Summer Camp Reservation Request Child's Name * First Name Last Name Date of Birth Parent/Guardian Name First Name Last Name Contact Phone (###) ### #### Reservation is for the following: Choose which week's you'd like your child to attend Week 1: July 7 - 11 Week 2: July 14-18 Week 3: July 21-25 Week 4: Ju.y 28 - Aug 1 Week 5: August 4 - 8 Week 6: August 11-15 Week 7: August 18-22 Week 8: August 25-29 Attendance Camp takes place Monday through Friday Drop off is 8:30 am and pickup is 4:00 pm Registration & Fees In order to reserve your space a 50% tuition fee will be billed for the first week reserved. The remaining 50% will be due the Friday prior to week reserved and in full the Friday prior for each additional week reserved. Invoices will be sent once reservation is received and confirmed. Extended care Extended care is available on a limited basis and will be offered on a first come first served. AM option 7:00AM-8:30AM PM option 4:30PM-5:30PM Sack Lunch We can provide a sack lunch for an additional $30/week. Lunch will include a sandwich or wrap, fruit, veggie and milk. Yes, I would like my child to receive a sack lunch No thank you, I will supply my child's lunch each day. Digital Signature * Please type your name to indicate that you have read and agree to the above terms and conditions. First Name Last Name Thank you!