KIDS SUMER CAMP 2009

REGISTRATION FORM

aintatallfiredup.com

Parent name: _______________________________________________

Address: ___________________________________________________

Home Phone: ____________________Cell Phone: _________________

Child name: ________________________________________________

Age: _____________ (accepting age 5 through 12)

Child name: ________________________________________________

Age: _____________

Child name: ________________________________________________

Age: _____________

Allergies: Yes ____ No ____

Other concerns/comments: ____________________________________

Medications: (please list) ______________________________ _______________________________________

Emergency Contact Name: ________________________

Emergency Contact Phone: ________________________

__ Week 1 - July 13th thru July 17th

__ Week 2 – August 10th thru August 14th

$100.00 deposit per child is required to book your child’s spot at camp. Full week cost is $225.00 including tax. Balance is due on the first day of camp. Full week registration required. Early registration is recommended. Siblings receive a 10% discount (2nd child at $202.50 plus tax).

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 canceling on a session with less than two week’s notice.

Date: ______________ Parent’s Signature: ____________________________