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
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.