CHILD #1 NAME:
(First)___________________________________ (Last) _______________________________
Current Grade Level (as of 1/1/08) ______________ School ___________________________
**CHILD MUST BE 6 YEARS OLD BY SEPT. 1st, 2008 and entering 1st grade in the fall of 2008
ALLERGIES or MEDICAL CONDITIONS _______________________________
CHILD #2 NAME:
(First)___________________________________ (Last) _______________________________
Current Grade Level (as of 1/1/08) ______________ School ___________________________
ALLERGIES or MEDICAL CONDITIONS _______________________________
CHILD #3 NAME:
(First)___________________________________ (Last) _______________________________
Current Grade Level (as of 1/1/08) ______________ School ___________________________
ALLERGIES or MEDICAL CONDITIONS _______________________________
Group/Friend/Special Request (Please note that all requests may not be honored):
________________________________________________________________________________
Parent(s) Name(s) ________________________________________________________________
Address ____________________________________City ______________________ Zip _______
Home Phone # _____________________________ Work Phone # __________________________
Cell Phone # _____________________________________________________________________
Weekly Enrollment Options: Please Check One (2nd Child 10% discounted rate)
_____ 5 Days per Week $276.00 ($248.40) ______ 3 Days per Week $256.00 ($230.40)
_____ 4 Days per Week $266.00 ($239.40) ______ 2 Days per Week $230.00 ($207.00)
Please circle days your child will attend camp:
Monday Tuesday Wednesday Thursday Friday
*****************************************************************************
PLEASE CHOOSE FROM ONE OF THE TWO OPTIONS BELOW:
1) _____ I am signing my child up for ALL 8 FULL WEEKS OF CAMP
*Families signing up for all full weeks of camp, (June 16 – Aug 8)
will be given first priority of acceptance into camp.
Families signing up for weeks 1-8 may take 1-vacation week and pay only ½ tuition for that week.
OR
2) _____I understand that priority is given to families signing up for all full weeks 1-8,
yet I would like to be considered to sign up for only the following weeks.
Families needing less than all weeks 1-8 may be admitted after the initial registration period has ended,
after January 28, 2008. Based upon enrollment capacity, registration is not guaranteed
PLEASE CHECK THE WEEKS YOU ARE INTERESTED IN YOUR CHILD ATTENDING CAMP.
DAYS OF THE WEEK ATTENDANCE MUST REMAIN THE SAME FOR ALL THE WEEKS YOUR CHILD IS ENROLLED. WEEKS MAY NOT BE SPLIT OR COMBINED.
______ Week 1 (June 16-20) _______ Week 5 (July 14-18)
______ Week 2 (June 23-June 27) _______ Week 6 (July 21-25)
______ Week 3 (June 30-July 3) Closed Friday July 4 _______ Week 7 (July 28 – Aug 1)
______ Week 4 (July 7-11) _______ Week 8 (August 4-8)
******************************************************************************
My Child/ren_______________________________________________________
will be attending Wesley Camp Summer Dayz.
I have enclosed the required non-refundable registration fee of $75.00 per child.
I have enclosed the **Deposit Fee which is equal to one week’s tuition per child.
**(Deposits will be applied towards the last week for all campers).
I understand Tuition Deposits are only refundable until April 1, 2008.
I understand I am required to pay for ALL of the weeks of camp in which I have originally enrolled my child. Any changes to my child’s original schedule MUST be made before May 1, 2008.
X Parent Signature _________________________________________ Date _______________