Participant's Name: |
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Address: |
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City, State, Zip |
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Phone: (H) |
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Phone: (W) or (Cell) |
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Email: |
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Date of Birth: |
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My child wants to be in class with |
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Please check the sessions in which you would like to enroll your child. Every week will be different, so your child will have a new experience each time he or she attends
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SESSION A :
9:00 - 11:00 AM
1- June 9 - 13
2- June 16-20
3- June 23-27
5- July 7-11
7-July 21-25
10-August 11-15
12-August 25-29
Fee:
Members: $65
Non-Members: $75
Individual or You & Me Team
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Go Wild! For You and Me:
YM1
YM2
YM5
YM12
Go Wild! For 4 Year-Olds - Choose Session A or B only
F1
F2
F3
F5
F7
F10
F12
Go Wild! For 5-7 Year-Olds - Choose Session A or B only
FS1
FS2
FS3
FS5
FS7
FS10
FS12
Go Wild! For 8-10 Year-Olds - Choose Sessions A, B, C, or D only
ET2
ET3
ET5
ET7
ET10
ET12
Specialty Camps
OAYM- July 14-18 - 3-4 year-olds
Choose Session A or B only.
OA4
July 14-18 - 4 year-olds
OA5-7 July 14-18 - 5-7 year-olds
OA8-10 July 14-18 - 8-10 year-olds
OA11-13 July 14-18 - 11-13 year-olds
Water Camps
YMWC - 3-4 year-olds & adult teams - July 28-August 1
FWC - 4 year-olds - July 28-August 1
FWC2 - 4 year-olds August 18-22
Lazy, Crazy Camps
LCYM - 3-4 year-olds & adult teams - August 4-8.
Session A or B
LCF - August 4-8 - 4 year-olds
LCFS - August 4-8 - 5-7 year-olds
LCET - August 4-8 - 8-10 year olds
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TOTAL # FOR SESSION A: |
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HOLIDAY CAMPS:SESSON A : 9:00-11:00AM
June 30 - July 3
Fee:
Members: $48
Non-Members: $56
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Holiday Camps
YMHC - Adult/Child teams Session A only
FHC - 4 year-olds Session A
FSHC - 5-7 year-olds Session A |
TOTAL # HC-SESSION A |
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HOLIDAY CAMPS:
SESSION B:
June 30 - July 3
9:00 AM - 12:00 PM
Fee:
Members: $72
Non-Members: $80
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Holiday Camps
FSHC - 5-7 year-olds Session B
ETHC - 8-10 year-olds Session B only |
TOTAL # HC-SESSION B |
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SESSION B:
9:00 AM - 12:00 PM
1- June 9 - 13
2- June 16-20
3- June 23-27
5- July 7-11
7-July 21-25
10-August 11-15
12-August 25-29
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Go Wild! For Kids & Pals
KP7
KP11
Go Wild! For 4 Year-Olds - Choose Session A or B only
F1
F2
F3
F5
F7
F10
F12
Go Wild! For 5-7 Year-Olds - Choose Session A or B only
FS1
FS2
FS3
FS5
FS7
FS10
FS12
Go Wild! For 8-10 Year-Olds - Choose Sessions A, B, C, or D only
ET2
ET3
ET5
ET7
ET10
ET12
Go Wild! For 11-13 Year-Olds - Choose B, C, or D or only.
LT2
LT3
LT7
LT10
LT12
Specialty Camps
Choose Session A or B only.
OA4
- 4 year-olds July 14-18
OA5-7 - 5-7 year-old July 14-18
OA8-10 - 8-10 year-olds July 14-18
OA11-13 - 11-13 year-olds July 14-18 Field studies suitable for older partipants.
Water Camps
FSWC - 5-7 year-olds July 28-August 1
ETWC 8-10 year-olds July 28-August 1
LTWC 11-13 year olds July 28-August 1
KPWC2 Kids& Pals - August 18-22 - 3 - 12 year-olds & adult teams
KSWC2 5-7 year olds. August 18-22
ETWC2 8-10 year olds - August 18-22
LTWC2 11-13 year olds - August 18-22
Lazy, Crazy Camps
Session A or B
LCF - August 4-8 - 4 year-olds
LCFS - August 4-8 - 5-7 year-olds
LCET - August 4-8 - 8-10 year olds
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TOTAL # SESSION B:
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SESSION C:
8:30 AM - 5:30 PM
1- June 9 - 13
2- June 16-20
3- June 23-27
5- July 7-11
7-July 21-25
10-August 11-15
12-August 25-29 |
Go Wild! For 8-10 Year-Olds - Choose Sessions A, B, C, or D only
ET2
ET3
ET5
ET7
ET10
ET12
Go Wild! For 11-13 Year-Olds - Choose Sessions B, C, or D only
LT2
LT3
LT7
LT10
LT12
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TOTAL #SESSION C: |
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SESSION D:
12:30 - 5:30 PM
1- June 9 - 13
2- June 16-20
3- June 23-27
5- July 7-11
7-July 21-25
10-August 11-15
12-August 25-29 |
Go Wild! For 8-10 Year-Olds - Choose Sessions A, B, C, or D only
ET2
ET3
ET5
ET7
ET10
ET12
Go Wild! For 11-13 Year-Olds - Choose Sessions B, C, or D only
LT2
LT3
LT7
LT10
LT12
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TOTAL # SESSION D: |
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Adventure Camps
12-16 year olds |
Appalachian Adventure - M-8:30 AM -5:30 PM & Tues.8:30 AM - Thurs. 5:30 PM
LTHC - June 30 - July 3
Canoe Camp - 8:30 AM - 5:30 PM Mon. to Wed., Thurs. 12:00 PM - 12:00 PM Fri.
CC5 - July 7-12
Out & About Camp - Monday-Friday 8:30 AM - 5:30 PM
OUT9 - July 4-8 |
PARENTAL PERMISSION |
Emergency Contact:
(Other than primary caretaker) |
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Emergency Contact's Phone #: |
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Physician: |
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Physician Phone #: |
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Allergies, special needs, etc.
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A response is required. |
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