REGISTRATION FORM

SUMMER CAMP REGISTRATION FORM

Name of Child:____________________________________________________ Birthday:_________________________

Child's Shirt Size:____________________________________________________

Week	Date	Theme	(X) if Attending	Circle Days Attending
1	June 14 - 18	Friendship & The Great Outdoors		M T W R F
2	June 21 - 25	Jungle Jim & Jane		M T W R F
3	June 28 - July 2	Culinary Cafe		M T W R F
4	July 5 - 9	Health & Fitness		M T W R F
5	July 12 - 16	Hola! Spanish Language, Food and Fun!		M T W R F
6	July 19 - 23	Playful Puppets and Art Explosion		M T W R F
7	July 26 - 30	Back to the Farm		M T W R F
8	August 2 - 6	Beaches & Sunshine		M T W R F
9	August 9 - 13	Drama Kings & Queens		M T W R F
10	August 16 - 20	Wonders of Science		M T W R F
11	August 23 - 27	Camper's Choice		M T W R F

Please check the sessions for each child. Also check if your child is attending a Full or Partial week.
There is a one time camp registration/activity fee of $50.00.

Parent / Guardian Signature_________________________________ Date:________________
E-mail: ______________________________________________
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