Information Request Form

Session 1	June 26 thru July 8
Session 2	July 10 thru July 22
Session 3	July 24 thru August 5

Tuition per Session: 1, 2 or 3: $2690
There is a $200 discount for each additional session.

There is a one time $100 sibling discount for 2nd child
$500 Deposit per session
Greens Fees are $95 per week additional

Tuition includes room & board, on-campus activities, local off campus trips (i.e. bowling, movies, etc.), laundry, evening & bedtime snacks, etc. "Between Session Stayover" is $195.

Please Fill Out & Complete All Fields
Note: Use "TAB" Key and/or Pointer to Move Between Fields

PROSPECTIVE CAMPERS

Please fill out the following information to receive:

2011 Application Additional Promotional Materials
Parent's Name:
Address:
City:
State and/or Country:
Zip or Postal Code:
Home Phone #:
Work Phone #:
Email Address:

Child(ren's) Name(s) & Age(s):

How did you hear about us?

Comments to Joel: