Summer Camp 2016 Registration Form - Sheet1 4

Multilingual Summer Camp 2016 Registration Form
Spanish - French
Location: 9350 E Cactus Rd, Scottsdale, AZ 85260
Date:
Camper Information
Name:
Date of Birth:
Gender:
M-F
Campers School:
Grade Level 2016/17
Check appropriate group for participant:
Group 2: Ages 4-6
Group 1: Ages 2-3
If Group 2: Does your child have any knowledge or experience with the
language they will be immersed in during the summer camp?
Other Comments:
T-Shirt Size (circle one):
2-4
6-8
10 - 12
Interests Important things you would like teachers to know
Allergies:
A) Parent or Guardian:
Name
City
Address
State
Zip Code
Cell
Work Phone
Phone:
Home
E-mail Address:
B) Parent or Guardian:
Name
City
Address
State
Zip Code
Cell
Work Phone
Phone:
Home
E-mail Address:
Group 3: Ages 7-10
Please mark the weeks that your child will attend:

$250
$200
$7
Full Day
Half Day
After Camp Care
8 am 3pm
8 am 12 pm
3 pm 5.30 pm.
Week 1
May 30 - June 3
Full Day
Half Day
Before/After Camp Care
Week 2
June 6 - June 10
Full Day
Half Day
Week 3
June 13 -June 17
Full Day
Half Day
Week 4
June 20 - June 24
Full Day
Half Day
Week 5
June 27 - July 1
Full Day
Half Day
Week 6
July 5 - 8 *
Full Day
Half Day
Week 7
July 11 - 15
Full Day
Half Day
Week 8
July 18 - 22
Full Day
Half Day
Week 9
July 25 - 29
Full Day
Half Day
Week 10
August 1 - 5
Full Day
Half Day
$250.00 Full Day x # of Weeks
or
$55.00 Full Day x # of Days
$200.00 Half Day x # of Weeks
Total camp fee

(listed per week or per day)
or
$45.00 Half Day x # of Days
10% Early Bird Discount (by March 20th, 2016)

Discounts*
10% Sibling Discount
10% Refer-a-friend Discount (1 referral)

15% Refer-a-friend Discount (2 + referrals)
Extended Care
$7 x #of Hours
50% of the above fee is due at time of registration to hold spot for camp:
Remaining Fees Due:

Week 1
June 6
Week 2
June 13
Week 3
June 20
Week 4
June 27
Week 5
July 5 *
Week 6
July 11
Week 7
July 18
Week 8
July 25
* Terms and Conditions Apply

Summer Camp 2016 Registration Form - Sheet1 4

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Summer Camp 2016 Registration Form - Sheet1 4

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Multilingual Summer Camp 2016 Registration Form

Group 1: Ages 2-3

T-Shirt Size (circle one):

Interests Important things you would like teachers to know

Group 3: Ages 7-10

Please mark the weeks that your child will attend:

After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

Before/After Camp Care

$250.00 Full Day x # of Weeks

$200.00 Half Day x # of Weeks

Total camp fee

10% Early Bird Discount (by March 20th, 2016)

10% Sibling Discount

10% Refer-a-friend Discount (1 referral)

Remaining Fees Due:

* Terms and Conditions Apply

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