For info: (843)-261-0200 |Visit us: RPsummervilleSC.com
Our Afternoon “Theme Camps” explore
different themes every week and will have
your child making new friends, using their
imaginations and having wacky fun!
Monday-Thursday 1:00pm-4:00pm
Camp Theme
Once Upon A Fairy Tale
AARGH Matey!
Mystery Madness
Red, White, Blue and you! Special Price of $95
Wild and Wacky Field Days
Builders and Bulldozers
Pajamapalooza Gymnastics Fun
When I Grow Up
Monster Madness
$128 (4 Consecutive Days) or $35/day
$120/camp for 5 or more theme camps
Dates
Mon
Tue
Wed
Thur
June 12-15
June 19-22
June 26-29
July 3-6
July 10-13
July 17-20
July 24-27
July 31- Aug 3
Aug 7-10
Please check the dates you would like your
child to attend.
2017 Camp Registration Form
Camper Name:
Birthday:
Age on June 1st, 2017:
Parent/Guardian Name:
Email address:
Mailing Address:
Health Concerns/ Food
Allergies:
Terms for 2017 Summer Camps:
Payment Terms: 50% deposit of camp session total is required upon enrollment. The deposit is applied to the total
tuition and is non- refundable. Tuition is due in full by June 1, 2017. Campers enrolling after June 1st must pay in full
upon enrollment. There is a $20 non-refundable annual registration/insurance fee for all campers. This fee is in addition
to the camp tuition and is effective for one Rolly Pollies Calendar year. If three or more family members register
together, the fee will be limited to $50. Checks are payable to Rolly Pollies.
Discounts: There is a 10% discount for siblings who are attending Summer Camp during the same week.
Cancellations: For cancellations prior to June 1st, the total tuition, less the 50% deposit or $100 dollars, whichever is
less, is refundable. For cancellations after June 1st, the total tuition is forfeited unless circumstance is deemed dire.
Circumstances are reviewed on a case by case basis by Rolly Pollies senior management. If your child is unable to attend
camp on a date you selected another date may be substituted if space permits. You must call in advance. There are no
make ups after the 9-week summer session has ended.
Permission to Participate: Parents and guardians grant the camper permission to participate in all camp activities and
understand that accidents and injuries may occur in the natural course of participation in such activities.
Camp Selections: All camps and dates are scheduled on a first come first served basis. We require a minimum of 5
students in a camp and a maximum of 15 per age group. If a camp is cancelled you will be notified the week prior and
asked to select another camp of your choice. Please carefully review this page to avoid any misunderstandings. By
signing below, I agree to the terms of enrollment and regulations of the camp as stated on this application, the terms on
the 2016 enrollment form and in the brochure.
Please carefully review this page to avoid any misunderstandings. By signing below, I agree to the terms of enrollment
and regulations of the camp as stated on this application, the terms on the 2017 enrollment form and in the brochure.
Parent/Legal Guardian Signature:
Date:
Phone Number:
Who will be picking up children:
Other(s) authorized to pick up children (list all):