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STUDENT:
Name ______________________________ Camp Desired _______________________ Camp Dates _________________________ |
PARENT/GUARDIAN:
Name ______________________________ Address ______________________________ City/State/Zip __________________________ Phone # _____________________________ E-mail ______________________________ |
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Tuition for each week is $300.00. Families with more than one camper, a sister or brother, will be eligible for a $50.00 discount for the second camper. All camps are limited to 10 attendees. We reserve the right to cancel any camp with less than 5 attendees. Please fill out a separate registration form for each attendee. To secure your spot, a 50% non-refundable deposit is due at the time of registration. The balance of the tuition is due no later than May 31, 2008. Registration is final and refunds will not be offered if you cannot make it to the camp at the last minute due to illness, vacations or no shows. |
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To pay by check please return this completed form with your check. To pay by credit card please fill in the infomation below. You may pay the 50% non-refundable deposit or the full amount. |
CREDIT CARD INFO:
Circle type: Mastercard - Visa - American Express - Discover
Account # ______-______-______-______
Exp. _______ CVV code on back of card _______
Signature ______________________________
Amount To Be Paid ______________________________
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Mail or drop off completed form to: 2112 Rock School |