2000
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.
Sessions
Regular
fee
8:30-3:30
plus
Extended hrs.^
3:30-5:30
plus
Transportation* (to Camp at 8:45)
plus
Transportation*
(from Camp at 3:30,no ext. hours)
=
Total
Due On
$ Per Session
$215
+
$30
+
$20
+
$20
May
30-
June 9
_______
+
_______
+
_______
+
_______
=
$ _______
Due
May 30
June
12–
June 23
_______
+
_______
+
_______
+
_______
=
$ _______
Due
June 12
June
26-
July 7 (Closed July 4)
_______
+
_______
+
_______
+
_______
=
$ _______
Due
June 26
July
10-
July 21
_______
+
_______
+
_______
+
_______
=
$ _______
Due
July 10
July
24–
August 4
_______
+
_______
+
_______
+
_______
=
$ _______
Due
July 24
August
7-
August 11
_______
+ (1/2)
_______
+ (1/2)
_______
+ (1/2)
_______
=
$ _______
Due
August 7
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
Total
________
*(requires OK from Kyle ______)
Subtract $100 deposit from your
last session
^Extended hours will be held at
Camp Discovery on White Cliff, not at CDC on Duval! Please see Kyle for
exceptions.
All children returning on the
van must be picked up by 4:00 at CDC (considered regular fee) no extended
hrs. avail at cdc
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