APPLICATION FOR ENROLLMENT
(Please complete, print, sign and return by mail -- signature required)

I wish to enroll my son for Wachusett's 2010 season and enclose a check to cover the $800 registration.  I understand that the $800 will be deducted from the total tuition and that the full amount will be refunded if notification of a change in plans is received before May 1, 2010 -- with a refund of $400 after the 1st of May.

Boy's name:

Parents' name:

Street:

City:    State:     Zip:

E-mail address:  

Date of Birth:    Home Phone: 

Name of School    Current Grade

When I complete the Health Record in the spring of 2010, I will inform you of any facts important in safeguarding my son's physical welfare.  I agree to whatever rules and regulations are laid down for the general welfare.

Please check the appropriate enrollment option:

Two-week session (June 27 -- July 10)
Two-week session (July 11 -- July 24)
Two-week session (August 1 -- August 14)
Three-week session (June 27 -- July 17)
Three-week session (July 4 -- July 24)
Three-week session (July 25 -- August 14)
Four-week session (June 27 -- July 24)
Four-week session (July 18 -- August 14)
Five-week session (July 5 -- August 8)
Six-week session (July 4 -- August 14)
Full seven-week season (June 27 -- August 14)

 


____________________            ___________________________________
DATE                                                                     PARENT OR GUARDIAN

 

Please print and mail to:

CAMP WACHUSETT CO. 
James Weiss
11112 Waycross Way
Kensington, MD  20895
PHONE NUMBERS:
(301) 933-1709
1-800-847-9763
FAX NUMBER: (301) 933-0453


If you know of any family that might have an interest in Wachusett, we would appreciate your help in providing us with the name and address.  We then will send information about the 2010 season to the family.

Boy's name:

Parents' name:

Street:

City:   State:    Zip:

E-mail address (if known):  

Please print and return
(signature required)


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