Camp Atlantic 2008 Session and Financial Agreement Form

Name of Participant

Address
Telephone
Cell Phone
E-Mail Address
Fax
Age
Social Security #

May your telephone number and email address be released to other campers and their families? ___ Yes ___ No

Please choose selected dates and fees as listed below: 

Summer Sessions:  $2,550 per person per two-week session

Session I (June 22 – July 6)

Session II (July 6 – 20)

Session III (July 20– Aug. 3)

Session IV (Aug. 3 - 17)

Fees:

Summer Camp Fee (Number of Sessions:____ x $2,550 ) =  
Transportation Fee (Optional) Transportation fee is $50 for transporting participant
to OR from camp and $100 for transporting participant to AND from Camp.          =


5% Discount for fees paid in full by March 1  =  
TOTAL  =  
Summer Program Total Due =  
   

DEPOSIT PAYABLE UPON REGISTRATION:

            Summer Program

                        Number of Sessions:  x $500.00/two week session = Deposit

(Check if applicable)   MONTHLY PAYMENT PLAN:

Total Due less Deposit ¸ Number of Months between Date of Registration and May 15 = Monthly Payment

Monthly payments due the 15th of each month

T shirt size

BALANCE DUE IN FULL BY MAY 15, 2008 

Deposits are non-refundable.  Fees less the deposit will be refunded if a participant withdraws prior to May 1.  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 arrival, fees will not be refunded if a participant arrives after the start of a session, withdraws after May 1 or is requested to leave because of behavioral or health issues. 

TELEPHONE CALLS: Participant’s calls are to be made collect or with a calling card.

MEDICAL: Parent or guardians are responsible for all medical expense(s) of the participant.  

MISC.: All clothing and personal items should have the participants name.

I HAVE READ AND AGREE TO COMPLY WITH THE CONDITIONS STATED ABOVE.

Name (Parent/Guardian)
Date