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					            DISCOVERY OAKS ACADEMY
        SUMMER CAMP 2011 REGISTRATION FORM

Name of Child __________________________________           Date of Birth _____/_____/____


                    T-Shirt Size:   XS S M L AS AM AL AXL


I would like my child enrolled in the 2011 Summer Camp Program at Discovery Oaks
Academy.

Please indicate the sessions your child will attend. The $25 Registration Fee and a $50 per
session Activity Fee are payable at the time of registration. (The Registration Fee and the
$50 per session Activity Fee are NON-REFUNDABLE fees.)


         $ 25.00     Camp Registration Fee $25.00 per child (NON-REFUNDABLE)
                                 (includes camp T-shirt)

         $_______    Week 1 - June 20 - June 24 – Alice in Wonderland

         $_______    Week 2 - June 27 – July 1 – Stuart Little

         $_______    Week 3 - July 5 – July 8 – The Indian in the Cupboard

         $_______     Week 4 - July 11 - July 15 – Jumanji

         $_______     Week 5 - July 18 – July 22 – Charlie and the Chocolate Factory

         $______     Week 6 - July 25 – July 29 – Charlotte’s Web

         $______     Week 7 - August 1 - August 5 – Peter Pan

         $______      Week 8 - August 8 - August 12 – The Wizard of Oz


         $            Total Paid
My Child will attend: (please choose one)
For camp purposes, children are promoted to the next grade in the Fall.

______ Preschool Full Time Camp
______ Preschool Camp Only 5 Day (9:00 a.m. – 1:00 p.m.)
______ Preschool Camp Only 3 Day (9:00 a.m. – 1:00 p.m.)

______ Pre-Kindergarten Full Time Camp
______ Pre- Kindergarten Camp Only 5 Day (9:00 a.m. – 1:00 p.m.)
______ Pre-Kindergarten Camp Only 3 Day (9:00 a.m. – 1:00 p.m.)

______ Kindergarten Full Time Camp
______ Kindergarten Camp Only (9:00 a.m. – 3:30 p.m.)

______ Elementary Full Time Camp (Grades 1 -5)
______ Elementary Camp Only (9:00 a.m. – 3:30 p.m.)



I agree to pay summer camp fees for my child, in full, two weeks prior to the beginning of
the camp session(s) my child will be attending. If I choose not to send my child to a camp
session, I understand I will forfeit the registration fee and activity fee which are NON-
REFUNDABLE fees.

Camp Fees: One Week Sessions
Weekly Camp Fees includes tuition and activity fees (payable at registration). Lunch may
be brought from home or purchased at a cost of $2.50 per day. Snack is provided.

Full Time All Ages 7:00 a.m. to 6:00 p.m.        $300.00 ($250 tuition and $50 activity fee)
                                                 (Week 3 Fee $250.00)

Camp Only
5 day Preschool
and 5 day Pre-K      9:00 a.m. to 1:00 p.m.      $200.00 ($150 tuition and $50 activity fee)
                                                 (Week 3 Fee $170.00)

Camp Only
3 day Preschool
and 3 day Pre-K      9:00 a.m. to 1:00 p.m.      $150.00 ($100 tuition and $50 activity fee)

Camp Only
K & Elementary       9:00 a.m. to 3:30 p.m.      $275.00 ($225 tuition and $50 activity fee)
                                                 (Week 3 Fee $230.00)
I understand that the Registration fee and a $50 per session Activity fee are payable at the
time of registration and that these fees are NON-REFUNDABLE fees. I understand there is
no fee allowance for absences. I understand that non-payment of my account will result in the
dismissal of my child.

I understand the children enrolled in the full day program will be assessed a late fee of $1.00 per
minute for each child remaining at the Academy past 6:00 p.m. I understand that children
enrolled in the camp only program will be assessed a late fee of $1.00 per minute for each child
remaining at the Academy past 1:05 p.m. for the Preschool and Pre-K children and $1.00 per
minute for each child remaining at the Academy past 3:35 p.m. for the Kindergarten and
Elementary children.

I have read and understand the Discovery Oaks Academy Summer Camp Information and
Summer Camp Payment Guidelines.


                                         Parent/Guardian Signature                          Date

				
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