Please print and complete this form to register your 4-5 year old for Jr. Day Camp

REAL LIFE JUNIOR DAY CAMP REGEISTRATION FORM 2008 Camper's Name:__________________________ Date:______________ Address:__________________________ City:______________ Zip:___________ Birthdate: ___/___/___ Sex:______ Home Phone: (____)_____ - _______ Mother's Name: ________________________ Cell Phone: (____) _____ - ________ Place of Employment: _______________________________________________________________ Work Phone: (_____) ______ - ___________ ex. __________ Father's Name: ____________________________ Cell Phone: (____) _____ - ________ Place of Employment: ____________________________________________________________ Work Phone: (_____) ______ - ___________ ex. __________ Please list any circumstances in the camper's life which the directors should be aware of. __________________________________________________________________ __________________________________________________________________ How did you first learn about Real Life Junior Day Camp? __________________________________________________________________ __________________________________________________________________ List anyone, other than a parent, to whome your child may be released: 1. _______________________________ Phone: (_____) ______ - __________ 2. _______________________________ Phone: (_____) ______ - __________ 3. _______________________________ Phone: (_____) ______ - __________ Parent Signature: ______________________________________________

REAL LIFE JUNIOR DAY CAMP REGEISTRATION FORM 2008 Camper's Name: ____________________________________________ To register your child please check each box they will be attending camp. Days which they will not be attending leave blank. Then click the "Calculate my Deposit" button. Your total deposit, including registration fee, for this child will appear in the box below. There is a deposit fee required of $5.00 per day. This deposit will be deducted from the total amount due for the week. To calculate your required deposit simply multiply the number of days your child will be attending by $5.00. The button below the calendar will calculate your deposit for you. Registration Fee (separate from the deposit) is $25.00 per child per summer. To register your child for camp the registration and deposit fees must be paid in full and returned witht his registration form. Make chekcs payable to: Real Life Nursery School 48670 Geddes Road Canton, MI 48188 **Registration Fees Are NON-Refundable** **Deposit Fees Are NON Refundable and NON Transferable After May 18, 2008** MINIMUN ENTOLLMENT IS 2 DAYS PER WEEK Week Monday Tuesday Wednesday Thursday Friday 6/16 - 6/20 6/23 - 6/27 6/30 - 7/2 CLOSED CLOSED 7/7 - 7/11 7/14 7/18 7/21 - 7/25 7/28 - 8/1 8/4 - 8/8 8/11 - 8/15 8/18 - 8/22 8/25 - 8/28 CLOSED