Wufoo

Kids Summer Camp 2008 Registration Form

Date / MM / DD YYYY
Parent Name First Last
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Home Phone - (###) - ### ####
Cell Phone - (###) - ### ####
Child Name First Last
Child Name First Last
Allergies
Yes No
Type of Allergy or Other Concerns
Medications:
Emergency Contact Name First Last
Emergency Contact Phone - (###) - ### ####
Choose One Week, 2 Weeks or More
Week 1 - July 7th thru July 11th Week 2 - July 14th thru July 18th Week 3 - July 21st thru July 25th Week 4 - July 28th thru Aug 1st Week 5 - Aug 4th thru Aug 8th Week 6 - Aug 11th thru Aug 15th Week 7 - Aug 18th thru Aug 22nd
Cost

A deposit of $100.00 is required to hold your child’s spot. Balance is due on the first day of camp.
The cost is $235.40 ($220.00 plus tax) a child per week with a 10% discount for siblings.
(2nd child at $198.00 -$211.86 including tax) Early registration is recommended.
Cancellation Policy

Cancellation policy: If the unfortunate situation occurs that we must cancel any session that you have signed up for due to lack of enrollment, a full refund will be issued. Due to careful planning and project preparation, refunds cannot be issued to any customer cancelling a session with less than two week’s notice.
To pay your required deposit of $100.00 per child, click on the Paypal link below this form. Registration is not accepted without payment.
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