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 25, 2017 to July 9, 2017
Session II - July 9, 2017 to July 23, 2017
Session III - July 23, 2017 to August 6, 2017
Session IV - August 6, 2017 to August 20, 2017
DEPOSIT PAYABLE UPON REGISTRATION:
Number of Sessions:
x $500.00 per two week session = $
BALANCE DUE IN FULL BY MAY 15, 2017
Deposits are non-refundable. Fees less the deposit will be refunded if a participant withdraws prior to May 1, 2017. 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, 2017 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