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Register for Summer Camp

2026 Education- Summer Camp

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Welcome to the Jubilee Park & Community Center Summer Camp Application! We are excited to offer a fun and enriching summer experience for students who have completed Kindergarten through 12th grade.

Please complete one application per child. All information provided will be kept private and used only for funding, reporting, programming, and evaluation purposes.

Who Can Apply: Due to limited space, applications will be prioritized in the following order:

Students enrolled in Jubilee Park’s Afterschool Program for the 2025–2026 academic year who attended more than 75% of the time.
Students living in ZIP codes 75223, 75210, or 75227 who attend our feeder pattern schools (Mount Auburn, Oran M. Roberts, J.L. Long, and Woodrow Wilson).
Students who live in 75223, 75210, or 75227 and participate in other Jubilee programs.
Any remaining spaces will be offered on a first come, first served basis.

Students who have not completed Kindergarten and will not be 6 years old by May 2026 are not eligible for Summer Camp.

Application Dates: March 13 – April 10, 2026

If you need help completing the application, visit Jubilee Park during the following times:

Monday, March 23: 10:30 AM – 2:30 PM
Wednesday, March 25: 3:30 PM – 5:30 PM
Tuesday, March 31: 10:30 AM – 3:30 PM

Important: Parents/guardians will receive enrollment notifications by Friday, April 24, 2026. A parent or legal guardian must attend a Summer Camp Orientation for students to be considered for enrollment.

Summer Camp Orientation Dates (Attend One):

Wednesday, April 29 at 6:15 PM
Monday, May 11 at 6:15 PM
Saturday, May 16 at 9:30 AM

Summer Camp Details:

Cost: FREE
Meals: Breakfast and lunch provided daily
Schedule: Monday – Friday, 8:00 AM – 2:00 PM
Session 1: June 1 – June 26, 2026
Session 2: June 29 – July 24, 2026

If you have questions, please contact:
Karen Medina
Director of Out of School Programs
214-887-1364 x256
kmedina@jubileecenter.org

Child Demographics

Please provide the following information for the child you are enrolling in Summer Camp. You must complete a separate application for each child. If you would like to enroll multiple children, please submit an additional application for each student.

Child's Name*

First Name Last Name

Child's Date of Birth*

MM slash DD slash YYYY

Address*

Street Address City ZIP Code

Child's School*

You can select the school from the drop down list or search by typing. If your child’s school is not listed please select “Other” at the bottom of the list.

Child's School (Other)*

Child's Last Grade Completed*

The grade they finished in Spring 2026.

Student ID Number [you can find this on their lunch card or report card]*

Gender*

Male

Female

Other

Race/Ethnicity (Select all that apply)*

African-American

Asian

Bi-Racial

Caucasian

Hawaiian or Pacific Islander

Hispanic

Multi-Racial

Native American

Other

If you answered other, please specify*

Child's Preferred Language (Select all that apply)*

English

Spanish

Other

If you answered other, please specify*

Please select the session(s) you would like your child to attend for Summer Camp 2026. You may select one or both sessions; however, selecting a session does not guarantee placement.*

Please note that camp will not be in session on Friday, June 19, 2026, in observance of Juneteenth and Friday, July 3, 2026, in observance of July 4th.

Session 1: June 1 – June 26, 2026

Session 2: June 29 – July 24, 2026

Both Session 1 and Session 2

While attendance is required and mandatory to keep your spot in our Summer Camp, if you already know of days your student will not be able to attend (due to doctor appointments, school tutoring, etc.), please list them below, so we are aware of these dates.

Would like your student to participate in our FREE specialized reading program through our Specialized Student Support (S3) Program?*

Note: At this time, this program is only available in English. Selecting “Yes” indicates interest but does not guarantee placement. Due to limited capacity, priority may be given to students with diagnosed dyslexia or significant reading needs. Staff will contact families if their student is selected.

