2012 YMCA Child Care Services Branch Summer Day Camp Selection Form

Child’s Name ______________________________________________________________________________________________________________________
1. Select a Camp and place an “X” in the box under each session date needed.

A $20 deposit for each week of camp is required at the time of registration to reserve your child’s spot, plus the one-time registration fee. The deposit and registration fees are non-refundable/non-transferable. The deposit will be put towards the weekly fee.
Camp Name Explorer Camp @ Beaverdam Kiddie Camp @ Beaverdam Discovery Camp @ Bell Discovery Camp @ Black Mtn Discovery Camp @ Estes Discovery Camp @ Hom. Valley Swim Camp & Beaverdam Swim Camp & Bell Swim Camp Only Registration Fee $35 Child $50 Family Weekly Rate $155 Wk 1 6/4 Wk 2 6/11 Wk 3 6/18 Wk 4 6/25 Wk 5 7/2 Wk 6 7/9 Wk 7 7/16 Wk 8 7/23 Wk 9 7/30 Wk 10 8/6 Wk 11 8/13

$35 Child $50 Family $35 Child $50 Family $35 Child $50 Family $35 Child $50 Family $35 Child $50 Family $35 Child $50 Family $35 Child $50 Family $35 Child $50 Family

$155

$155

$93/3days

$155

$93/3days

$155

$93/3days

$155

$93/3days

$225

$225

$110

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