APPLICATION
FOR CIT ENROLLMENT (Please complete,
print, sign and return by mail -- signature required)
I wish to
enroll my son as a CIT for Wachusett's 2012 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, 2012 --
with a refund of $400 after the 1st.
Boy's name:
Parents' names:
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:
Two-week session (June 24 -- July 7)
Two-week session (July -- July 14)
Two-week session (July 15 -- July 28)
Two-week session (July 29 -- August 11)
Three-week session (June 24 -- July 14)
Three-week session (July 1 -- July 21)
Three-week session (July15 -- August 4)
Four-week session (June 24 -- July 21)
Four-week session (July 1 -- July 28)
Four-week session (July 15 -- August 11)
Five-week session (June 24 -- July 28)
Five-week session (July 1 -- August 4)
Six-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.