Yes

Would like your student to participate in our FREE Boxing classes, please let us know below. Jubilee will transport students to and from the Boxing Gym – LaBori, and no equipment is required.*

Please note, at this time, this program is only available for students in grades 2nd and up. Selecting “Yes” indicates interest only. Participation is not guaranteed and will depend on program capacity.

Yes

Child Demographics

Child lives with (Check all that apply)*

Mother

Father

Grandparent

Stepparent

Foster Parent

Other

If you selected other, please list who else the child lives with*

Are there any other school-aged siblings in the home that will be attending Summer Camp?*

Yes

Please list the name of each additional sibling you are submitting an application for*

You will have to complete a separate application for each child that you list. Please note, having a sibling does not guarantee that all siblings will be able to attend at the same time. While we will try to accommodate all siblings at the same time for summer camp attendance, due to enrollment and spaces available, this might not always be the case.

Does your child have permission to walk home after camp ends at 2pm?*

Yes

Please select the T-shirt size your child will likely wear at the start of Summer Camp. Shirts are ordered ahead of time, so please consider any growth between now and June.*

YOUTH Extra Small

YOUTH Small

YOUTH Medium

YOUTH Large

YOUTH Extra Large

ADULT Extra Small

ADULT Small

ADULT Medium

ADULT Large

ADULT Extra Large

Child’s Health Information

Does your child have any medical conditions and/or allergies? If yes, please check all of the following conditions that your child has:*

Does not apply

Bee Sting Allergy

Asthma

Food allergies

Diabetes/Pre-Diabetic

Vision/Hearing

Special Needs/Disability

Other

If you answered "Other" please specify*

Does your child need/use any of the following?*

Does not apply

Inhaler

Insulin

Glasses

Hearing Aid

Epi-Pen

Other medication or medical device

Please specify what other medication or medical device your child uses*

Has your child been diagnosed with a learning difference? (Check all that apply.)*

No diagnosis

Dyslexia

ADD/ADHD

Autism

Other

If other, please specify your child's learning difference.*

Is there anything else we should know about your child's health?

Parent / Caregiver Information

Please provide the information for the parent or legal guardian responsible for this child’s enrollment in Summer Camp. This person will serve as the primary contact for program communication, enrollment updates, and emergencies.

Parent/Caregiver #1 Information: The adult listed here is certifying that they are the legal guardian of the child/children listed on this application and are able to make decisions on their behalf.

Parent/Caregiver's Name*

First Name Last Name

Parent/Caregiver's Email*

Parent/Caregiver's Phone Number*

Parent/Caregiver's Relationship to Child

Mother

Father

Grandparent

Stepparent

Foster Parent

Sibling

Other

If other, please specify your relationship to the child*

Parent/Caregiver's preferred language*

English

Spanish

Other

If other, please specify your preferred language*

Would you like to add another Parent/Guardian?*

Yes

Parent/Caregiver #2's Name*

First Name Last Name

Parent/Caregiver #2's Email

Parent/Caregiver #2's Phone*

Parent/Caregiver #2's Relationship to Child*

Mother

Father

Grandparent

Stepparent

Foster Parent

Sibling

Other

If other, please specify your relationship to the child*

Authorized Individuals

Authorized Individuals: You are authorizing Jubilee to contact this person about your child. Must be 18 or older. This person must be different than the Parent or Caregiver previously listed.

Authorized Individual #1*

First Name Last Name

Authorized Individual #1's Phone Number*

Authorized Individual #1's Relationship to the child*

Parent

Grandparent

Sibling

Family friend

Neighbor

Aunt/Uncle

Stepparent

Other

If other, please specify Authorized Individual #1's relationship to the child*

Would you like to add another authorized individual?*

Yes

Authorized Individual #2*

First Name Last Name

Authorized Individual #2's Phone Number*

Authorized Individual #2's Relationship to the child*

Parent

Grandparent

Sibling

Family friend

Neighbor

Aunt/Uncle

Stepparent

Other

If other, please specify Authorized Individual #2's relationship to the child*

The following questions help Jubilee understand the needs of the families we serve and allow us to secure funding to continue offering free programs. Your responses will be kept confidential and reported only in summary form. Individual households will never be identified, and this information will not be shared with the IRS or government agencies.

Household Income*

Do your children receive free/reduced lunch at school?*

Yes

Number of people living in your household (including yourself)*

How many adults are working in the household?*

3 or more

Are you interested in more information about any of Jubilee's other program opportunities? (Check all that apply.)

Youth Sports

Financial Assistance/Food Pantry

Workforce Programs

English as a Second Language Programs

Senior Programs

Health Programs

Waiver and Release Policy*

THE UNDERSIGNED HEREBY VOLUNTARILY RELEASES JUBILEE FROM ANY AND ALL LIABILITY RESULTING FROM OR ARISING IN ANY MANNER WHATSOEVER OUT OF ANY PARTICIPATION IN ANY JUBILEE ACTIVITY, WITHOUT REGARD TO THE STRICT LIABILITY, FAULT, OR NEGLIGENCE OF ANY PARTY. I further hereby release and forever discharge and hold harmless Jubilee and its successors and assigns and its directors, officers, employees, and agents from any and all losses, liabilities, claims, damages, and demands of whatever kind or nature, either in law or in equity (collectively, “Losses”), which arise or may hereafter arise from the services provided to me by Jubilee. I understand and acknowledge that this Release discharges Jubilee and its directors, officers, employees and agents from any liability or claim that I may have against them individually or collectively for Losses with respect to bodily injury, personal injury, illness, death, or property damage that may result from the services provided to me by Jubilee. I hereby waive any rights which I may have to bring a claim or demand against Jubilee or its directors, officers, employees, and agents with respect to any Losses arising from my participation in any of Jubilee’s programs.

I agree to the Waiver and Release Policy

Insurance Policy*

I understand that Jubilee does not assume any responsibility for or obligation to provide its participants with any financial or other assistance, including but not limited to medical, health or disability benefits or insurance of any nature in the event of my injury, illness (including, but not limited to COVID-19), death or damage to my property. I expressly waive any such claim for compensation or liability on the part of Jubilee beyond what may be offered freely and voluntarily by Jubilee in the event of such injury or medical expenses I incur. I understand that each participant at Jubilee is expected and encouraged to carry personal health insurance.

I agree to the Privacy Policy.

Medical Care & Medication Policy*

Jubilee Park & Community Center staff are not authorized to administer medication to participants during Summer Camp. Parents or guardians are responsible for managing any medication needs outside of program hours.

Staff may provide basic first aid (such as bandages, cleaning minor cuts, or applying ice packs) when necessary. However, staff will not administer any medication, including over-the-counter medicines such as pain relievers, allergy medication, or other similar treatments.

In the event of a medical emergency, I authorize Jubilee Park & Community Center staff to seek emergency medical attention for my child if a parent or guardian cannot be reached immediately. I understand that my personal health insurance will be responsible for any medical expenses incurred, and if my child does not have insurance, I accept full responsibility for all related costs.

I agree to the Medical Care & Medication Policy

Assumption of Risk Policy*

I understand that participation in Jubilee Park & Community Center programs, including Summer Camp activities, may involve certain risks. These activities may include, but are not limited to, recreational activities, field trips, transportation, and other program-related events.

By submitting this application, I acknowledge that my child may participate in activities that carry a risk of injury or harm. I voluntarily assume these risks on behalf of my child and agree that Jubilee Park & Community Center, its officers, directors, employees, and agents shall not be held responsible for injuries, illness, or property damage that may occur as a result of my child’s participation in program activities.

I also understand that Jubilee Park & Community Center is not responsible for lost, stolen, or damaged personal property that participants may bring with them to the program.

I agree to the Assumption of Risk Policy

Behavior Policy*

Jubilee Park & Community Center is committed to providing a safe, respectful, and positive environment for all participants and staff.

Students enrolled in Summer Camp are expected to follow program rules, respect staff and fellow participants, and behave in a safe and appropriate manner during all camp activities, including transportation and field trips.

