SUMMER FRIENDS
CAMP REGISTRATION 2012
1st Year? Yes___ No____
Last Name________________________ First Name__________________________
Entering Grade________ Age_____ DOB_____________ Boy____Girl_____
Address______________________________________ Apt.________
City_________________________ State_________ Zip______________
Home Phone_________________________ E-Mail ___________________________
Please Check Weeks Desired
June 25-June 29____ July 2-July 6____ July 9-13____ July 16-20____
July 23- July 27____ July 30-Aug 3____ Aug 6-10____ Aug 13-17____
Deposit: Amount $__________ Check #_______ Date_____________
$50.00 Registration Fee _____ Included with deposit ()
Kindercamp Only: Check one Full Week____ 3 Days M,W,F____ 2 Days Tu,Th ____
Mothers Name______________________________
Mothers Business Phone______________________ Cell_____________________
Fathers Name_______________________________
Fathers Business Phone_______________________ Cell_____________________
Person to call in case of emergency_________________________________
Home Phone___________________ Business Phone_____________________
2nd emergency contact___________________________________
Home Phone___________________ Business Phone______________________
SUMMER FRIENDS CONTRACT 2012
This is a contract between Mr./Ms. _______________________ and Summer Friends Day Camp for the care of your child/children ___________________________________________ .
A one week deposit in the amount of $__________ is given to Summer Friends Day Camp, which will pay for the first week of camp. I understand that the one week deposit is non-refundable for any reason should my children not attend camp.
I understand regular camp hours are from 9:00AM - 4:00 PM. The weekly charge for these hours at camp is $285.00. I agree that all weekly payments will be made one week in advance.
(Week 2 is prorated @ $245.00 due to July 4th holiday)
Our Kindercamp (entering Kind. or younger) offers a three day rate @ $225.00 per week & a two day rate @ $175.00 per week for the same hours above.
I also agree to pay for every week my child is registered !! regardless of absences for ANY reason & without exception!!!!
Summer Friends also provides extended hours from 7:00AM - 9:00AM & 4:00PM - 6:00PM. These hours are payable at the end of the week and charged a rate of $6.00 per hour.
(Parent is not responsible for more than $60.00 per week extended care)
My child/children is/are registered for _____ weeks.
Mother’s Name ________________________
Soc. Sec. # _____________________
Signature ________________________
Date _________________
Father’s Name _________________________
Soc. Sec. # ______________________
Signature ___________________