Richmond Hill Country Club Day Camps - Online Camp Enrolment Form

2008 Application for Day Camp Enrolment

* denotes necessary field

Parent Information

Salutation:

Family Name :

Home Address :

City:

Postal Code :

Home Tel :

Father's Name:

Father's Cell:

Father's Business Tel:

Mother's Name:

Mother's Cell:

Mother's Business Tel:

Secondary Contact if parents cannot be reached

Name:

Tel:

Doctor's Name:

Doctor's Tel:

Camper #1 Information

First Name :

Family Name :

Sex :

Date of Birth (MM/DD/YYYY) :

Health Card # :

Camp Attended in 2007 :

Friends Preferred as Group Mates :

(2 people only)

Camp Choice :

Lunch Program:
Yes No

Busing Program:
Yes No

Extended Hours:
Yes No

Date Attending:

Dates:

(If you selected one week or two week program)

Camper #2 Information

First Name :

Family Name :

Sex :

Date of Birth (MM/DD/YYYY) :

Health Card # :

Camp Attended in 2007 :

Friends Preferred as Group Mates :

(2 people only)

Camp Choice :

Lunch Program:
Yes No

Busing Program:
Yes No

Extended Hours:
Yes No

Date Attending:

Dates:

(If you selected one week or two week program)

Camper #3 Information

First Name :

Family Name :

Sex :

Date of Birth (MM/DD/YYYY) :

Health Card # :

Camp Attended in 2007 :

Friends Preferred as Group Mates :

(2 people only)

Camp Choice :

Lunch Program:
Yes No

Busing Program:
Yes No

Extended Hours:
Yes No

Date Attending:

Dates:

(If you selected one week or two week program)

Calculation of fees, deposits and discounts

Camp Fees:

Less Discount for RHCC member

(enter member #)

Less 10% discount

(if registering more than 1 child)

Lunch

(add $45.00 per week, per camper)

Transportation

(add $65.00 per week, per camper)

Extended Hours

(add $42.00 per week, per camper)

Total

Less deposit of $340 per child

Balance due May 1, 2008

Payment Information

Credit Card #:

Expiry Date:

Complete Your Registration

Terms and Conditions:
I/we agree to allow my/our child(ren) to participate in all camp activities and in supervised trips to places not on camp property. I/we hereby apply for registration for the herein named child(ren) for the camping services indicated on this application. (a) To give camp officials authority to act on my behalf. (b) To release and indemnify R.H.C.C Holdings Ltd. and its staff from any and all claims for damages arising as a result of any injury, accident or otherwise sustained by the herein child(ren) arising from participation in any camp activities. I/we consent to the use of the camper's likeness for publicity purposes. I/we have read the refund policy. Cancellation and Refund Policy Your deposit and any post dated payments are refundable (less a service charge of $175 per child), provided written notice is received prior to April 30, 2008. After that date there will be no refunds of fees. Fees cannot be refunded for days missed unless consecutive weeks occur. A refund of 50% of the unused fees will be made upon written request including a doctor's certificate. Refunds will be issues in September 2008. Refunds of food or busing will be given as a credit for any youth or camp programmes. No other refunds are possible. This policy will be strictly adhered to.

I Agree to the Terms and Conditions Listed Above

Door to door bus service is available to campers.

more info

The optional lunch program consists of hot and cold lunches, snacks and a drink.

more info

Copyright © 2008 Richmond Hill Day Camps, All rights reserved
Address: 8905 Bathurst Street, Richmond Hill Ontario, Canada, L4C OH4
Tel:905-731-2800, Fax: 905-731-7283

Website Design & Search Engine Marketing by Joyvill Inc.

Parent Information
Salutation:
Family Name :
Home Address :
City:
Postal Code :
Home Tel :

Father's Name:
Father's Cell:
Father's Business Tel:

Mother's Name:
Mother's Cell:
Mother's Business Tel:

Secondary Contact if parents cannot be reached
Name:
Tel:
Doctor's Name:
Doctor's Tel:

Camper #1 Information
First Name :
Family Name :
Sex :
Date of Birth (MM/DD/YYYY) :
Health Card # :
Camp Attended in 2007 :
Friends Preferred as Group Mates :	(2 people only)
Camp Choice :
Lunch Program:	Yes No
Busing Program:	Yes No
Extended Hours:	Yes No
Date Attending:
Dates:	(If you selected one week or two week program)

Camper #2 Information
First Name :
Family Name :
Sex :
Date of Birth (MM/DD/YYYY) :
Health Card # :
Camp Attended in 2007 :
Friends Preferred as Group Mates :	(2 people only)
Camp Choice :
Lunch Program:	Yes No
Busing Program:	Yes No
Extended Hours:	Yes No
Date Attending:
Dates:	(If you selected one week or two week program)

Camper #3 Information
First Name :
Family Name :
Sex :
Date of Birth (MM/DD/YYYY) :
Health Card # :
Camp Attended in 2007 :
Friends Preferred as Group Mates :	(2 people only)
Camp Choice :
Lunch Program:	Yes No
Busing Program:	Yes No
Extended Hours:	Yes No
Date Attending:
Dates:	(If you selected one week or two week program)


Calculation of fees, deposits and discounts
Camp Fees:
Less Discount for RHCC member	(enter member #)
Less 10% discount	(if registering more than 1 child)
Lunch	(add $45.00 per week, per camper)
Transportation	(add $65.00 per week, per camper)
Extended Hours	(add $42.00 per week, per camper)
Total
Less deposit of $340 per child
Balance due May 1, 2008


Payment Information
Credit Card #:
Expiry Date:

Complete Your Registration
Terms and Conditions:	I/we agree to allow my/our child(ren) to participate in all camp activities and in supervised trips to places not on camp property. I/we hereby apply for registration for the herein named child(ren) for the camping services indicated on this application. (a) To give camp officials authority to act on my behalf. (b) To release and indemnify R.H.C.C Holdings Ltd. and its staff from any and all claims for damages arising as a result of any injury, accident or otherwise sustained by the herein child(ren) arising from participation in any camp activities. I/we consent to the use of the camper's likeness for publicity purposes. I/we have read the refund policy. Cancellation and Refund Policy Your deposit and any post dated payments are refundable (less a service charge of $175 per child), provided written notice is received prior to April 30, 2008. After that date there will be no refunds of fees. Fees cannot be refunded for days missed unless consecutive weeks occur. A refund of 50% of the unused fees will be made upon written request including a doctor's certificate. Refunds will be issues in September 2008. Refunds of food or busing will be given as a credit for any youth or camp programmes. No other refunds are possible. This policy will be strictly adhered to.
	I Agree to the Terms and Conditions Listed Above