Summer Registration Form 2018


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Summer Camp 2018 Registration

Faith Preschool & Childcare 720 Marsh Rd

Wilmington, DE 19803

(302)764-8624

[email protected]

Child's Name:

T-Shirt Size

Child's Primary Address:

Adult

Child

XS Grade/Class Completed:

Birth Date:

One T-shirt per camper is included in the tuition. Additional shirts are available for family members for $10

S

M

L

XL

Home Phone:

Mother's Name:

Mom Cell #:

Employer Name & Address:

Mom Work # Work Hours:

Father's Name:

Dad Cell #

Employer Name & Address:

Dad Work #: Work Hours:

Family Email:

Alt. Contact:

Summer Camp & Child Care

Total Cost: *3 Payments Payment Amounts

Tuesday, June 12 - Friday, August 17

10 Week Camp

5 Days

Full Day

Week Not Attending: _________________

M 10 Week Camp

4 Days

Full Day

9 Week Camp

5 Days

Full Day

9 Week Camp

4 Days

Full Day

10 Week Camp

5 Days

8 am-1 pm

T

W

Th

Weeks Not Attending: _________________

T

W

Th

x3

$616

x3

$646

x3

$557

x3

$372

x3

F

Circle Preferred Days Week Not Attending:

M

$718

F

Circle Preferred Days Weeks Not Attending:

*Payments are due on June 12, July 2 and August 1. Checks should be made payable to Faith Preschool & Childcare.

Rates include most activities (field trips, gym & science classes, weekly take out lunch). Forms will be distributed to sign up for events and activities in May 2018. School Age swimming is an additional fee. NOTE: Parent/ Chaperone costs are not inclded in fee and are additional.

Faith Preschool & Child Care is closed the week of August 20-24 I understand I am responsible for 3 payments of $_______________ each on or before 6/12, 7/2, 8/1 Registration Fee due at time of enrollment: $10 Registration fee for currently enrolled students $20 Registration fee for all new students Signature

Date

1