Big Big God! Big Big Summer!
Big Big God! Big Big
Summer!
Student Enrollment Form – Summer Camp Ages 1 yr (walking) to rising 1st grade June 5-8, June 12-15 / July 10-13, July 17-20 / August 07-10, August 14-17 Monday - Thursday 9:00 – 1:00 Please circle the week(s) you plan on attending
Total cost: $440 for 6 weeks (due in June) $80 a week if doing non-consecutive weeks Child’s Name (first & last) ________________________________________________ Date of birth: ________________ Email: ___________________________________ Parents Names: _______________________________________________________ Phone Numbers: ______________________________________________________ Address: _____________________________________________________________ Emergency Contact (name & number) _____________________________________ ____________________________________________________________________ **Allergies: __________________________________________________________
I would like to enroll my child in the CEC summer camp for 2017. I have enclosed $80 to reserve my child’s spot. The $80 will go towards my child’s summer camp balance.
Parent’s Signature: ___________________________________ Date: ___________________
Office use: Enrolled Date: ________ Paid: ___________Check #__________ Balance due: _________ REGISTRATION – first registered basis until classes are full – Registration begins March 27, 2017
Summer!
Student Enrollment Form – Summer Camp Ages 1 yr (walking) to rising 1st grade June 5-8, June 12-15 / July 10-13, July 17-20 / August 07-10, August 14-17 Monday - Thursday 9:00 – 1:00 Please circle the week(s) you plan on attending
Total cost: $440 for 6 weeks (due in June) $80 a week if doing non-consecutive weeks Child’s Name (first & last) ________________________________________________ Date of birth: ________________ Email: ___________________________________ Parents Names: _______________________________________________________ Phone Numbers: ______________________________________________________ Address: _____________________________________________________________ Emergency Contact (name & number) _____________________________________ ____________________________________________________________________ **Allergies: __________________________________________________________
I would like to enroll my child in the CEC summer camp for 2017. I have enclosed $80 to reserve my child’s spot. The $80 will go towards my child’s summer camp balance.
Parent’s Signature: ___________________________________ Date: ___________________
Office use: Enrolled Date: ________ Paid: ___________Check #__________ Balance due: _________ REGISTRATION – first registered basis until classes are full – Registration begins March 27, 2017
