Spaces are limited and on a first come first serve basis, sign up early

Foster City Recreation Department Presents:
The Vibe ● 670 Shell Blvd. ● Foster City ● (650) 286-3387
Come and “chill” out during Winter Break with the Recreation Leaders! Wild N’ Wacky
Winter Camp will be filled with exciting adventures that can only be found in Foster City!
Sign up for both sessions at the Foster City Recreation Center! For Grades K-5th.
Spaces are limited and on a first come first serve basis, sign up early!
Session 1: December 21 - 23, 2015
#305702-A1 Regular Camp (9a-4p) $150
#305702-A2 Regular Camp + Extended Care (7:30a-6p) $174
Session 2: December 28 - 30, 2015
305702-B1 Regular Camp (9a-4p) $150
305702-B2 Regular Camp + Extended Care (7:30a-6p) $174
For more information or questions regarding camp, please contact
Ben Dieterle, Recreation Coordinator, at [email protected]
Wild N’ Wacky Winter Camp (Grades K-5th)
Act. # 305702
Regular Camp
Mon. - Fri.
9am - 4pm
Extended Care
Mon. - Fri.
7:30am – 6pm
Non
Resident
Fee
Session 1 12/21-12/23
Section A1
Section A2
NR Fee
$150
$174
$10
Section B1
Section B2
NR Fee
$150
$174
$10
Wild N’ Wacky Winter Camp
Session 2 12/28-12/30
REGISTRATION
TOTAL
WINTER CAMP REFUND POLICY
Full Refunds: Full refunds, minus a $10 administrative fee per activity #, will be granted for requests submitted five (5)
business days prior to the start of the program.
Partial Refunds: Partial refunds* will be granted for requests submitted four (4) business days or less prior to the start of the
program. *25% of registration fee and a $10 administrative fee per activity # will be assessed per program refunded.
No Refunds: Requests for refunds received after the start of the camp session will be denied unless they fall under the
Satisfaction Guarantee Policy.
A $10 administrative fee per activity # will be deducted from all refunds that do not fall within our Satisfaction Guarantee Policy.
Fo r a d d i t i o n a l i n f o r m a t i o n , v i s i t u s o n l i n e a t w w w . f o s t e r c i t y . o rg
I have read and understand the Camp Refund Policy
Inclusion Services Requested
Child’s Name:
Age:
D/O/B:
PARENT/GUARDIAN NAME:
ADDRESS:
CITY:
WORK #:
HOME #:
ZIP:
Recreation Staff must be notified by December 11, 2015 to request reasonable accommodations for Winter Camp.
I hearby agree to hold the City of Foster City, the Estero Municipal Improvement District, their employees, officers, and program and activity
instructors harmless from all liability which may arise as a result of my participation in the above activities. In the event that the above named
participant is a minor I hereby give my permission for his/her participation in the above listed activities and also agree to hold the City of Foster
City, the Estero Municipal Improvement District, their employees, officers, and program and activity instructors harmless from all liability which
may arise from said minor’s participation in such activities. I understand that the above named activities may involve risk or accidental injury and
hereby voluntarily assume such risks. I/we agree to allow use of my/our photo for program publicity. If the participant is a minor the parent or
guardian must sign below.
PARENT/GUARDIAN SIGNATURE:
DATE:
PRINT NAME AS IT APPEARS ON CARD:
I hereby authorize the use
of my MasterCard or Visa
Signature:
account.
Expiration Date (00/00):