2010 Foxy's Summer Camp Registration Form
after filling it out please call Foxy's Member Services at 296-8000 to pay for the sessions
Session 1 May 24 - May 28 Session 7 July 5-9
Session 2 May 31 - June 4 Session 8 July 12 - 16
Session 3 June 7 - 11 Session 9 July 19 - 23
Session 4 June 14 - 18 Session 10 July 26 - 30
Session 5 June 21 - 25    
Session 6 June 28 - July 2    
Child's Name:
Age:
Payee's Name:

Full Week Rates: Members: $99 | Non-Members: $114
Daily Rates M W F/T TH: Members: $25/$35 | Non-Members: $29/$39 (Non Field Trip/Field Trip Days)
Sessions Paid Today:
Session #: Monday Tuesday Wednesday Thursday Friday Full Week
Session #: Monday Tuesday Wednesday Thursday Friday Full Week
Session #: Monday Tuesday Wednesday Thursday Friday Full Week
Session #: Monday Tuesday Wednesday Thursday Friday Full Week
2010 Foxy's Summer Camp Reservations:
This service is being offered to you in order to provide peace of mind at a nominal fee. In the past, our very popular Foxy's Kids Camp has quickly reached maximum capacity. We have had waiting lists and had to turn away children. We do not like to disappoint anyone. This year we are allowing parents to make advance, non-refundable reservations for weeks or the whole summer, without paying for them all at once. This will allow us to better staff our camp and to be prepared for your child. Of course, we allow you to pay for camp weeks in advance without this fee.
Session 1 May 24 - May 28 Session 7 July 5-9
Session 2 May 31 - June 4 Session 8 July 12 - 16
Session 3 June 7 - 11 Session 9 July 19 - 23
Session 4 June 14 - 18 Session 10 July 26 - 30
Session 5 June 21 - 25    
Session 6 June 28 - July 2    
Child's Name:
Payee's Name:
Reservation Fee: $10 per week per child. No other discounts, even if reservation is for less days. This fee is non-refundable.

Must be a registered camper.
Sessions Reserved Today:
Session #:   Full Week Monday Tuesday Wednesday Thursday Friday
Session #:   Full Week Monday Tuesday Wednesday Thursday Friday
Session #:   Full Week Monday Tuesday Wednesday Thursday Friday
Session #:   Full Week Monday Tuesday Wednesday Thursday Friday
Session #:   Full Week Monday Tuesday Wednesday Thursday Friday
Session #:   Full Week Monday Tuesday Wednesday Thursday Friday
2010 Foxy's Summer Camp Application
Child's Name: Address:
Age: City:
Date of Birth: State:
Home Phone: Zip:
Mailing address if different:
Mother's Name: Father's Name:
Cell Phone: Cell Phone:
Place of Employment: Place of Employment:
Work Phone: Work Phone:
In Case of Emergency, Contact: Phone:
Persons other than yourself that may pick up your child:
Does your child have any health conditions? If so, please explain:
Will your child be taking any medications regularly that will need to be administered daily by Foxy's Camp Staff? If so, explain.
( If yes, we will provide you with a medication administration log to complete on the first day of camp.):
Does your child have any allergies? If so, please list:
Please list some of your child's favorite summer activities:
Is there anything in particular that you would like us to know about your child?
Additional Comments?
CLICK HERE to read about our policies and procedures.  
I have read and understand the above information about Foxy's Kids Camp's Policies and Procedures.
CLICK HERE to read our Liability Release/Procedure Compliance Contract.
I have read and understand the above information about Foxy's Liability Release/Procedure Compliance Contract.
CLICK HERE to read our Reprimand Policy.  
I have read and understand the above information about Foxy's Kids Camp's Reprimand Policy.
CLICK HERE to read our policy on unused or lost days.  
I have read and understand the above information about Foxy's Kids Camp's policy on unused or lost days.
CLICK HERE to read our Parent Guardian Release Form.  
I have read and understand the above information about Foxy's Kids Camp's Parent Guardian Release Form.
 
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