Session and Financial Agreement Form
Name of Participant:
Date of Birth:
Social Security #
Please put a check next to selected dates and fees as listed below:
Summer Sessions: $2,800 per person per two-week session
Session I - June 23, 2019 to July 7, 2019
Session II - July 7, 2019 to July 21, 2019
Session III - July 21, 2019 to August 4, 2019
Session IV - August 4, 2019 to August 18, 2019
DEPOSIT PAYABLE UPON REGISTRATION:
Number of Sessions:
x $500.00 per two week session = $
BALANCE DUE IN FULL BY MAY 15, 2019
Deposits are non-refundable. Fees less the deposit will be refunded if a participant withdraws prior to May 1, 2019. All fees must be paid in full prior to a participant’s arrival. Unless special arrangements are made with the Director prior to a participant’s scheduled arrival date, fees will not be refunded if a participant arrives after the start of a session, withdraws after May 1, 2019 or is requested to leave because of behavioral or health issues.
MEDICAL: Parent or guardians are responsible for all medical expense(s) of the camper. Expenses for pre-existing condition(s) and medication(s) shall be pre-paid. All medicines shall come with original prescription bottles.
MISCELLANEOUS: All clothing and personal items should have the participant’s name.
I HAVE READ AND AGREE TO COMPLY WITH THE CONDITIONS STATED ABOVE