Summer Camp Registration Form

Just to make life  little easier…. here is a summer camp registration form…. online, where it can’t get lost in a pile of papers.   We are so excited about camp… it will be a fun and enriching experience for all! Look forward to seeing you there…. Ms. Felsted

AMW Summer Camp Registration From

2708 N. 4th St. Suite E~1  Phone: 928-600_8702

Student’s Full Name: _______________________________________
Mailing Address:____________________________________________
City: _____________________ State: ____________
Zip/Postal Code:  _____________
Telephone: (______)__________ Fax: (______)____________
Email: ___________________________

PAYMENT METHOD for camp Fees
Camp the week of June 21 to 25
[]    $99.00 if paid by  June 14th
[]    $125 after June 14th

Camp the week of July 12th to 16th
[]    $99.00 if paid by  June 30th
[]    $125 after June 30th

Total:   $ ____________
[]    I will pay with a check
[]    I will pay with a cash
[]    I will pay through pay pal (please send me an invoice)

Indicate week you will be attending

[]    June 21 to 25
[]    July 12th to 16th
[]    both camps

Please list any  Special Needs: _____________________________________________________

Parent or Guardian signature______________________________ Date____________________