1. Camp Selection Form 2016- Montessori Corner
Camper’s Name ____________________________________ DOB_____________________ Date:_____________________
Payment Policy:
Weekly camp fees are due every Friday for the following week of Camp and are subject to a $25 late fee if not received by 8:30 AM the following Monday.
Schedule Policy:
Use the section below to select your child’s summer schedule. One weeks notice MUST be given for a change of schedule otherwise you will be charged accordingly. For example, if you schedule your child for one week and you do not give notice a week prior that you will not be sending your child then you will still be charged for that week. On the other hand, if you drop your child off on Monday without previously scheduling then: 1. it is not guaranteed that we will have space for your child and 2. if we do have space, you will be charged a $25 late fee in addition to the weekly camp cost.
*I understand and accept the payment policy & schedule policy.
Signature: ________________________________________________ Date:____________________
5 Full Days : $250
5 Half Days: $200
4 Full Days: $225
4 Half Days: $183
3 Full Days: $200
3 Half Days: $164
Ext. Care
3:30-4:30
3:30-5:30
3:30-6:30
5 Days
$53
$98
$130
4 Days
$45
$85
$115
3 Days
$40
$73
$95
Week 1: 6/20-6/24
Budding Builders
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 6/17
Initial: __________
Week 2: 6/27-7/1
Water, Water Everywhere
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 6/24
Initial: __________
Week 6: 7/5- 7/8 (Closed 7/4)
Imagination Station
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 7/1
Initial: __________
Week 4: 7/11-7/15
Messy Mixtures & Experiments
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 7/8
Initial: __________
Week 5: 7/18-7/22
World Travelers
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 7/15
Initial: __________
Week 6: 7/25-7/29
Fantastic Tales & Super Stories
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 7/22
Initial: __________
Week 7: 8/1-8/5
It’s Hip to Be Healthy
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 7/29
Initial: __________
Week 8: 8/8-8/12
Crazy Kitchen Chemistry
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 8/5
Initial: __________
Week 9: 8/15-8/19
Crafty Campers
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 8/12
Initial: __________
Week 10: 8/22-8/26
Wacky World of Sports
M T W R F
AM PM or FULL
After Care Y or N
If yes, until: ___________
TOTAL: __________________
Payment due by Fri 8/19
Initial: __________