Age - 8 to 14
Cost - $75 per week per child
Registration: $25 non refundable registration fee plus
$75 first week of camp
Child's Name____________________________________________
Age________________ Birthdate____________________________
Parent/Guardian__________________________________________
Address:_______________________________________________
City/State/Zip Code_______________________________________
Telephone Numbers____________________Home
_________________Work ______________Cell
Email___________________________________________________
009 Summer Camp Application