CAMP REGISTRATION

ONLINE REGISTRATION FORM
2010 SUMMER CAMP

SAFE AND SECURE!

Please provide the following information to start your online registration of your child(ren) in our award winning Gerstung Summer Camp.

Please note, we will not charge your card until we verify that the correct tuition was chosen. If there are any problems with your registration we will contact you, if not you can expect to see your tuition charged within 1-3 business days.

PLEASE PROVIDE CONTACT INFORMATION:

Complete Name of Parent or Guardian: (Required)

Street: (Required)

Apt/Suite:

City: (Required)

State: (Required)

Zip Code: (Required)

Home Phone: (Required)

E-mail:

Mother Work Number (plus extension if any):

Mother Pager/Cell:

Father Work Number (plus extension if any):

Father Pager/Cell:

EMERGENCY CONTACT
Complete Name:

Phone Number:

PROGRAM SELECTION and TUITION:

CHILD A

Complete Name:

Birth Date:

TUITION OPTION 1:
CAMP DEPOSIT ($100 per week/per child)
If you wish to just make a camp deposit at this point please choose the weeks Child A would like to reserve and enter program session code (use Program Overview chart). This depost is NON-REFUNDABLE and final tuition balance is due to us by June 1, 2010.

PRE CAMP 6/14 - 6/18	SESSION A		SESSION B		SESSION C		SESSION D		POST CAMP 8/16-8/20
PRE CAMP 6/14 - 6/18	WK 2 6/21 - 6/25	WK 3 6/28 - 7/2	WK 4 7/5 - 7/9	WK 5 7/12 - 7/16	WK 6 7/19 - 7/23	WK 7 7/26 - 7/30	WK 8 8/2 - 8/6	WK 9 8/9 - 8/13	POST CAMP 8/16-8/20
$100	$100	$100	$100	$100	$100	$100	$100	$100	$100
	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:

TUITION OPTION 2:
FULL TUITION PAYMENT
If you wish to make a complete payment for camp please choose the weeks Child A would like to reserve, enter program session code (use Program Overview chart), let us know before/after care options (AM=$50, PM=$50, BOTH=$80) and then use the tuition chart to match total weeks attending with your tuition.

PRE CAMP 6/14 - 6/18	SESSION A		SESSION B		SESSION C		SESSION D		POST CAMP 8/16-8/20
PRE CAMP 6/14 - 6/18	WK 2 6/21 - 6/25	WK 3 6/28 - 7/2	WK 4 7/5 - 7/9	WK 5 7/12 - 7/16	WK 6 7/19 - 7/23	WK 7 7/26 - 7/30	WK 8 8/2 - 8/6	WK 9 8/9 - 8/13	POST CAMP 8/16-8/20

	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:
AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE

	1 WEEK	2 WEEKS	3 WEEKS	4 WEEKS	5 WEEKS	6 WEEKS	7 WEEKS	8 WEEKS	9 WEEKS	10 WEEKS
FULL DAY 9:30-4:00 ANY PROGRAM MIX	$380	$760	$1110	$1440	$1750	$2040	$2310	$2560	$2790	$3000
HALF DAY 9:30-1:00 MINI MIGHTS ONLY	$240	$480	$690	$880	$1050	$1200	$1330	$1440
THE APPRENTICES (Per 4 week program)	$680				$1360

CHILD B

Complete Name:

Birth Date:

TUITION OPTION 1:
CAMP DEPOSIT ($100 per week/per child)
If you wish to just make a camp deposit at this point please choose the weeks Child B would like to reserve and enter program session code (use Program Overview chart). This depost is NON-REFUNDABLE and final tuition balance is due to us by June 1, 2010.

PRE CAMP 6/14 - 6/18	SESSION A		SESSION B		SESSION C		SESSION D		POST CAMP 8/16-8/20
PRE CAMP 6/14 - 6/18	WK 2 6/21 - 6/25	WK 3 6/28 - 7/2	WK 4 7/5 - 7/9	WK 5 7/12 - 7/16	WK 6 7/19 - 7/23	WK 7 7/26 - 7/30	WK 8 8/2 - 8/6	WK 9 8/9 - 8/13	POST CAMP 8/16-8/20
$100	$100	$100	$100	$100	$100	$100	$100	$100	$100
	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:

TUITION OPTION 2:
FULL TUITION PAYMENT
If you wish to make a complete payment for camp please choose the weeks Child B would like to reserve, enter program session code (use Program Overview chart), let us know before/after care options (AM=$50, PM=$50, BOTH=$80) and then use the tuition chart to match total weeks attending with your tuition. Child B receives a sibling discount of $100/per week full day programs, $50/per week half day programs and discount can't be used toward the Apprentices program.

PRE CAMP 6/14 - 6/18	SESSION A		SESSION B		SESSION C		SESSION D		POST CAMP 8/16-8/20
PRE CAMP 6/14 - 6/18	WK 2 6/21 - 6/25	WK 3 6/28 - 7/2	WK 4 7/5 - 7/9	WK 5 7/12 - 7/16	WK 6 7/19 - 7/23	WK 7 7/26 - 7/30	WK 8 8/2 - 8/6	WK 9 8/9 - 8/13	POST CAMP 8/16-8/20

	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:
AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE

	1 WEEK	2 WEEKS	3 WEEKS	4 WEEKS	5 WEEKS	6 WEEKS	7 WEEKS	8 WEEKS	9 WEEKS	10 WEEKS
FULL DAY 9:30-4:00 ANY PROGRAM MIX	$280	$560	$810	$1040	$1250	$1440	$1610	$1760	$1890	$2000
HALF DAY 9:30-1:00 MINI MIGHTS ONLY	$190	$380	$540	$680	$800	$900	$980	$1040
THE APPRENTICES (Per 4 week program)	$680				$1360

CHILD C

Complete Name:

Birth Date:

TUITION OPTION 1:
CAMP DEPOSIT ($100 per week/per child)
If you wish to just make a camp deposit at this point please choose the weeks Child C would like to reserve and enter program session code (use Program Overview chart). This depost is NON-REFUNDABLE and final tuition balance is due to us by June 1, 2010.

PRE CAMP 6/14 - 6/18	SESSION A		SESSION B		SESSION C		SESSION D		POST CAMP 8/16-8/20
PRE CAMP 6/14 - 6/18	WK 2 6/21 - 6/25	WK 3 6/28 - 7/2	WK 4 7/5 - 7/9	WK 5 7/12 - 7/16	WK 6 7/19 - 7/23	WK 7 7/26 - 7/30	WK 8 8/2 - 8/6	WK 9 8/9 - 8/13	POST CAMP 8/16-8/20
$100	$100	$100	$100	$100	$100	$100	$100	$100	$100
	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:

TUITION OPTION 2:
FULL TUITION PAYMENT
If you wish to make a complete payment for camp please choose the weeks Child C would like to reserve, enter program session code (use Program Overview chart), let us know before/after care options (AM=$50, PM=$50, BOTH=$80) and then use the tuition chart to match total weeks attending with your tuition. Child C receives a sibling discount of $100/per week full day programs, $50/per week half day programs and discount can't be used toward the Apprentices program.

PRE CAMP 6/14 - 6/18	SESSION A		SESSION B		SESSION C		SESSION D		POST CAMP 8/16-8/20
PRE CAMP 6/14 - 6/18	WK 2 6/21 - 6/25	WK 3 6/28 - 7/2	WK 4 7/5 - 7/9	WK 5 7/12 - 7/16	WK 6 7/19 - 7/23	WK 7 7/26 - 7/30	WK 8 8/2 - 8/6	WK 9 8/9 - 8/13	POST CAMP 8/16-8/20

	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:	CODE:
AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE	AM PM BOTH NONE

	1 WEEK	2 WEEKS	3 WEEKS	4 WEEKS	5 WEEKS	6 WEEKS	7 WEEKS	8 WEEKS	9 WEEKS	10 WEEKS
FULL DAY 9:30-4:00 ANY PROGRAM MIX	$280	$560	$810	$1040	$1250	$1440	$1610	$1760	$1890	$2000
HALF DAY 9:30-1:00 MINI MIGHTS ONLY	$190	$380	$540	$680	$800	$900	$980	$1040
THE APPRENTICES (Per 4 week program)	$680				$1360

Next page will ask for your payment information and verify your total ....

SPRING CLASSES

SUMMER CAMP

EVENTS

SPRING CLASSES 16-WEEK CLASSES Movement Education Gymnastics Dance Kid's Fitness Adult Classes

SUMMER CAMP

EVENTS

SPRING CLASSES