Ribits Spring Camp Adventure 2011     

Spring CAMP REGISTRATION FORM

Parent name: _________________________________________________

Address:       _________________________________________________

e-mail          __________________________________________________

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Phone:     ________________________Cell__________________________

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Child name:   _________________________                 Age: __________

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Allergies:               Yes ________________          No________________

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Medications: (please list)  _______________________________________

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Emergency contact:  _____________________________________________

                                      Name                                                           Phone

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Cost: 225.00

Depost : $100, and will be used toward balance.  Deposit in non refundable.                                                                  

Cancellation policy:  If the unfortunate situation occurs that we must cancel any session that you have signed up for due to lack of enrollment, a full refund will be issued.  Due to careful planning and project preparation, refunds cannot be issued to any customer canceling on a session with less than two week’s notice.

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Signature                                                                        Date