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.
1 child attends week of 19 July
and needs a.m. care pays $50.00 deposit with a balance of $225.00
due by 15 June. |