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3 4 and Big Kids Form PDF

3 4 and Big Kids Form PDF

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Published by Dan Cohen

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Categories:Types, Brochures
Published by: Dan Cohen on Feb 25, 2009
Copyright:Attribution Non-commercial

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08/25/2015

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SUMMER CAMP REGISTRATION 2009

June 29th – August 14th
NAME OF CHILD:________________________ GENDER _____ AGE AS OF J UNE 29th: Years______ Months______
PARENT NAME:_____________________________________ BUSINESS/CELL PHONE:____________________
PARENT NAME:_____________________________________ BUSINESS/CELL PHONE:____________________
ADDRESS:________________________________________________________________________________
HOME PHONE:____________________ E-MAIL ADDRESS: ________________________________
(please check which age group)
3’s:_________ 4’s:_________ Big Kids:_________
5 Day Program No lunch – Monday - Friday - 9:00 – 12:00 (No Lunch)
_______ SESSION 1 - $200 (pro-rated for J uly 3rd) J une 29 – J uly 2
_______ SESSION 2 - $250 J uly 6 – J uly 10
_______ SESSION 3 - $250 J uly 13 – J uly 17
_______ SESSION 4 - $250 J uly 20 – J uly 24
_______ SESSION 5 - $250 J uly 27 – J uly 31
_______ SESSION 6 - $250 August 3 – August 7
_______ SESSION 7 - $250 August 10 – August 14
**Sign up for all 7 weeks now and only pay $1,625
5 Day Program with lunch – Monday - Friday - 9:00 – 1:00 (Bring Lunch)
_______ SESSION 1 - $240 (pro-rated for J uly 3rd) J une 29 – J uly 2
_______ SESSION 2 - $300 J uly 6 – J uly 10
_______ SESSION 3 - $300 J uly 13 – J uly 17
_______ SESSION 4 - $300 J uly 20 – J uly 24
_______ SESSION 5 - $300 J uly 27 – J uly 31
_______ SESSION 6 - $300 August 3 – August 7
_______ SESSION 7 - $300 August 10 – August 14
**Sign up for all 7 weeks now and only pay $1,950
3 Day Program No lunch – Tuesday, Wednesday and Thursday - 9:00 – 12:00 (No Lunch)
_______ SESSION 1 - $150 J une 30 – J uly 2
_______ SESSION 2 - $150 J uly 7 – J uly 9
_______ SESSION 3 - $150 J uly 14 – J uly 16
_______ SESSION 4 - $150 J uly 21 – J uly 23
_______ SESSION 5 - $150 J uly 28 – J uly 30
_______ SESSION 6 - $150 August 4 – August 6
_______ SESSION 7 - $150 August 11 – August 13
**Sign up for all 7 weeks now and only pay $975
3 Day Program with lunch – Tuesday, Wednesday and Thursday - 9:00 – 1:00 (Bring Lunch)
_______ SESSION 1 - $200 J une 30 – J uly 2
_______ SESSION 2 - $200 J uly 7 – J uly 9
_______ SESSION 3 - $200 J uly 14 – J uly 16
_______ SESSION 4 - $200 J uly 21 – J uly 23
_______ SESSION 5 - $200 J uly 28 – J uly 30
_______ SESSION 6 - $200 August 4 – August 6
_______ SESSION 7 - $200 August 11 – August 13
**Sign up for all 7 weeks now and only pay $1,300
TOTAL: ____________ Deposit: ____________ Balance Due: ________
A $100 Non–Refundable deposit is required with the signed application. Please make checks payable to
TSTI Preschool. Mail deposit to Iris Family Center, 432 Scotland Road, South Orange, N.J . 07079.
Parent Signature: __________________________ Date: ______________

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