PLEASE FILL OUT THIS FORM COMPLETELY TO SUBMIT IT.
AGE:
PLEASE NOTE:
Session 1 July 20-24
July 27-31
Session 2 August 3-7
August 10-14
Session 3 August 17-21
August 24-28
PAYMENT INFORMATION
PARENT'S NAMES
EMERGENCY CONTACT AND #:
HERE IS MY PAYMENT INFORMATION BELOW. I UNDERSTAND MY CARD WILL BE CHARGED FOR THE CAMP IN ADVANCE. EACH TWO WEEK SESSION WILL BE CHARGED $449.00. EACH ONE WEEK SESSION WILL BE CHARGED $250.00 PRIOR TO MAY 20, 2009. A late registration fee of $10/week will be charged for all late applicants.
