Registration Form
Summer Revels 2010
| Camper's Name: | ____________________________________ |
| Date of Birth: | ____________________________________ |
| Phone No.: | ____________________________________ |
| Address: | ____________________________________ |
____________________________________ |
|
____________________________________ |
Session Prices* |
 |
||
| Eight weeks: | $1600.00 | _____________ | |
| Weekly: | no. weeks: | _____________ | |
|
x |
$200.00 | _____________ | |
|
Total Due: |
_____________ | ||
Signatures |
|
Camper: |
____________________________________ |
| Parent or guardian: | ____________________________________ |
Print this form or call the School at 302-456-9838, and we will send you a printed form.
Complete the registration form, and mail it with the $250.00 deposit to the address below.
Please complete a separate form for each camper.
