Registration Form 2008
Please fill out one form per camper.

New Family Returning Family
Parent / Guardian (1)

Name

Home Phone

Work Phone

Cell Phone

Email

Address

City

State

Zip
Parent / Guardian (2)

Name

Home Phone

Work Phone

Cell Phone

Email

Address

City

State

Zip

I first heard about Concord Academy Summer Camp from:
Friend Web Site Camp Fair Newspaper Internet Search
Other

Emergency Contact (other than parent/guardian)

Name

Relationship to Camper

Home Phone

Work Phone

Cell Phone

Camper

First Name

Last Name

Boy Girl

Nickname

Date of Birth

Entering Grade (Sept. '08)

T-Shirt Size

Child SM Child M Child L
Adult S Adult M Adult L Adult XL

Friendship Request(s)

Transportation

Names of people authorized to pick up my child(ren)

It is OK to share my name and phone number for carpooling purposes:

Yes No

During the camp season, staff members and/or professional photographers take photos for marketing purposes, which may include the child(ren) listed on this registration form. Parents/guardians may refuse any or all commercial use of these photos related to specific campers, provided that a written request is received by the camp director prior to the start of camp. Please include a current photograph of your child with the written request, so we can make certain their photo is not used for marketing purposes.

Week 1
June
23 - 27

Week 2
June 30 -
July 3*

Week 3
July
7 - 11
Week 4
July
14 - 18
Week 5
July
21 - 25
Week 6
July 28 -
August 1
Week 7
August
4 - 8
Week 8
August
11 - 15
Week 9
August
18 - 22
Kiddie Camp   $360   $310   $360   $360   $360   $360   $360   $360
Day Camp   $540   $465   $540   $540   $540   $540   $540   $540
Teen Adventure Camp
  $1400
  $1400
  $1400
  $1400
C.I.T.
  $880
Soccer Camp $540   $540
All Sports Camp   465-jr   $540
Basketball Camp and Clinic $540   $465
Girls Lacrosse
  $425
Boys Lacrosse   $425
MiNi LaXeRs   $130
Baseball Camp
  $540
Flag Football   $540
Tennis Camp   $550   $475   $550   $550   $550   $550   $550   $550
Golf Camp   $700   $700
Teen Wilderness Adventure   $900
Woodshop Camp   $540   $540
Art Camp   $540   $540
Dance Camp   $540   $465
Drama Camp
  $1100
Circus Arts
 1200
 1200
BIY - Soap Box Derby   $575   $575
BIY - Friendly Dragons   $500
BIY - Music Machines   $575
BIY - Money Making Machines   $575
BIY - Digital Graphic Design   $575
BIY - Computer Game Design   $575
* There will be no camp Friday, July 4, 2008. One week Camps have been pro-rated.
Transportation
Registration:
Please check desired Bus Route, indicate stop, and check: AM only, PM only, Round-Trip
Bus Route:
1
2
Stop:
Westford: Abbot School
Littleton: Shaker Lane School
Acton: Conant School
Concord: Thoreau School
Cambridge: Fitzgerald School
Arlington: Ottoson Middle School
Lexington: Lexington High School
AM Only PM Only Round Trip
One-Way (AM or PM): $60/week | Round-Trip: $100/week

Financial Aid - I would like to make a contribution of $ to the Concord Academy Summer Camp Scholarship Fund. Thank you!

Please send in a check for $50 per camper per week, plus all transportation fees, to:
Concord Academy Summer Camp
166 Main Street
Concord, MA 01742.

The balance is due and payable on or before May 1, 2008. Payment in full must accompany applications filed after May 1, 2008.

Registration Agreement: By clicking below, I certify that I have read, understand, and agree to all Registration and Cancellation/Change Policies.

I understand that the balance is due on or before May 1, 2008 and if balance is not paid, camper’s registration will be canceled.

I understand my child may not attend camp unless my child’s physician and I complete a Health Form prior to June 1, 2008.

I understand that the Camp Director has the right to dismiss a camper, when in their judgment the camper’s behavior interferes with the
safety or rights of others, the group, or the rules of conduct established by Concord Academy Summer Camp.

I give my son/daughter permission to engage in all Concord Academy Summer Camp programs, activities, and events,
including off-site trips by CA or commercial transportation. I understand there is NO CAMP on Friday, July 4, 2008. .


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166 Main Street, Concord MA, 01742 | Phone: (978) 402-2284 | camp@concordacademy.org