Summer 2015 Weekly Enrollment Form June 1 – August 7, 2015 Student’s Name:_______________________________ Grade Entering 15-16:________ Please circle M / F Parent(s) Name(s):____________________________ Email Address:________________________________ Cell Phone # / carrier:__________________________________ Shirt Size (Circle One): Youth Small Youth Medium Youth Large Adult Small Adult Medium Please mark the days your child will be a-ending. If your child will not be a-ending a week, please leave all spaces EMPTY. Week 1– June 1-5, 2015—Crazy Arts Monday Tuesday Wednesday Thursday Friday Week 3– June 15-19, 2015—MAD Camp Monday Tuesday Wednesday Thursday Friday Week 5– June 29-July 3, 2015—Soccer Monday Tuesday Wednesday Thursday Friday Tuesday Wednesday Thursday Friday Tuesday Wednesday Thursday Tuesday Wednesday Thursday Friday Week 4– June 22-26, 2015—Kings Domain Monday Tuesday Wednesday Thursday Friday Week 6– July 6-10, 2015—Mystery! Monday Tuesday Wednesday Thursday Friday Monday Tuesday Wednesday Thursday Friday Week 10– August 3-7, 2015—Community Week 9– July 27-31, 2015—Drama Monday Monday Week 8– July 20-24, 2015—Geocaching Week 7– June 13-17, 2015—Lego Monday Week 2– June 8-12, 2015—Science Friday Monday Tuesday Wednesday Thursday Friday I understand I am enrolling my child(ren) at a rate of $179/week or $40/day. I understand that there is a $55 registra:on fee and it is necessary to pay for pool :me (details TBD). My signature below verifies my agreement with the policies and billing agreement for Weekday Ministries Summer Camp program. Copies can be found at the Weekday School age office and/or online at www.weekdayministries.org Parent Signature________________________________ Date _____________
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