APPLICATION
FOR ENROLLMENT (Please complete,
print, sign and return by mail -- signature required)
I wish to enroll
my son for Wachusett's 2012 season and enclose a check in the amount
of
$800 -- or $400 for a one-week enrollment -- to cover the registration
fee. I understand that the entire fee 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, 2012 --
with half the fee refunded 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 2012, 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:
One-week session (July 24 -- July 30)
One-week session (July 1 -- July 7)
One-week session (July 15 -- July 21)
One-week session (July 29 -- August 4)
Two-week session (June 24 -- July 7)
Two-week session (July 1 -- July 14)
Two-week session (July 15 -- July 28)
Two-week session (July 29 -- August 11)
Three-week session (July 1 -- July 21)
Three-week session (July 15 -- August 4)
Three-week session (July 24 -- July 21)
Four-week session (July 1 -- July 28)
Four-week session (July 15 -- August 11)
Four-week session (June 24 -- July 28)
Five-week session (July 1 -- August 4)
Five-week session (June 24 -- August 4)
Six-week session
(July 1 -- August 11)
Full seven-week
season (June 24 -- August 11)
____________________
___________________________________
DATE
PARENT OR GUARDIAN
Please print and mail to:
CAMP WACHUSETT
CO.
James
Weiss
11112 Waycross
Way
Kensington, MD
20895
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 2012 season to the family.