Elodie Farms Summer Camp

Registration Form (sample)

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Elodie Farms Summer Day Camp 2011

Registration and Agreement (sample)

Today’s Date _____________


How did you hear about us? _______________________________________________


Child’s Name __________________________ Sex____ Age ____ DOB___________


2nd Child _____________________________ Sex____ Age______ DOB___________


Parent’s Name _________________________________________________________


Address _______________________________________________________________


_______________________________________________________________


Home Phone ________________ Cell _____________ Email ___________________


Summer Camp Sessions (please X where appropriate)


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

13 - 17  _______   ______    ______      _____     _____

20 - 24  _______   ______    ______      _____     _____

27 - 7/1 _______   ______    ______      _____     _____

July

  4 - 8   _______   ______    ______      _____     _____

11 - 15  _______   ______    ______      _____     _____

18 - 22  _______   ______    ______      _____     _____

25 - 29  _______   ______    ______      _____     _____

August

  1 - 5   _______   ______    ______      _____     _____

  8 – 12  _______   ______    ______      _____     _____

15 - 19  _______   ______    ______      _____     _____


Fee Schedule


Deposit $50.00 per child

Camp Fee $250.00 per child ($225.00 each sibling)

A.M. Care (7:30-8:30) $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 May 15, July fees are due by June 15, and August fees by July 15. 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 August 8 would pay $100.00 deposit at registration, with a balance of $475.00 due by 15 July.

1 child attends week of July 18 and needs a.m. care pays $50.00 deposit with a balance of $275.00 due by June 15.


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