Windwood Day Camp

Registration for Windwood Summer Day Camp

P.O. Box 75 Bradford Woods, PA 15015
724-935-6880
www.windwoodpark.com

You can print this form and mail it to the above address or, fill out the following form which will be e-mailed automatically:

Last Name---------------First Name---------------Middle Init

-------
Age Grade (Fall 2012)-----Birth Date

Street Address

City State Zip

Parents/Guardian Name---------------Home Phone----Work (Cell) Phone(s)

Emergency Contact Name-----------Emergency Phone

E-Mail Address (Please include your email address so we can send a confirmation that it has been processed!)

2012 DATES & RATES
Check Weeks Attending Cost/Total Weeks Discount if paid by 4/01
6/11 - 6/15, 1=$230. Discount=$207.
6/18 - 6/22, 2=$440. Discount=$396.
6/25 - 6/29, 3=$645. Discount=$581.
** 7/02 - 7/06, 4=$860. Discount=$774.
7/9 - 7/13, 5=$975. Discount=$878.
7/16 - 7/20, 6=$1170. Discount=$1053.
7/23 - 7/27, 7=$1365. Discount=$1229.
7/30 - 8/03, 8=$1560. Discount=$1404.
8/06 - 8/10, 9=$1755. Discount=$1580.
8/13 - 8/17 10=$1950. Discount=$1755.
8/20 - 8/24, 11=$2145. Discount=$1930.

**No camp on 4th of July, if you've selected that week and are paying in full please remember to DEDUCT $20.

There will be a $5 project fee per child, charged upon registration.

Summer Learning Program form, Field Trip form, Gymnastics form, and emergeny card form are located within the printable Day Camp Registration form and can be mailed in or dropped of prior to camp starting.

PLEASE PRINT OUT THE ONLINE PRINTABLE FORM AND READ THROUGH ALL THE GENERAL INFORMATION AND RULES THAT FOLLOW. IT IS VERY IMPORTANT THAT YOU UNDERSTAND ALL THE INFORMATION AND RULES.
Weeks added after June 1st face a $15/week late registration fee.
No refunds after June 1, 2012 and a $50.00 processing fee for ALL refunds/member.
You will be charged for weeks checked off but not attended.
You can switch a week to a different week as long as you get it approved with the office first.
Meal Tickets are available at any time up to one week before usage.
If camper registers for 5 or more weeks, he/she is automatically made a swim club member for entire summer.
If you are not taking advantage of the early bird discount, a $100 deposit per camper is required for registration.
All tuition must be paid by Monday of that week or a late fee of $25 will be added for that week
ALL TUITION IS TO BE PAID BY THE WEEK AND NOT DAILY. THERE ARE NO DAILY RATES. (PLEASE DO NOT CALL AND ASK)

Payment

Check
MasterCard
Visa
Discover

Account Number-------Exp Date---Money Amount

Group and Health Information

Requests to be with friends, age or grade group (subject to Director's approval):

Camp Director will not administer medication such as Children's Tylenol unless otherwise directed by parent.
Special Instructions (e.g., allergies, diet, ear plugs, etc.)

How did you hear about Windwood Day Camp?
Street Sign Magazine Website Friends Other _________

Terms of Membership Agreement

The camper and parents agree to abide by rules and regulations set by the Director for health, safety and welfare of campers.
Windwood is not responsible for the camper's equipment or personal belongings if lost or damaged by fire, theft or otherwise. The camp will make every effort to provide proper supervision so that losses will be at a minimum.
The Director reserves the right to cancel, sever or suspend a child's enrollment if deemed in thebest interest of the camper or the camp in which case the unused camp fee will be refunded.
Each week's tuition will be paid in full before the child begins his/her week at camp or a late fee of $25.00 will be added to each late week.
There will be a $5 project fee per child, charged upon registration.
No refunds of any kind after June 1, 2012.
Emergency Information Cards can be sent in separate or dropped off the first day of camp. (It is available with the printable registration form.)

I AGREE TO COMPLY WITH THE TERMS OF THIS AGREEMENT.

By initialing this box, you are electronically signing this form.