Behavior that disrupts the program, threatens the safety of others, or shows repeated disregard for program rules may result in disciplinary action, which may include parent notification, temporary removal from activities, or removal from the program.

Jubilee Park & Community Center reserves the right to remove a student from the program if their behavior negatively impacts the safety or well-being of other participants or staff.

I agree to the Behavior Policy

Photographic Release Policy*

I hereby irrevocably grant and convey to Jubilee all right, title, and interest in all photographs, images, video or audio recording of me or my likeness or voice made by Jubilee when participating in any of Jubilee’s programs. I do hereby release to Jubilee Park & Community Center, its employees or agents, all rights to exhibit this work in print or electronic form, publicly or privately, and to market or sell copies. I waive any right, claims or interest I may have to control the use of my child’s identity or likeness in whatever media is used. If I do not want my child’s likeness used as listed above, I can submit a request in writing to the Program Manager at any time.

I agree to the Photographic Release Policy

Motor Vehicle Policy*

I understand that transportation in a motor vehicle such as a bus or van operated by or on behalf of Jubilee Park & Community Center (the “Vehicle”) may involve certain risks for the above-named participant. By signing below, I acknowledge and assume the risk of harm or injury that may occur as a result of riding in the Vehicle and participating in related program activities.

I also give permission for the minor to participate in program activities associated with Summer Camp, including but not limited to field trips and transportation to and from program locations.

In the event of a medical emergency, I authorize Jubilee Park & Community Center employees or agents to seek emergency medical treatment for the minor if necessary, and I agree to accept financial responsibility for any costs associated with such emergency treatment.

To the fullest extent permitted by law, I hereby release Jubilee Park & Community Center and its officers, directors, employees, and agents from any claims, liability, costs, or damages arising from the participant’s transportation in a Vehicle or participation in related activities, including claims related to personal injury or property damage.

I agree to the Motor Vehicle Policy

Data Policy*

I understand that Jubilee may share information about the minor child listed on this application with partners for research purposes and/or to evaluate the program’s effectiveness and/or to receive program services. Information that may be disclosed may include the information provided on this application form and other information collected by Jubilee Park, including data collected via onsite activities, surveys, or questionnaires. Information may include (but is not limited to) name, birthdate, race/ethnicity and gender

I agree to the Data Policy

Enrollment & Attendance Policy*

Submitting this application does not guarantee enrollment in Jubilee Park & Community Center’s Summer Camp. Due to limited space, students will be enrolled based on eligibility, program priorities, and available capacity.
If a student is accepted into the program, families are expected to ensure that the student attends camp regularly and participates for the full duration of the selected session(s). Consistent attendance is important to maintain a student’s place in the program.
Repeated unexcused absences, no-calls, or no-shows may result in the loss of the student’s reserved spot, and the space may be offered to another student on the waitlist.
By submitting this application, the parent or legal guardian acknowledges and agrees to these enrollment and attendance expectations.

I agree to the Enrollment & Attendance Policy

Register for a Minor Home Repair

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Available Programs(Required)

Welcome!

All classes will take place at Jubilee Park & Community Center [917 Bank Street, Dallas, Texas 75223].

You will receive a follow up email. Please contact the Housing & Workforce Manager, at 214-887-1364 ext. 260 with any questions.

Classes begin the first week of February; 18 people are required to be able to have the course.

The following information will be used for program impact and evaluation. Your information will never be shared with the IRS or other government organizations.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City ZIP Code

Phone Number(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship

Household Information

Household Income

What is your household income during a year?

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Register for Summer Camp

2026 Education- Summer Camp

Child’s Health Information

Parent/Caregiver #1 Information: The adult listed here is certifying that they are the legal guardian of the child/children listed on this application and are able to make decisions on their behalf.

Authorized Individuals

Authorized Individuals: You are authorizing Jubilee to contact this person about your child. Must be 18 or older. This person must be different than the Parent or Caregiver previously listed.

Register for a Minor Home Repair

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Emergency Contact Information

Household Information

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Contact Info

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