Day Camps registration for LaSalle High School - Wyndmoor, PA - Future Stars Camps, leading camp provider in PA

2010 Day Camp at LaSalle College High School

Please fill out the form completely. You will receive verification for your child(s) reservation
within 2 weeks of submission. Any questions or problems, feel free to call us at (215)674-0494 or email us.

Camper's Name:
Address:
City:	State: Zip:
Email:
Home Phone:
Grade in Sept. 2011:
Sex:	Date of Birth:
School:	City:
Parent 1 Name:	Work#:
Parent 2 Name:	Work#:

CAMP DATES

*July 5-8 is pro-rated for camp closure Monday July 4

How did you hear about Our camp?
Notes:

WEEKLY CAMP RATES

Deposit by 12/1/2010	Deposit by 3/1/2011	Paid by 6/1/2011
$235	$285	$305

3-Day Camper Discount - $60 off the weekly rate

ALL camp payments (new enrollments, present camper additional weeks and balance dues) received after June 1, 2011 are billed at $315.00 per week.

**Deposit payments are applied to the tuition and the remaining balance is due 5/31/2011.

Please Charge My:	VISA MasterCard AMEX
Please Charge	Full Amount $50 Deposit per week
Name on Card:
Account#	Expiration Date:


Agree	I Agree To the Terms and Conditions of Futurestarscamps' camps and refund policy

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LaSalle High School Camps

2010 Day Camp at LaSalle College High School

Day Camps

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