2005 Summer Camps
Registration Form
     
CAMPER INFO    

 
NOTE: Make sure to SELECT either a 3 or 5 day camp for the desired week.
Camper Name(s) Age June
20-24
June-July
27-1
July
6-8*
July
11-15
July
18-22
July
25-29
Aug
1-5
Aug
8-12
Sub-
total
1.

2.

3.

4.

* July 6-8: 5 day camp not available this week
                   
Camp Prices:   5-Day Camps
$280
 

3-Day Camps
$240

Total
             
     
PARENT / PAYMENT INFO    
Name of Parent
or Guardian
 
Address  
City  
State  
Zip  
Home Phone  
Business Phone
(Cell Phone or Pager)
 
Email Address  
Payment Method   Visa, Mastercard
Name on Credit Card  
Credit Card Number  
Credit Card Expire   /
     
SURVEY    
How did you hear about our camps?  
If other, please specify  
Would you like a brochure sent?   Yes, No
Additional Commentents  
     
   
Telephone: (818) 788-3467    Toll-Free: (888) 448-7722    FAX: (818) 788-8469