Broward Arts Camp:  Summer 2010 Registration      

  

Camper Name: _________________________________________________________________

 

Parent(s) Name(s): ______________________________________________________________

 

Address: _______________________________City: ____________________ Zip: __________

 

Camper Age:____ Grade Next Year: ____ Gender: ___  pg-13 movies okay? ____            

 

Home phone: ( ____ ) _____________  Parent Email (neatly, please): _________________________

 

Parent(s) Cell: ______________________  Emergency Contact: ______________________________

                                                                

Special Needs/Concerns/Medications:  No: ___  Yes: ___ (please use back of form to elaborate)

 

Please check the program(s) you would like for your camper:

 

Programs                                Dates                                            Days                 Ages                 Price   

_x_  Registration                   Once per summer                                              6-15                  $25

___  Session 1,  2 wks            June 14 - June 25                   M-F                  6-15                  $395

___  Session 2,  2 wks            June 28 - July 9                     M-F                    6-15                  $395

___  Session 3, 2 wks            July 12 - July 23                     M-F                   6-15                  $395

___  Session 4, 2 wks            July 26—Aug 6                       M-F                   6-15                  $395

 

             Second/third siblings and multi-session campers receive a $40 discount (per session).

             Sessions fill at 75 campers. Register early to avoid disappointment. Prices good through 04/10/10.

 

Add-ons                                    Dates                                           Days                 Ages                 Price        

___ Before/Aftercare              All sessions, 8:30-5:30         M-F                   6-15                  $50/sess

___ LUNCH                            All sessions.                             M-F                   6-15                  $40/sess

 

Payments: A deposit of $200 per session, per camper will reserve your spot(s) and current pricing, though you may certainly pay in full now. All deposits go toward camp tuition. Any balances, including lunch, are due by the first day of the session. We will send out confirmations and statements one week prior to camp beginning. Prior to that, you will only hear from us if camp has filled and we cannot accept your child(ren). Feel free to email us to confirm your child’s spot at anytime. Make all checks payable to Broward Arts Camp. Please print, fill out and mail this form with deposit and Parent Agreement to:

   

                                                                                                        Broward Arts Camp,

                                                                                                        135 Weston Rd. #222                         

             See you this summer!                                                         Weston, FL    33326