2017 SUMMER CAMP
REGISTRATION
Child’s Name
Child’s Birthdate
Female / Male
Parents’ Names
Address
Phone(s)
Email(s)
Children must be at least 3 years old by June 1, 2017 to attend Summer Camp.
I would like to enroll my child in the following sessions (please circle):
Session 1: June 12-16: Under the Sea
Session 2: June 19-23: Lego Camp
Session 3: June 26-30: Culinary Delight
No Camp: July 3-7
Session 4: July 10-14: Space Explorers
Session 5: July 18-22: Dinosaur Stomp
Session 6: July 24-28: Things That Go
Fees: $200/week for Monday–Friday, 9:00 a.m. – 12:30 p.m.
Total # of weeks
____ X
$200/week =
$_______
Please include full payment with your registration form and return both to the tuition box in the
classroom or mail to Playschool, 1835 Valota Road, Redwood City, CA 94061. You will receive a
confirmation notice. A refund (minus a $35 processing fee per session) will be granted if a written,
signed request is received prior to May 15.
__________________________________________ ____________________
Parent Signature
Date
Thank you and welcome to Playschool Summer Camp!