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Application For Summer Camp

This document is an application form for a summer camp. It requests the child's name, birthdate, home address, and contact information. It also requests the names and contact information for up to three parents/guardians. The application lists the available weeks of camp and allows the selection of one or more weeks. It provides the daily schedule, rates per week, and notes that space is limited and scholarships may be available. It requests a signature and date from the applicant.

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genapea
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125 views1 page

Application For Summer Camp

This document is an application form for a summer camp. It requests the child's name, birthdate, home address, and contact information. It also requests the names and contact information for up to three parents/guardians. The application lists the available weeks of camp and allows the selection of one or more weeks. It provides the daily schedule, rates per week, and notes that space is limited and scholarships may be available. It requests a signature and date from the applicant.

Uploaded by

genapea
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Application for Summer Camp

Business Name
Business Address, phone and email

Child’s Name________________________________________
Birth date ___/__/_____Male___ Female___

Home Address ___________________________________________________________


City_____________________ Zip Code_________________ E-mail________________
Home/ Work/CellPhone____________________________________________________

Parent Name_____________________________________________________________
Address (if different)_______________________________________________________
Home/Cell/Work Phone ________________________________________E-mail______

Parent Name/Domestic Partner_______________________________________________


Address (if different)_______________________________________________________
Home/Cell/Work Phone ________________________________________E-mail______

Parent Name/Domestic Partner_______________________________________________


Address (if different)_______________________________________________________
Home/Cell/Work Phone________________________________________ E-mail______

Weeks Attending
Children may be enrolled for one week or as many as you wish.
This is a 4-day week from 8:45-3. Some after care may be available.
Please check the week(s) your child will attend:
__Week 1 June 7-11 __Week 5 July 5-9
__Week 2 June 14-18 __Week 6 July 12-16
__Week 3 June 20-25 __Week 7 July 19-23
__Week 4 June 28-7/2 __Week 8 July 26-30
Each week $fee.00
Applications are accepted at any time, early application is advised. Space limited to 6 children per
week.
Scholarships may be available. We appreciate donations to this fund.
10% discount on weekly rate if paid by {insert discount deadline}

Signature__________________________________________________ Date__________________

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