Early C.I.T Registration
SUMMER CAMP 2009
On-Line Early Registration Form

Thank you for choosing Camp Frontier's On-Line Registration.
Please complete ONE Registration Form for EACH Child attending.

C.I.T.'s must have completed one year of high school
and have previously attended Camp Frontier as a Camper.

C.I.T. INFORMATION
CIT'S LAST NAME
CIT'S FIRST NAME
MAILING ADDRESS
CITY
STATE
ZIP/POSTAL CODE
 COUNTRY
DATE OF BIRTH   mm/dd/yy
AGE UPON ARRIVAL
AT CAMP
US Citizens Only
used for Medical Purposes Only
SOCIAL SECURITY NUMBER
SEX
BOY GIRL
PARENT'S NAME(s)
CHILD LIVES WITH
(ie. Mother and Father, Father, Mother, Father and Step-Mother, Father and Step-Mother, Grandparents)
FATHER'S NAME
MOTHER'S NAME
FATHER'S
HOME PHONE NUMBER
MOTHER'S
HOME PHONE NUMBER
FATHER'S
WORK PHONE NUMBER
MOTHER'S
WORK PHONE NUMBER
FATHER'S
CELL PHONE NUMBER
MOTHER'S
CELL PHONE NUMBER
FATHER'S
eMAIL ADDRESS
MOTHER'S
eMAIL ADDRESS

Please provide any information which will assist us in providing a
great experience for your child. (Do not provide medical information here.)
There are now two ways to SAVE!

1) SAVE $200
with Payment-In-Full
- OR -
2) SAVE $100
with Deposit of $500 and
five (5) monthly payments of $500


C.I.T. Registration
SAVE WITH PAYMENT IN FULL

CIT SESSION A (a four week program) ~ $3200, all inclusive
Saturday, June 13 through Saturday, July 11, 2009
Includes field trips to Busch Gardens, Adventure Island and Sea World
SAVE
$200
Pay Only
$3000

CIT SESSION B (a four week program) ~ $3200, all inclusive
Saturday, July 11 through Saturday, August 8, 2009
Includes field trips to Universal Studios or Island Of Adventure, Adventure Island and Disney World
SAVE
$200
Pay Only
$3000
C.I.T. Registration
Deposit of $600 and
five (5) monthly payments of $500


CIT SESSION A (a four week program) ~ $3200, all inclusive
Saturday, June 13 through Saturday, July 11, 2009
Includes field trips to Busch Gardens, Adventure Island and Sea World
SAVE
$100
Pay Only
$600
DEPOSIT
& $500/mo


CIT SESSION B (a four week program) ~ $3200, all inclusive
Saturday, July 11 through Saturday, August 8, 2009
Includes field trips to Universal Studios or Island Of Adventure, Adventure Island and Disney World
SAVE
$100

Pay Only
$600
DEPOSIT
& $500/mo

Monthy tuition payments to be charged to the credit card provided
starting the month following this registration with deposit.
ADDITIONAL AIRPORT FEES
Please coordinate flight schedule with the
Camp Office before purchasing airline tickets
as transportation is available durring
certain hours only.
AIRPORT TRANSPORTATION
Pick-Up Camper FROM the
Tampa International Airport		 $50

Bring Camper TO the
Tampa International Airport

 $50
FAMILY DISCOUNTS

2009 FAMILY DISCOUNT

$100 Family Discount for more than one child attending. All children after the first are eligable.
PLEASE PROVIDE PAYMENT INFORMATION
NAME as it appears on your Credit Card
E-MAIL ADDRESS of the Card Holder
STREET ADDRESS
to which your Credit Card is billed
TELEPHONE NUMBER
CITY to which your Credit Card is billed
ZIP/POSTAL CODE
to which your Credit Card is billed
STATE OR PROVINCE
 COUNTRY

Unfortunately, our web software does not total up your tuition automatically.
Please calculate the above options and enter the amount here. Remember to take all applicable discounts.

I authorize the following charges to my credit card.
TOTAL PAYMENT AT THIS TIME $

Your Credit Card Number
Card Verification Value

What is this?
Expiration Date
Month
Year
Select the type of Credit Card
Visa Master Card American Express Discover Card
(We are not able to accept Discover)
Any comments relating to your payment

 REGISTRATION AGREEMENT
 
The above provided information is correct and complete to the best of my knowledge. I/We have read and understand the terms, policies and requirements of attending Camp Frontier and understand that signing this agreement confirms compliance. I/We give complete authorization for a representative of Camp Frontier to request and receive any medical treatment in the event of need. I/We accept full responsibility for the payment of all medical services provided. I/We release and hold blameless the employees, volunteers, and Board of Directors of Camp Frontier, Inc. from any and all claims of liability past, present and/or future. I/We accept the financial responsibility for any and all damage to facilities or personal property for which our Child is found to be responsible. I/We acknowledge that Camp Frontier, Inc. owns and has discretion over the use of all photographs and recordings created while the child is at camp. I/We understand that the total Tuition must be paid in full two weeks in advance to the scheduled arrival date and authorize the balance due (if any) to be charged to the provided credit card two weeks prior to arrival. I/We understand that any and all deposits, fees and or tuition amount paid is non-refundable even should the camper not attend, go home during camp or be expelled due to dishonest, disrespectful, inappropriate and/or violent behavior.


 Please Type Your Name To Accept The Terms Of Enrollment  (required)
 


PLEASE SUBMIT ONLY ONCE.
Press  and your Registration Form will be processed
or  to erase and start again.

THANK YOU!