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2012corpening Memorial YMCA Summer Day Camp Selection Form: Child's Name
2012corpening Memorial YMCA Summer Day Camp Selection Form: Child's Name
Childs Name
________________________________________________________________________________________
Directions: 1. Select a Camp and place an X in the box under each week desired. 2. A $15 deposit for each week of camp selected is required at the time of registration to reserve your childs spot, in addition to the one-time registration fee. The deposit and registration are non-refundable/non-transferable. The deposit may be lower if Child Care Subsidy Voucher is used. The deposit will be credited towards the weekly camp fee.
*Please Note: The first 30 people to register will get the registration fee waived!!
NAME OF CAMP ONE-TIME REGISTRATION FEE $35-Child $50-Family WEEKLY RATE
6/116/15 1 6/186/22 2 6/256/29 3 7/27/6 4 7/97/13 5 7/167/20 6 7/237/27 7 7/308/3 8 8/68/10 9 8/138/17 10
Camp Discovery Rising KRising 5th L.I.T (Leaders in Training) Camp Rising 6thRising 8th C.I.T. (Counselors in Training) Camp Rising 9thRising 12th
$70-Member $90-Nonmember
$35-Child $50-Family
$70-Member $90-Nonmember
$35-Child $50-Family
$45-Member $60-Nonmember