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CAMPER
INFORMATION
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CAMPER'S
LAST NAME
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CAMPER'S
FIRST NAME
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MAILING
ADDRESS
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CITY
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STATE
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ZIP/POSTAL
CODE
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COUNTRY
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DATE OF
BIRTH mm/dd/yy
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AGE UPON
ARRIVAL
AT CAMP
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US Citizens
Only
used for Medical Purposes Only
SOCIAL SECURITY NUMBER
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SEX
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BOY
GIRL |
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PARENT'S
NAME(s)
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CHILD
LIVES WITH
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(ie. Mother and Father, Father, Mother, Father
and Step-Mother, Father and Step-Mother, Grandparents) |
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FATHER'S
NAME
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MOTHER'S
NAME
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FATHER'S
HOME PHONE NUMBER
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MOTHER'S
HOME PHONE NUMBER
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FATHER'S
WORK PHONE NUMBER
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MOTHER'S
WORK PHONE NUMBER
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FATHER'S
CELL PHONE NUMBER
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MOTHER'S
CELL PHONE NUMBER
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FATHER'S
eMAIL ADDRESS
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MOTHER'S
eMAIL ADDRESS
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Please provide any information which will assist us in providing
a
great experience for your child. (Do not provide medical information
here.)
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There
are now two ways to SAVE!
1) SAVE
$200 (per session)
with Payment-In-Full
- OR -
2) SAVE
$100 (per
session)
with Deposit of $400 and
four (4) monthly payments of $250
OverNight
Camper Registration
PAYMENT IN FULL
SAVE
$200 Per Session
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SESSION
1 (Two Weeks) ~ $1600
Sun, June 14 - Sat, June 27
Busch Gardens Field Trip
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SAVE
$200
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Pay Only
$1400
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SESSION 2 (Two Weeks) ~ $1600
Sun, June 28 - Sat, July 11
Sea World Field Trip on July 4th |
SAVE
$200
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Pay Only
$1400
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SESSION 3 (Two Weeks) ~ $1600
Sun, July 12 - Sat, July 25
Universal Studios or Islands Of Adventure |
SAVE
$200
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Pay Only
$1400
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SESSION 4 (Two Weeks) ~ $1600
Sun, July 26 - Sat, August 8
Disney World Field Trip
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SAVE
$200
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Pay Only
$1400
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OverNight
Camper Registration
with
Deposit of $400 and
four (4) monthly payments of $275
SAVE $100 Per Session
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SESSION 1 (Two Weeks) ~ $1600
Sun, June 14 - Sat, June 27
Busch Gardens Field Trip
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SAVE
$100
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Pay Only
$400
DEPOSIT
& $275/mo
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SESSION 2 (Two Weeks) ~ $1600
Sun, June 28 - Sat, July 11
Sea World Field Trip on July 4th |
SAVE
$100
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Pay Only
$400
DEPOSIT
& $275/mo
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SESSION 3 (Two Weeks) ~ $1600
Sun, July 12 - Sat, July 25
Universal Studios or Islands Of Adventure |
SAVE
$100
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Pay Only
$400
DEPOSIT
& $275/mo
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SESSION 4 (Two Weeks) ~ $1600
Sun, July 26 - Sat, August 8
Disney World Field Trip
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SAVE
$100
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Pay Only
$400
DEPOSIT
& $275/mo
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Monthy tuition payments
to be charged to the credit card provided
starting the month following this registration with deposit.
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ADDITIONAL
AIRPORT FEES
Please coordinate flight schedule
with the
Camp Office before purchasing airline tickets
as transportation is available durring
certain hours only.
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PLEASE
PROVIDE PAYMENT INFORMATION
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REGISTRATION AGREEMENT
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The above provided information is correct and complete to
the best of my knowledge. I/We have read and understand the
terms, policies and requirements of attending Camp Frontier
and understand that signing this agreement confirms compliance.
I/We give complete authorization for a representative of Camp
Frontier to request and receive any medical treatment in the
event of need. I/We accept full responsibility for the payment
of all medical services provided. I/We release and hold blameless
the employees, volunteers, and Board of Directors of Camp Frontier,
Inc. from any and all claims of liability past, present and/or
future. I/We accept the financial responsibility for any and
all damage to facilities or personal property for which our
Child is found to be responsible. I/We acknowledge that Camp
Frontier, Inc. owns and has discretion over the use of all photographs
and recordings created while the child is at camp. I/We understand
that the total Tuition must be paid in full two weeks in advance
to the scheduled arrival date and authorize the balance due
(if any) to be charged to the provided credit card two weeks
prior to arrival. I/We understand that any and all deposits,
fees and or tuition amount paid is non-refundable even should
the camper not attend, go home during camp or be expelled due
to dishonest, disrespectful, inappropriate and/or violent behavior.
Please Type Your Name To Accept
The Terms Of Enrollment
(required)
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