1999 Camp Discovery Registration Form
Child’s
Name__________________________ Age__________ Birthday__________
Phone____________________
Child’s Address______________________________________ City____________ Zip_______
Parent’s Names __________________________________________________
Mom’s
Work Phone _______________ Dad’s Work Phone
__________________
Pager/Cell Numbers_______________________________________________
SESSIONS
Check this box if you would like info about carpooling to and from Duval St.
Refundable Deposit $100 (if not a current student w/ deposit already on file) $____Due with registration form
Registration Fee $50 (includes T-shirt, incurred only one time per Summer) $ 50 Due with registration form
| Sessions | Regular fee $215 Per Session 8:30-3:30 |
plus | Extended hrs. $30 Per Session 3:30-5:30 |
= | Total |
Due On |
|
June 1-June 11 |
______________ |
+ |
______________ |
= |
$____________ |
Due June 1 |
|
June 14–June 25 |
______________ |
+ |
______________ |
= |
$____________ |
Due June 14 |
|
June 28–July 9 (Closed July 5) |
______________ |
+ |
______________ |
= |
$____________ |
Due June 28 |
|
July 12-July 23 |
______________ |
+ |
______________ |
= |
$____________ |
Due July 12 |
|
July 26–August 6 |
______________ |
+ |
______________ |
= |
$____________ |
Due July 26 |
Subtract $100 deposit from your last session
 | Camp Discovery is located at 8600-3 White Cliff Dr. 78750. Please ask Kyle for a map if you have never been there. |
| There will be a $15 late fee for any tuition paid after the due date. Check the box above for carpool information. |
| The deposit will be deducted from your last session’s tuition. Your deposit will be forfeited if you cancel any sessions. |
| Please make a copy of this form for your tuition deadlines, or ask for a copy from Kyle or Kelly |
(c)
1999 Discovery Schools