SUMMERTYME CAMPS
CAMPER ENROLLMENT APPLICATION
2009 SEASON

Please enroll my child for the following week(s) of camp:
Leaders-In-Training is open to students entering grades 10-12 (in the fall of 2009).  All other camps are open to students entering grades 6-9 (in the fall of 2009).

Leaders-In-Training (June 21-26 & one other camp week)

Theatre Camp (June 21-26)                    Creative Writing Camp (June 21-26)                    Camp PraiseTYME (July 5-10)

Young Catholic Stewards (July 5-10)     Dance Camp for Girls (July 12-17)                        Art Camp (July 19-24)

Soccer Camp (July 26-31)                      Camp Brainbusters (August 2-7)


CAMPER INFORMATION

Camper's Name:   Nickname:   Gender: Male Female

Home Address:   City:   State:   Zip Code:

School (current):   Grade (current):   Birthdate:  

PARENT/GUARDIAN INFORMATION

Father's Name:   Mother's Name:

Father's Home Phone:   Mother's Home Phone:

Father's Work or Cell Phone:   Mother's Work or Cell Phone:

Father's Email Address:   Mother's Email Address:

How did you hear about us: (please be as specific as possible)  

PAYMENT INFORMATION

The total cost of camp is $425.00 ($735.00 for Leaders-In-Training Camp). We do require a non-refundable $50.00 deposit for all camps.
Our online enrollment form is not set up to take payment online, so please click ALL of the following that apply:

We will send check or money order to TYME OUT Youth Center

We would like to be contacted by Camp Director to pay via credit card

We would like to be billed by TYME OUT, and will pay when invoice is received

We would like to apply for Financial Assistance

FINANCIAL ASSISTANCE

If you are not applying for Financial Assistance, move to Terms of Agreement. If you are asking for Financial Assistance, please select the category that best fits your situation. The Camp Director or a designee, based on a confidential review of this financial assistance request, will determine financial assistance eligibility and you will be notified.

If your child qualifies for FREE hot lunch, you are eligible for full fee assistance. You would pay the $50.00 deposit and whatever more you can afford. The remaining cost of camp is covered by TYME OUT's campership funds.
If your child qualifies for REDUCED hot lunch, you are eligible for partial fee assistance. You would pay the $50.00 deposit and at least $100.00 toward the full cost of camp.
If your child does not qualify for hot lunch, but your family is experiencing financial difficulty at this time, you may be eligible for fee assistance depending on the circumstances described below. We ask that you pay the $50 deposit and whatever you can afford toward the full cost of camp.

Special Circumstances


TERMS OF AGREEMENT

By submitting this application, you are reserving a spot for your child to attend at least one week week of the SummerTYME Camps program at the TYME OUT Youth Center. All applications are accepted and reviewed on a first-come, first-serve basis per each camp week. In the event that camp enrollment is full, your child will be put on a waiting list and your deposit (and/or payment) will be held. Waiting list deposits (and/or payment) are refunded in full at any time if we are unable to confirm enrollment or at the request of the parents or legal guardians.

I declare that the information supplied herein, to the best of my knowledge and belief, are true and correct. If requested to do so, I can or have provided substantiation of all facts. I agree to inform TYME OUT of any changes.

Please click the submit button once. You will be contacted by a Camp Administrator shortly to let you know that your form has been received.