Winter Camp 2018

Apple Afterschool 2012/2013 Winter Camp Daily Activities

apple_afterschool_winter_camp_20112012_activity_schedule.pdf
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Apple 2011/2012 Winter Camp Registration Request

* Indicates required field

Parent Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Work Phone Number *

Email *

Additional Parent Name (optional) *

First

Last

Additional Parent Address (if different than address listed above) *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number (if different than home phone listed above) *

Cell Phone Number *

Work Phone Number *

Email *

Student Name *

First

Last

Grade & Public School *

Student Name #2 (optional--only applicable if registering more than one child) *

First

Last

Grade & Public School *

Student Name # 3 (optional--only applicable if registering more than one child) *

First

Last

Name & Public School *

I am interested in having my child(ren) attend a FULL DAY SESSION (use of hours between 7:45am - 5:30pm) on the following days at a cost of $25 per day for grade K or $35 per day for 1/2 day K's and grades 1 - 6. *

YES NO

I am interest in having my child(ren) attend camp during our student's typical afterschool hours (2:00pm - 5:30pm) for grades 1 - 6 and 1/2 day K's (no additional fees beyond regular December/January tuition) *

YES NO

If you answered YES to the above question, please check the days below for AFTERSCHOOL SESSION HOURS: *

Total Number of Days Requested: *

Tuition Due: *

Please Select Payment Option: *

Comment(s): *

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