ContractAnd Enrollment Agreement β’ November 16th, 2015
Contract Type FiledNovember 16th, 2015BARRIE DAY CAMP - 2016Camper ApplicationAND ENROLLMENT AGREEMENT FAMILY INFORMATIONParent/Guardian 1: Parent/Guardian 2: Address: Address: Daytime Phone: Daytime Phone: Home Phone: Home Phone: Cell Phone: Cell Phone: E-mail: E-mail: Camper lives with: π Both π 1 π 2 π Other(name) WEEKS KEY: 1: 6/20 to 6/24; 2: 6/27 to 7/1; 3: 7/5 to 7/8; 4: 7/11 to 7/15; 5: 7/18 to 7/22; 6: 7/25 to 7/29; 7: 8/1 to 8/5; 8: 8/8 to 8/12 CAMPER ONE: Nickname: Gender: M / F Date of Birth: Grade Entering: School: CIRCLE EACH WEEK IN CAMP:Day Camp: 1 2 3 4 5 6 7 8Specialty Camp: 1 2 3 4 5 6 7 8 Specialty Name: TUITIONDay or Specialty Camp:Riding Camp: CCIT Program: No. ofWeeks Rate (see Rate Chart)x $ = $ x $ = $ x $ = $ CAMPER TWO: Nickname: Gender: M / F Date of Birth: Grade Entering: School: CIRCLE EACH WEEK IN CAMP:Day Camp: 1 2 3 4 5 6 7 8Specialty Camp: 1 2 3 4 5 6 7 8Specialty Name: TUITIONDay or Specialty Camp:Riding Camp: CCIT Program: No. ofWeeks Rate (see Rate Chart)x $ = $ x $ = $ x $ = $