|
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.)
|
There
are now three payment plans.
Please
Choose one.
1) Payment-In-Full and SAVE $100
per session
- OR -
2) Deposit with monthly payments and SAVE
$50 per session
- OR -
3) Deposit of $300 and balance due two weeks prior to arrival
OverNight
Camper Registration
PAYMENT IN FULL
|
|
|
SESSION
1 (Two Weeks) ~ $1600
Sun, June 8 - Sat, June 21
Disney World Field Trip
|
SAVE
$100
|
Pay Only
$1500
|
|
|
SESSION 2 (Three Weeks) ~
$2400
Sun, June 22 - Sat, July 12
Sea World & Busch Gardens
Plus 4th Of July Fireworks at the beach! |
|
Pay Only
$2400
|
|
|
SESSION 3 (Two Weeks) ~ $1600
Sun, July 13 - Sat, July 26
Universal Studios or Islands Of Adventue |
|
Pay Only
$1600
|
|
|
SESSION 4 (Two Weeks) ~ $1600
Sun, July 27 - Sat, Aug 9
Disney World Field Trip
|
|
Pay Only
$1600
|
OverNight
Camper Registration
DEPOSIT only & Balance two weeks prior to arrival.
|
|
|
SESSION 1 (Two Weeks) ~ $1600
Sun, June 8 - Sat, June 21
Disney World Field Trip
|
DEPOSIT
$300
|
Balance
$1300
|
|
|
SESSION 2 (Three Weeks) ~
$2400
Sun, June 22 - Sat, July 12
Sea World & Busch Gardens
Plus 4th Of July Fireworks at the beach! |
DEPOSIT
$300
|
Balance
$2100
|
|
|
SESSION 3 (Two Weeks) ~ $1600
Sun, July 13 - Sat, July 26
Universal Studios or Islands Of Adventue |
DEPOSIT
$300
|
Balance
$1300
|
|
|
SESSION 4 (Two Weeks) ~ $1600
Sun, July 27 - Sat, Aug 9
Disney World Field Trip
|
DEPOSIT
$300
|
Balance
$1300
|
|
|
|
PLEASE
PROVIDE PAYMENT INFORMATION 
|
|
|
|
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)
|