

The following form can be used to set up a payment arrangement: Request for Payment Arrangement Form 

Qualifying for a sliding scale tuition rate (Step 1, Step 2, or Step 3 fees) requires proof of your annual household income and completion of FCCC’s Income Verification Form. Your annual income includes all wages, child support, social security, etc. You will be charged full fee tuition until required documentation is received and verified.  The two most recent pay stubs for all household wage earners are required for proof of income.  If you have been approved for assistance through the DSS Daycare Assistance Program FCCC will need to see your verification letter from DSS.  To contact the Department of Social Services for assistance call (540) 422-8450.

If your child requires emergency medications the following forms must be on file along with the prescribed medication:

• MAT Form, 12-month
• (completed by parent, signed by doctor, valid for 12 months)
• Emergency Care Plan: Epi-pen
  (completed by parent, signed by doctor)
• Emergency Care Plan: Inhaler
  (completed by parent, signed by doctor)
• Short-term Medication Authorization Form
  (completed by parent, authorization not to exceed 10 days)
• Insect Repellant Authorization Form 
  (completed by parent, for daily insect repellant usage)

If your child has food allergies and will need an alternate snack the USDA Special Diet Form needs to be completed in its entirety for FCCC to remain in compliance with USDA regulations.

• CACFP Special Dietary Prescription Form

Click on the link to our view our 2022 Summer Camp Handbook.

Changes or cancellations from the FCCC Summer Camp program must be made, in writing, before 6:30PM, May 28, 2021. If changes or cancellations are not made by the deadline your account will be charged and fees will be due for the number of weeks marked on your Payment Agreement.

Camp Cancellation Form

• Complete and submit your cancellation at any FCCC location, including our Main Office, fax (540-347-3518) or e-mail (jessicapeil@fcccva.org).
• Parents will receive written confirmation of a withdrawal or cancellation.

• If not already on file: the child’s original birth certificate (for verification purposes only)
• If not already on file: a physical or well check, no older than 2 years, signed or stamped by physician (NEW ENROLLEES)
• If not already on file: immunization records, signed or stamped by physician (NEW ENROLLEES).
  • The following School Entrance Health Form can be used for your child’s health records; Part I is completed by a parent or guardian, Part II and Part III must be completed by the Medical Provider.
• Health Record Release Form If you have turned in your health records to your school they can make a copy for us upon completion of this form. Please submit to your school’s main office along with a copy of your driver’s license.

A $55.00 non-refundable registration fee (per child) and fees for the first month enrolled to attend are due at the time of enrollment.

• Payment Methods: Check, Cash or Money Order only. Checks must be written in black or blue ink.
• FCCC does not hold payments or accept post-dated checks.

2021-2022 School Year Tuition Chart – Monthly Tuition

Fees are calculated for the year and broken down into 9 equal, monthly payments (September-May); fees are the same every month regardless of the number of program days in each month.  Fees are not reduced or refunded due to non-school days or extended absences.  Fees will be pro-rated if starting mid-month.

To set up a payment arrangement please complete and submit the following form:

Payment Arrangement Request

Accounting will review your and confirm your request.

FCCC only accepts checks, cash, or money orders payments.

For your taxes, our Tax ID# is 54-1590790.

One Annual Statement per account is available upon written request.  Complete and submit our Annual Statement Request Form and we will return your copy as requested.

Qualifying for a sliding scale tuition rate (Step 1, Step 2, or Step 3 fees) requires proof of your annual household income and completion of FCCC’s Income Verification Form. Your annual income includes all wages, child support, social security, etc. You will be charged full fee tuition until required documentation is received and verified.  The two most recent pay stubs for all household wage earners are required for proof of income.  If you have been approved for assistance through the DSS Daycare Assistance Program FCCC will need to see your verification letter from DSS.  To contact the Department of Social Services for assistance call (540) 422-8450.

If your child requires emergency medications the following forms must be on file along with the prescribed medication:

• MAT Form, 12-month (completed by parent, signed by doctor, valid for 12 months)
• Emergency Care Plan: Epi-pen (completed by parent, signed by doctor)
• Emergency Care Plan: Inhaler (completed by parent, signed by doctor)
• Short-term Medication Authorization Form (completed by parent, authorization not to exceed 10 days)
• Insect Repellant Authorization Form  (completed by parent, for daily insect repellant usage)

If your child has food allergies and will need an alternate snack the CACFP Special Dietary Prescription Form needs to be completed in its entirety for FCCC to remain in compliance with USDA regulations.

• CACFP Special Dietary Prescription Form

To make changes to your enrollment complete and submit the following form:

• 2021-2022 School Year Change of Care Payment Agreement

Fees will be pro-rated if changes are made mid-month.

2021-2022 School Year eHandbook

Withdrawal from the program must be received, in writing, a minimum of two weeks prior to the last date of your child’s attendance.  

• Fees are due for the entire withdrawal period and will be pro-rated if your withdrawal carries over into the next month.  
• Once complete the following form can be turned in at any FCCC site, e-mailed (jessicapeil@fccccva.org), or faxed to the Main Office at (540-347-3518): Withdrawal Form