Registration Form

Daily sign-in for Summer Alive, 2019 is held each Monday - Thursday in the yellow lodge at the Montgomery, PA town park from June 3 - July 25th between 8:45 and 9 AM (unless other arrangements are made in advance.)




Breakfast is served at 9 AM. Lunch is served at 12 noon. Children must be picked up no later than 12:30.


All children must be signed in and out by a parent, guardian, or older sibling.

Breakfast and lunch are subsidized by the USDA. These meals are free to all children age 18 and under and to mentally and/or physically handicapped adults. 

If the Summer Alive camp is to continue, ongoing funding is essential . We ask each parent to carefully consider the value of this program to your child/ren and ask yourself what child care would cost if the camp closed. For 2019, we will accept a donation based on what you can afford. The program costs Project Coffeehouse $15 per day per child or $480 for the entire 31 days. Donate what you can afford between $5-$480.

For families that are unable to pay, we welcome your service to the camp. Volunteers are always needed, we consider the hours you donate to be of equal value to monetary payments. Please see the "volunteer" page for information on required clearances. 


Your child/ren's fees can be paid on line via Pay Pal. Cash and checks made payable to Project CoffeeHouse (Summer Alive parent organization) are accepted on site. Checks can also be mailed to Project Coffeehouse, PO Box 42, Montgomery, PA 17752.

Via this free-will, sliding scale payment plan, it is our hope that the Summer Alive day camp program will be sustainable for many years to come. 

Conditions:  MY CHILD HAS COMPLETED KINDERGARDEN. I understand I must stay with child/ren who have not done so. My child/ren will be dropped off and picked up in a timely manner. My child/ren will abide by Summer Alive and Montgomery Park rules. My child/ren will be respectful of other adults and children at Summer Alive. I understand that Summer Alive is not responsible for any valuables.

 I understand and accept the my child/ren's participation in the Summer Alive program is entirely voluntary. I voluntarily assume all risks to my child.  I understand Summer Alive rules and regulations. My child understands that for his/her safety and for the safety of the group that all camp rules and instructions given by staff are to be observed.

 I hereby agree that I will not hold  Summer Alive volunteers, staff, organizers, directors, and/or organizations they represent liable for any expense,loss, personal injury or accident to my child which is not the result of a negligent act or willful default of any above named person.

By clicking I ACCEPT THE TERMS, I agree all information provided is true and that I am the legal parent or guardian of the child/ren registered. I have read, understand, and agree with the terms above.

Click Submit to submit your pre-registration electronically. Even when registered in advance, you MUST accompany your child on the first day of camp, June 3rd, to sign necessary forms.


If you do not make your registration payment online, you may bring cash or check on the first day of camp or mail payment in advance to: Project Coffeehouse, PO Box 42 Montgomery Pa 17752.