TBWS Summer Camp Application 2012

Parent/Guardian Info

* First Name

* Last Name

* Email

* Phone Number

* Street Address

Address Line

* City

* State

* Zip Code

First Name #2

Last Name #2

Email #2

Phone Number #2

Street Address #2

Address Line #2

City #2

State #2

Zip Code #2

Student Info

* Student First Name

* Student Last Name

* Gender

* Date of Birth

* Primary Language

If multilingual, what languages?

* Allergies

* Will this student have a sibling in the program as well?

* How many siblings?

How did you first hear about this program?

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Program Info

PROGRAM WEEKS - Children Ages 3-5* - 9AM-12PM -- 4 Days/Week

CLOSED Summer's Garden -- Week 1; July 2nd, 3rd, 5th & 6th (No School July 4th)

CLOSED Water Play -- Week 2; July 9th-12th

CLOSED Wet Felt -- Week 3; July 16th-19th

CLOSED Butterflies and Bugs -- Week 4; July 23rd-26th

Harvest Cooking -- Week 5; July 30th-August 2nd

AFTERCAMP CARE -- $45 / day fee; we will offer AfterCare to children ages 3-5 from 12PM-3PM based on need. Please select the days you will need below.

Monday

Tuesday

Wednesday

Thursday

PROGRAM WEEKS - Children Ages 5*-12 - 9AM-3PM -- 4 Days/Week -- 2 Weeks Minimum

Circus Arts Extravaganza! -- Week 1; July 2nd, 3rd, 5th, 6th (No School July 4th)

Circus Arts Continued! -- Week 2; July 9th-13th

Books, Cooks & Beyond -- Week 3; July 16th-19th

Bird Watching -- Week 4; July 23rd-26th

Water, Air and Folk Arts -- Week 5; July 30th-August 2nd

*For children age 5, parents should consult with the Camp Coordinator to see what program is most appropriate.

Pricing & Times

Younger Campers (Ages 3-5)

9AM-12PM

$180 / wk, with a 2 week minimum

AfterCamp Care (Ages 3-5)

12PM-3PM

$45 / day (please sign up where indicated above)

Older Campers (Ages 5-12)

9AM-3PM

$360 / wk, with a 2 week minimum

Submit Application

* I agree that by checking the box below, I acknowledge that I will be receiving an invoice from The Brooklyn Waldorf School for TBWS Summer Camp Program services I have selected in this form, and that I will be expected to pay this amount in full before the Summer Camp Program begins.

Check this box if you agree.

Please hit SUBMIT to submit your completed application!

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