Elodie Farms Summer Camp

Registration Form (sample)

Elodie Farms Sustainable Farming Summer Camp 2010

Registration and Agreement 
 

Today’s Date  _____________ 

How did you hear about us?________________________________________________________________Thanks 

Child’s Name____________________ Sex____  Age_____  DOB___________ 

10% discount for additional siblings 

2nd Child_______________________ Sex____ Age______ DOB___________ 

Parents Name  _________________________________________________________ 

Address_______________________________________________________________ 

        _______________________________________________________________ 

Work Phone________________ Cell_____________ email______________________ 

Summer Camp Sessions  (please X where appropriate) 
 

June   Child #1 Child #2 A.M Care P.M Care Both 

14-18   _______ ______ ______ _____  _____ 

21- 25   _______ ______ ______ _____  _____ 

28- 2 July  _______ ______ ______ _____  _____ 

July    

5- 9   ______ ______ ______ _____  _____ 

12- 16   ______ ______ ______ _____  _____ 
 

                  Child #1 Child #2 A.M Care P.M Care Both 
 

19-23   ______ ______ ______ _____  _____ 

26-30   ______ ______ ______ _____  _____ 

August  

2-6   ______ ______ ______ ______ _____ 

9- 13   ______ ______ ______ ______ _____ 

16- 20   ______ ______ ______ ______ _____ 
 

Fee Schedule 
 

Deposit    $50.00 per child

Camp Fee   $200.00 per child ($175.00 each sibling)

A.M. Care (7:30-8:00) $25.00 per week per child

P.M. Care (4:30-6:00) $37.50 per week per child

Both A.M. and P.M. Care  $50.00 per week per child 

Your deposit of $50.00 per child is due upon registration.  This will hold your spot until the balance is paid.  All June fees are due by 15 May, July fees are due by 15 June, and August fees by 15 July.  If the balance is not received by the due date, both the deposit and the spot will be forfeited.   Once your deposit is made, you will receive an invoice and a welcome letter, along with necessary forms. 

Example: 

2 children attending (without a.m. or p.m. care) week of 9 August would pay $100.00 deposit at registration, with a balance of $375.00 due by 15 July.