Camper Event Registration Form

Camp Cannon 2015 Registration Form
CAMPER INFORMATION
Applicant's Last Name*
Applicant's First Name*
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Neighborhood
Parent's Name*
Last NameFirst Name
Parent's Name
Last NameFirst Name
Primary Contact's Cell Number*
Secondary Contact's Cell Number
Primary Contact's E-mail*
Camper
ReturningNew
Applicant's Age as of June 1, 2015*
School Attending Fall 2015*
CAMP SELECTION
Registration is subject to camp availability. All sessions are subject to minimum and maximum enrollment. Notification will be sent if a camp is canceled due to low registration, or if a child is placed on the wait list when a camp is full.
Before selecting a camp, be sure your child's age matches the requirements for the camp as shown in the brochure or on the web site. If you have questions concerning age, please contact campcannon@cannonschool.org
Week 1: June 8-12 AM or Full Day Camps
Select a camp from drop down list
Week 1: AM or Full Day Cost
Week 1: June 8-12 PM Camps
Select a camp from drop down list
Week 1: PM Cost
Week 2: June 15-19 AM or Full Day Camps
Select a camp from drop down list
Week 2: AM or Full Day Cost
Week 2: June 15-19 PM Camps
Select a camp from drop down list
Week 2: PM Cost
Week 3: June 22-26 AM or Full Day Camps
Select a camp from drop down list
Week 3: AM or Full Day Cost
Week 3: June 22-26 PM Camps
Select a camp from drop down list
Week 3: PM Cost
Week 4: July 6-10 AM or Full Day Camps
Select a camp from drop down list
Week 4: AM or Full Day Cost
Week 4: July 6-10 PM Camps
Select a camp from drop down list
Week 4: PM Cost
Week 5: July 13-17 AM or Full Day Camps
Select a camp from drop down list
Week 5: AM or Full Day Cost
Week 5: July 13-17 PM Camps
Select a camp from drop down list
Week 5: PM Cost
Week 6: July 20-24 AM or Full Day Camps
Select a camp from drop down list
Week 6: AM or Full Day Cost
Week 6: July 20-24 PM Camps
Select a camp from drop down list
Week 6: PM Cost
Week 7: July 27-31 AM or Full Day Camps
Select a camp from drop down list
Week 7: AM or Full Day Cost
Week 7: July 27-31 PM Camps
Select a camp from drop down list
Week 7: PM Cost
Total Cost of Camps $
Total cost for all camps selected
REGISTER FOR EXTENDED CARE: AM, LUNCH, AND PM OPTIONS AVAILABLE
AM Care Selection
AM Care Options
Select time
AM Care
Week 1Week 2Week 3Week 4Week 5Week 6Week 7
Total Cost of AM Care: $
AM Care cost per week * # of weeks
Lunch Care Selection: Lunch care is provided from 12:00 - 1:00 PM at no cost.
Campers must pack a lunch from home and register in advance for care.
LUNCH Care
Week 1Week 2Week 3Week 4Week 5Week 6Week 7
PM Care Selection
PM Care Options
Select option from drop down list
PM Care
Week 1Week 2Week 3Week 4Week 5Week 6Week 7
Total Cost of PM Care: $
PM Care cost per week * # of weeks
Total of ALL Extended Care $
REGISTRATION FEE
SAT Prep courses have the the registration fee included. Select $0.
All othere registrations required a non-refunded fee of $25. Select $25.
Registration Fee: $*
025
PAYMENT INFORMATION
TOTAL AMOUNT DUE $
Includes costs of camps, extended day options, and registration fee.
Payment by Check: After receving your confirmation email with waiver, send in the signed waiver and check. Full payment must be made within 2 weeks of online registration to retain spot in camp. Your registration is not complete until payment is received.
Payment by Invoice: You will receive an invoice via PayPay for 100% of total due plus a 3% service fee to cover Paypal fees. You will also need to send in the signed waiver separately to complete registration. Payment must be made within 2 weeks of online registration to retain spot in camp. Your registration is not complete until payment is received.
Payment Options (Select One)*
Mail Check (50% payment)Mail Check (100% of payment)Invoice (100% of payment + 3% service fee)
Thank you for registering for Camp Cannon 2015! You will receive a confirmation email with important information soon.
Should be Empty: