All Sports Day Camp

 

45 Hillcrest Road

Hartsdale, NY 10530

(914) 864-1461

 

2010 Summer Registration Form

 

Child’s Name: ____________________________________ Age _____ Male  Female

Address: ______________________________________________________________________________

Home Phone: ___________________ Cell: ____________________ E-mail Addresss: __________________

Parent Signature: _____________________________________________ Date: _______________________

Fee Schedule

Please indicate how many weeks your child will be attending and whether or not your child will need transportation.

Weeks

(Circle One)

Without Transportation

If you add weeks after June 1st, the charge is $500 for each additional week.

With Transportation

If you add weeks after June 1st, the charge is $600 for each additional week.

6

□ $2600

□ $3000

5

□ $2400

□ $2800

4

□ $2000

□ $2400

3

□ $1500

□ $1800

2

□ $1000

□ $1200

1

□ $500

□ $600

If your child is not attending all six weeks, please check the weeks he/she will be attending.

□ 1

June 28

to July 2

□ 2

July 6

to July 9

□ 3

July 12

to July 16

□ 4

July 19

to July 23

□ 5

July 26

to July 30

□ 6

August 2

to August 6

To ensure a spot, please print this page and send your application with a $500 deposit to:

All Sports Day Camp

45 Hillcrest Road

Hartsdale, NY 10530

Please note that your deposit is not refundable after March 30, 2010.