BRAINPOWER SUMMER CAMP

2010

St. Peter Prince of Apostles School

Registration Form

Camper Name ______________________________ Parent/Guardian ___________________________

Address ___________________________________ Work Number ____________________________

School ____________________________________ Cell Number _____________________________

Age ______ Grade ______ Email ___________________________________

Camper’s T-Shirt Size: (Youth) S M L (Adult) S M L

(circle one)

Please indicate which week(s) and services you will use with a check mark or an “X”.

Check Box	Week/Date	Theme	Lunch	PM Care	Weekly Total
	$150/wk ($135 for siblings)		$18/wk	$35/wk
	June 7 – June 11	Jump into Summer
	June 14 – June 18	Electricity, Electricity!
	June 21 – June 25	Wilderness Wonders
	June 28 – July 2	Science Sleuths
	July 5 – July 9	Castle Time – Days of Ole
	July 12 – July 16	Yum Yum – Things with Food
	July 19 – July 23	Setting Up – Theatre Days
	July 26 – July 30	Acting Up – Theatre Days (Performance at noon on Friday)
	Aug 2 – Aug 6	Wet ‘n Wild

+ Registration Fee $100

= Total Cost ________

Number of children in family attending camp: _______

Make checks payable to St. Peter Prince of Apostles School.

Registration fees and camp fees for the first week are due at the time of registration.

Turn in form and monies early to secure your child’s space.

Cancellation policy:

*Any cancellations made by St. Peter Prince School will result in a complete refund of all fees and registration payments.