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Camp AHA! application

Camp AHA! Application - 2017

 

Family name: ________________Child(ren) _______________________ Age(s):___

Address: ____________________________________________________________

Town: _______________________________  State: ______  Zip: _______________

Phone(s): __________________  ,  _________________  E-mail: ________________

Please enroll me for the following dates:     (Circle dates and times)

 

___  June 19- 23:  19th, 20th, 21st, 22nd, 23rd,       full day      ½ day      am or pm extra hr

___  June 26– 30:  26th, 27th, 28th, 29th, 30th        full day      ½ day      am or pm extra hr

___  July 4 - 7:     (closed 3rd), 4th, 5th, 6th, 7th         full day      ½ day      am or pm extra hr

___  July 10 - 14:  10th, 11th, 12st,  13nd, 14rd            full day      ½ day      am or pm extra hr

___  July 17 - 21:   17th, 18th, 19th, 20th, 21st        full day      ½ day      am or pm extra hr

___  July 24 – 28:  24th, 25th, 26th, 27th, 28th        full day      ½ day      am or pm extra hr

___  July 31 – Aug 4: 31st, 1st,   2nd,   3rd,   4th         full day      ½ day     am or pm extra hr

___  Aug. 7 – 11:       7th, 8th, 9th, 10th, 11th           full day      ½ day     am or pm extra hr

___  Aug. 14 – 18:  14th, 15th, 16th, 17th, 18th       full day      ½ day     am or pm extra hr

 

                                                Fees (per child): (full day is 9-4, ½ day is 4 hrs am or pm)

$125 wk/full days ($112 extra child):   $125 x __ wks + ($112 x __ wks)  =  $__            

 $  72 wk/½ days ($65 extra child):       $  72 x __  wks  + ($65 x __wks)    =  $__            

 $  28 full day ($25 extra child):        $  28 x __ days  +  ($25 x __ days)     =  $__           

$   16 half day ($14 extra child):       $  16 x __ days  +  ($14 x __ days)     =  $__            

$      5 ($3 extra child) pr extra hr (7:30-9 or 4-5:30):  $5 x _ hrs + ($3 x_hrs)= $__

            ___ mini-camp/specials: “camper extra fee  @ $ ____                  =  $__            

            ___ mini-camp/specials: “camper extra fee”  @ $ ____                  =  $__  
            ___ mini-camp/specials: “camper extra fee  @ $ ____                  =  $__        

                                                           
          

                            

Total fees due (make checks payable to Camp AHA!)                 $  _____________