Day Camp
SUMMER CAMP 2008

On-Line Early Registration Form

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

CAMPER INFORMATION
CAMPER'S LAST NAME
CAMPER'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.)



Day Camp Registration

 

Payment Options
(Please choose one)
Payment in Full of $275
PAY DEPOSIT OF $75 per week with the balance of
$200 per week due two weeks prior to arrival

Week(s) Attending
WEEK 1 - Monday, June 9 to Friday, June 13, 2008
WEEK 2 - Monday, June 16 to Friday, June 20, 2008
WEEK 3 - Monday, June 23 to Friday, June 27, 2008
WEEK 4 - Monday, June 30 to Friday, July 4, 2008
WEEK 5 - Monday, July 7 to Friday, July 11, 2008
WEEK 6 - Monday, July 14 to Friday, July 18, 2008
WEEK 7 - Monday, July 21 to Friday, July 25, 2008
WEEK 8 - Monday, July 28 to Friday, August 1, 2008
WEEK 9 - Monday, August 4 to Friday, August 8, 2008

 

2008 FAMILY DISCOUNT

$25 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
(We are not able to accept Discover)
Any comments relating to your payment

 2008 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!