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 ___________________

 
 
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