REGISTRATION FORM

 Now you have two ways to pay!
To pay by check:  Print this form.
Fill in and mail with $50 check to:
To pay by charge:  Print this form. Fill out completely including charge info. We accept Visa and MasterCard. Mail in completed form.  
Harford Heights Summer Camp
at Boys' Latin School
1 William Court
Sparks, MD  21152
Card Number:
Name on Card:
Expiration Date:
Billing Address:
(if different):  
2010 CAMP SESSIONS

The $50.00 deposit is credited toward your last payment. All deposits and tuition payments are non-refundable after May 1, 2010) After you register, additional information on our summer program will be sent to you as we approach the summer. We recommend that you register early. Register by March 1, 2010 and receive a free camp t-shirt!

Child's Name: Date of Birth:
 
Address: Home Phone:
 
City:                                      State: ZIP: Grade Now Attending:
 
Email address:
 
Harford Heights Summer Camper last year?       Yes_______        No_______
Mother's Name: Work Phone:
 
Father's Name: Work Phone:
  
I was referred to your camp by a previous camper parent. Who?

How many weeks of the summer do you need?________  Please check the weeks below. 

June 14-18 June 28-July 2 July 12-16 July 26-July 30
June 21-25 July 6*-9 July 19-23 Aug 2-Aug 6

*Closed on Monday, July 5th for Independence Day. Open Tues, Wed, Thurs, and Fri.

What are your child's interests?
Swimming?                                Arts & Crafts?                                                  Science?
Sports?                               Which sports?
Field trips?                          Where?
Other interests:
Suggestions:
Where did you hear about our camp?
Which magazine, newspaper ad or other source?
Comments or questions::
_______________   Yes, My child will be in the Harford Heights Summer Camp at Boys' Latin School of Maryland and my $50.00 summer deposit is enclosed. (Credited toward your last payment of summer tuition).
Parent Signature: Date:
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