Camper Information
Name:
Grade for 2007-2008 school year:
List allergies or medical conditions:
Student will be attending the following weeks:
June 9-13
June 16-20
June 23-27
June30-July 3 (closed July 4th)
July 7-11
July 14-18
July 21-25
Student will be purchasing the the following summer passes:
Tuesday 9:30 am - 12:00 pm Starting June 17th
Tuesday 1:00 pm -2:00 pm Starting June 19th
Friday 11:00 am-12:00 pm Starting June 20th
Each summer pass requires a $10.00 non refundable registration fee and is $40.00 for 6 weeks
Parent Contact Information
Mother
Name:
Address:
Phone Numbers: Home:
Work:
Cell:
Email Address:
Father
Name:
Address:
Phone Numbers: Home:
Work:
Cell:
Email Address:
