2020 CAMP // "THE SHIFT"

This registration is for the week of:

Aug 31 - Sept 4, 2020

Parent 1 Details

Parent Name*

Phone*

Email*

Address*

Parent 2 Details

Parent Name

Phone

Email

Address

Child's Details

CHILD Name*

Address*

Birthday*

Allergies? If yes, please explain medical instructions

Child special accomodations

Are there any topics you would like to be covered during our Self Esteem Building?

Has your daughter attended our camp before?*

YES
NO

How did you hear about our Camp?*

Checkbox*

I, the parent/guardian, acknowledge the camp does NOT provide lunch.
I, the parent/guardian, will provide the camper with a packed lunch (tree-nut/peanut free).

Rates

Camp Date: Aug 31- Sept 4, 2020

a) Weekly Rates:

Monday - Friday, 9am - 4pm.

*must Register by June 6th, 2020

Weekly Rate

EARLY BIRD ($270.00)

b) Daily Rates (Daily attendees only):

Day/s Attending

Monday ($65.00)
Tuesday ($65.00)
Wednesday ($65.00)
Thursday ($65.00)
Friday ($65.00)

Before & After Care:

Before Hours Care (8am-9am)

Monday ($7.00)
Tuesday ($7.00)
Wednesday ($7.00)
Thursday ($7.00)
Friday ($7.00)

After Hours Care (4pm-5pm)

Monday ($7.00)
Tuesday ($7.00)
Wednesday ($7.00)
Thursday ($7.00)
Friday ($7.00)

Click the 'ADD REGISTRANT' button if you would like to add ANOTHER child. If not then simply ignore this button.

Running Total

$0.00

Coupon Code

Total

$0.00

Almost done. Where should we send the confirmation?

Name*

Email*

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