Registration
This is for 5 days of camp in the afternoons. The total cost if $75.00 + tax. 12:30-4:30pm Regular Drop off: 12:30-1pm Regular Pick up: 4-4:30pm Late Pick up: 4:30-5pm The price you are seeing is your deposit. This is due now and the balance of $50 plus tax is due on Feb 21st by 4pm.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State/Prov: * Postal Code: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
Do you need early drop off? 8-8:30am If yes, which days? $2.50 per day or $10.00 for the week*
Any Allergies/Medical Conditions we should know about?*
 
Additional Information:
 
Total
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Deposit
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Balance
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Non-Refundable
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Drop Date
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Regular Drop off and Pick Up Times
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Early/Late
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Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
Country: *
City: State/Prov: * Postal Code:*