Pre-Camp and After Camp Registration

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EWING RECREATION DAY CAMPPRE-CAMP & AFTER CAMP CARE2009 REGISTRATION FORM

Pre-Camp and After Camp care are offered for families who need care for their children for anextended time. There is an additional fee for both programs. Campers can be registered for aminimum of one session. Pre-Camp runs from 7:30am – 8:30am and After Camp runs from4:30pm – 6:00pm.Camper information – Please print clearly.Name_________________________________________Date____________________Pre-Camp__________ After Camp__________ Grade_________ Gender_________Parent or Guardian_______________________________________________________.Phone(H)_________________(W)___________________Cell____________________ Your child must be picked up from after camp. Please list the people able to pick up your child,including parents and siblings.1._______________2.________________3.________________4.________________PRE-CAMP FEES: $20 per week - Resident AFTER CAMP FEES: $30 per session - Resident

$35 per week – Non-Res. $45 per session – Non-Res.Please check all sessions attending.RESIDENTS NON-RESIDENTS

___________ Pre-Camp June 22-June 26, 2009 __________ Pre-Camp June 22-June 26, 2009__________ Week #1 June 29-Jul 3, 2009 __________ Week #1 June 29-July 3, 2009__________ Week #2 July 6-July 10, 2009 __________ Week #2 July 6-July 10, 2009__________ Week #3 July 13-July 17, 2009 __________ Week #3 July 13-July 17, 2009___________ Week #4 July 20-July 24, 3009 __________ Week #4 July 20-July 24, 2009___________ Week #5 July 27-July 31, 2009 __________ Week #5 July 27-July31, 2009___________ Week #6 August 3-August 7, 2009 ___________ Week #6 August 3-August 7, 2009___________ Week #7 August 10-August 14, 2009 ___________ Week #7 August 10-August 14, 2009___________ Week #8 August 17-August 21, 2009 ___________ Week #8 August 17-August 21, 2009___________ Post-Camp Week #1 August 24-28, 2009 ___________ Post-Camp Week #1 August 24-28, 2009___________ Post-Camp Week #2 August 31-Sept. 4, 2009 ____________ Post-Camp Week#2August 31-Sept. 4, 2009_________________________________________________________________________________________________

OFFICE USE ONLY:

Make checks payable to Ewing Recreation Department.

Amount Paid: $__________________Cash:_________Check # ___________________Full__________Received By: ____________________Date:____________Receipt#________________Partial________Credit Card___________________Exp.________Card#_______________________________________

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