Last Name: First Name: Street Address: Gender: Date of Birth: City: Home Phone: State: Food Allergy: List: Yes or No Parent/Guardian#2 Name: Occupation: Occupation: Cell Phone Work Phone Email Cell Phone Email Please group with: ______________________ T-Shirt Size__________________ ______________ $275 a week before discounts June 12 - 16 June 19 - 23 June 26 - 30 July 3 - 7 (closed July 4th) July 10 - 14 July 17 - 21 July 24 - 28 July 31 – Aug 4 Aug 7 - 11 Aug 14 - 18 Aug 21- 25 Aug 28 – Sept 1 PAYMENT INFO PLEASE CHECK BOX OF WEEK/S ATTENDING Zip: Child is living with (Circle one) Mother Father Both Guardian Parent/Guardian#1 Name: Work Phone Grade as of 9/17 NO REFUNDS Fees must be paid prior to start of camp. The fee is non-refundable. Name:_________________________________ Phone:__________________________________ __ The following people will be picking up my child: Chester County Sports Arena Summer Camp for children ages 4 through 13 is a unique program that incorporates recreation, adventure, Air Conditioned creativity, and fun! Emphasizing a friendly environment, we aim to provide a summer camp experience like no other! CCSA Summer Camp is Facility sure to provide your child with excitement and memories to last a lifetime! Early Discounts Register by February 1, 2017, receive $30. off per week. (must be paid in full at time of registration) Register by March 1, 2017, receive $20. off per week. (must be paid in full at time of registration) Register by April 1, 2017, receive $10 off per week. (Must be paid in full at time of registration) Cash or check customers will also receive an additional $5. off per week Multiple Child Discount For each additional child a $25 discount from the original price will be applied. Multi-Week Discount Any child registered 8 weeks or more will receive an additional 5% off Name:__________________________ Phone:__________________________ Name:__________________________ Phone:__________________________ MASTERCARD CARD NUMBER___________________________________ EXPIRES_________________SECURITY CODE________ If I cannot be reached in the event of an emergency, the following person is authorized to act in my behalf: Name:__________________________ Phone:__________________________ CASH CHECK #_________ CREDIT CARD VISA $275 a week 4533 W. Lincoln Highway Downingtown, PA 19335 610-269-0619 www.ChesterCountySportsArena.com [email protected] Daily Rate $60 per day for a minimum of 10 days (first 10 days must be scheduled at registration) *One coupon per child *There will be a $25 registration fee for all New Campers By registering your child for Chester County Sports Arena’s summer camp you give us the permission to use your child’s photo for marketing purposes. During the camp season, staff members and/or professional photographers may take photos in which we will use for the above stated purpose. Parents/guardians who wish to refuse the use of these photos related to your child may do so with a written request sent prior to start of camp with a current photo of child attached. INITIAL__________ Before and After Care included!!! 7:00 – 8:30 AM and 4:30 – 6:00 PM OPEN HOUSE JANUARY 31ST MARCH 31st 5-7PM DAILY SCHEDULE Camp will begin on Mondays with campers being placed into specific age appropriate groups at 8:30AM. Kids will huddle up each day with their counselor to discuss the activities that will take place that day. All groups will have a VERY active schedule with time out for rest periods as needed. CCSA camp is built upon week-long themes designed to inspire your child to explore, create, interact, and stay active during the summer! Laugh, sing, dance, and move your way into a fun summer in an enriching environment! Arts & Crafts Roller Skating Weekly Activities Hamster Balls Zip Line Dance Parties Rock Climbing Petting Zoo Moon bounces Mini Golf Sports Kayaking Hamster Balls Hiking Water Fights THEME DAYS Make sure to check our THEME CALENDAR for daily themes. Example of our theme days: Disney Carnival Wacky Wednesday Phillies Crazy Hair Pajama Halloween Olympics True Hero Princess & Superhero Karate Karaoke ------- AND SO MUCH MORE! We ask that EVERYONE participates in themed days. When the whole camp participates, it makes it that much more exciting. Lunch & 2 Snacks Included! Salads Pasta with Sauce Pizza Meatball Subs Tacos Fish Sticks Chicken Nuggets Breakfast Day! Snacks: Cereal, Nutrigrain bar, popsicles, fruit snacks Apple sauce, pudding, and more! FRIDAY IS BBQ DAY! Two lunch options will be provided every day. Orders are taken every morning during the squad huddles. *we reserve the right to add/delete menu items Field Trips Bungee Jumping Scavenger Hunts Free Fall Tower Fishing Magic Show Water Slides Laser Tag Gaga Ball Karaoke WE ARE A PEANUT FREE CAMP Please do not send your children in with any type of peanut product. That would include sandwiches, candy, crackers and so forth. With our experience, we have found this is necessary since so many children have a peanut/nut allergy. Thank you!
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