Town Of Redding Camp Registration Form

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Junior Chef Camp
2015 Camp Registration Form
Gr. 1-4
7/6-7/9
$175
Gr. 4-8
7/13-7/16
$175
Camper’s Name __________________ M__ F__
Gr. 2-8
7/20-7/23
$175
Address ________________________________
Multi Sports Camp
Gr. 2-5
8/17-8/21
_______$190
Town _____________________ ZIP_________
Nova Speed Camp
Ages 9-14
8/3-8/7
$170
Home Phone ____________________________
Paint Draw and More! Art Camp
Email Address ___________________________
Ages 5-13
7/6-7/10
$304
Ages 5-13
7/13-7/17
$304
Grade Entering _______ Date of Birth ________
Soccer Camp
Work/Cell #s
Ages 3-5
8/10-8/14
$84
Mother’s Name
Gr. 1-9
8/10-8/14
$180
________________________#____________
Father’s Name
Sports Squirts Camp
_______________________ #_____________
Ages: 3-5
8/17-8/21
$89
Tennis Camps - Fairfield County, LLC
Day Camp - Sessions
Full Day
Ages 3-4
7/27-7/30
$55
1
___June 29-July 2
$136
Ages 5-8
7/27-7/30
$169
2
___July 6-10
$170
Ages 9-12
7/27-7/30
$169
3
___July 13-17
$170
4
___July 20-24
$170
Tennis Camp
5
___July 27-31
$170
Gr. 2-5
7/6-7/10
$130
6
___ August 3-7
$170
Gr. 6-8
7/13-7/17
$130
7
___August 10-14
$170
Travel Camp
Baseball Camp
1 Gr. 5-10
7/6-7/10
$380
Ages 7-12
6/22-6/25
$160
2 Gr. 5-10
7/13-7/17
$380
3 Gr. 7-11
7/20-7/24
$440
Basketball Camp
4 Gr. 5-10
7/27-7/31
$380
Gr. 3-6
7/27-7/31
$170
5 Gr. 5-10
8/3-8/7
$380
Club Getaway
Sibling Discount
Gr. 5-9
6/29-7/2
_______ $480
(see page 29 for details)_____________________
Total Fees for all Camps
C.I.T Program
Ages 13-14
7/6-7/17
_______$260
Total Amount Paid
(minimum $50 per week)
Filmmaking Flix
Ages 7-13
8/17-8/21
$180
Balance owed (by 6/1)
Lego Flix
Make checks payable to “Town of Redding” mail to:
Ages 7-13
8/17-8/21
$180
Redding Park and Rec.,PO Box 1071, Redding, CT 06875
Fun and Fitness Camp
I authorized the use of this credit card for the above payments.
Gr. 5-8
7/20-7/24
_______$170
Mastercard
Visa
AMEX
Discover
Gr. 2-4
8/3-8/7
_______$170
Credit Card Number
Hands On Science Camp
Expiration Date
CVV Code______
Gr. 1-3
6/29-7/3
$288
Signature _____________________________
Gr. 3-5
7/6-7/10
$288
SEE OTHER SIDE
Click here to register online
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