Registration 2024 – Camper Registration Camp Registration Form 2024Δ Child InfoChild's First NameChild's Last NameDate of BirthGender- Select -MaleFemaleT-shirt Size- Select -Youth XSYouth SYouth MYouth LYouth XLAdult SAdult MAdult LAdult XLAddress LineState- Select -ALAKAZARCACOCTDEDCFLGAGUHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAVIWAWVWIWYCityZip CodeParent/Guardian Contact InfoParent/Guardian #1 First NameParent/Guardian #1 Last NameEmailPhone/MobileParent/Guardian #2 First NameParent/Guardian #2 Last NameEmailPhone/MobileEmergency Contact Info – Alternate Pickup/ReleaseEmergency Contact First NameEmergency Contact Last NameRelation to ChildPhone/MobileMedical Release InfoName of Health Insurance ProviderPolicy NumberPlease list any medical problems, including any requiring maintenance medication (i.e. Diabetic, Asthma, Seizures). Is your child presently being treated for an injury or illness, or taking any form of medication?Is your child allergic to any type of food or medication? Please describe.Are all the immunizations up to date? Yes NoAny other important information we may need to know?If your child desires to be on the same team with a friend, please provide their names here. We can not guarantee assignments, but will consider these requests.Camp Sessions Info SESSIONS 2024Early Bird (Before Feb 1)Registration (After Feb 1)1 month prior June 16-21 / Скуби-ДуOvernight by Stillwatern/a$850+$100 June 24-28 / Скуби-Ду ДжуниорDay Camp in Eagann/a$350+$50 August 4-9 / Вокруг света за 6 дней Overnight by Stillwatern/a$850+$100 August 19-23 / Вокруг света Джуниор Day Camp in Bloomingtonn/a$350+$50 Registering for Overnight CampsOvernight Camps by Stillwater: June 16-21 / Скуби-Ду August 4-9 / Вокруг света за 6 днейJune camp: One-on-One Russian lesson, $25/lesson (Optional Extra) - Select -1 lesson x $25 = $252 lessons x $25 = $503 lessons x $25 = $754 lessons x $25 = $100Aug camp: One-on-One Russian lesson, $25/lesson (Optional Extra) - Select -1 lesson x $25 = $252 lessons x $25 = $503 lessons x $25 = $754 lessons x $25 = $100Registering for Day CampsDay camps: June 24-28 / Скуби-Ду Джуниор / in Eagan August 19-23 / Вокруг света Джуниор / in BloomingtonBefore/after care (Optional Extra) - Select -Before care only (check in at 7:30 am): $30/weekAfter care only (check-out at 5:30 pm): $30/weekBefore and after care combo: $50/weekLunch (Optional Extra) Lunch $50/weekPlease add all selected Extra amounts to the total amount you are paying.Cancellation Policy One month or more before the first day of camp: 85% of paid amount will be returned; one week to one month before the first day of camp: 50% of paid amount will be returned; less than one week before the first day of camp: 10% of paid amount will be returned. No refund will be issued for early departure due to camper’s violation of policy (inappropriate behavior, etc.) or for reasons of personal choice (i.e. homesickness). Electronic Signature: I have read the Cancellation Policy, fully understand it, and voluntarily agree with the Terms. I have read and agree to the Terms and Conditions.Please double check all the information before submittingSubmit Form
