St. John's Episcopal School: Serving Preschool

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St. John's Summer Camp Registration Form

Make check payable to: St. John's Episcopal School
Memo: Summer Camp

Mail to:
St. John's Summer Camp
C/O Trevor Waddington
3427 Olney Laytonsville Road
Olney, MD 20832

Each session is different so you can sign up for all or parts of both.

Please check all appropriate boxes (You MUST check at least one Session top-level box):

Session 1: June 21 - July 9

Full Day ($900)

Half Day ($450)

Morning 9am - 11:45am
Afternoon 11:45am - 3pm

Weekly Option ($300 per week)

           Week 1
           Week 2
           Week 3

Daily Option ($70 per day)

   ** Days must be designated prior to the beginning of camp.
   Please indicate dates:

Session 2: July 12 - July 30

Full Day ($900)

Half Day ($450)

Morning 9am - 11:45am
Afternoon 11:45am - 3pm

Weekly Option ($300 per week)

           Week 1
           Week 2
           Week 3

Daily Option ($70 per day)

   ** Days must be designated prior to the beginning of camp.
   Please indicate dates:

Total Amount Due: $
$100 deposit is requested upon completion of application. Payment in full is required by June 18th.
Please contact Trevor Waddington by June 4th if you are interested.

Name:

Birthday (M/D/Y):

Gender: Age: Grade:

Address:

City:

State: Zip Code:

Mother's Name:

Phone:

Email:

Father's Name:

Phone:

Email:

Participant resides with both parents?

If no, indicate alternate address:

Address:

City:

State: Zip Code:

CAMP BEHAVIOR CONTRACT

Parents please read through, and discuss this contract with your child:

As a member of the St. John's Episcopal School Summer Camp 2010, I, will at all times, behave in a manner that is kind, honest, respectful and compassionate. I will treat all persons with the appropriate respect. I must follow the guidelines for behavior established in this statement and by the teacher/chaperone that is running my activity. I understand that I will most likely be asked to leave the St. John's Episcopal School Summer Camp 2010 if my behavior or actions are interpreted as dangerous or disrespectful either to myself or to other persons. If this occurs, I will be picked up immediately from the program and will not be allowed to return. No refunds will be given for any reason after June 18, 2010, even for disciplinary removal. I will always try my best to live up to these expectations.

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