Registration Form for KidsKamp

Kids Kamp 2008 - Registration Form

Camper Information

Camper's Name ________________________

Address_______________________________

City__________________________________

State _________________ Zip ____________

_____ Male _____Female

D.O.B. _______________________________

Age on Arrival at Camp _____

Parent Name(s) ________________________

Area Code & Phone # (_____)_____________

School Attending_______________________________

To register more campers, please duplicate
the above information on a separate sheet of paper.

Rates:
$25 per day / $100 for full week ages 4-7 (US$ only)
$28 per day / $125 for full week ages 8 & 9 (US$ only)
Send $25 (US$ only) deposit and registration form to:
Camp Notre Dame
P.O. Box 74
Fairview PA 16415-0074

Sessions
Please choose the session you would like your camper to attend.

___ # 1, Jun 23 - June 27	___ # 5, July 21 - July 25
___ # 2, June 30 - July 3	___ # 6, July 28 - August 1* Optional overnight
___ # 3, July 7 - July 11	___ # 7, August 4 - August 8* Optional overnight
___ # 4, July 14 - July 18

Please circle the day(s) your camper will attend.

Monday	Tuesday	Wednesday
Thursday	Friday	All 5 Days

How did you hear about Camp Notre Dame?

______________________________________________________

For Office use Only
Date received_____________No of days____________
Confirmed________________ Total fee____________
Deposit_________ Date__________ Check #_______
Balance due________ Date________ Check #______