TEDDY BEAR SUMMER CAMP
2010 REGISTRATION
(Download the registration form here)
Child's Name:____________________ Nickname:__________
Sex: M___ F___ Date of Birth:___________
Name of Parents or Guardian:____________________________
Address:_______________________________________________
Email Address:__________________________________________
School/grade child currently attending:_________________________
Does your child have any allergies, special needs or health concerns?
_____________________________________________________
_____________________________________________________
How did you hear about us?
______________________________________________________
I wish to enroll my child in Teddy Bear Camp for the following weeks:
1/2 Day $175 Full Day $220
9 -12 noon 9 - 2 p.m
Week 1: June 9 - 11 ** 3 days $105_________ $135_____
Week 2: June 14 - 18 ____________ ____________
Week 3: June 21- 25 ___________ ____________
Week 4: June 28 - July 2 ____________ ____________
Week 5: July 5- 9 ____________ ___________
Week 6: July 12 - 16 ____________ ___________
Week 7: July 19 - 23 _____________ ___________
Week 8: July 26 - 30 ___________ ___________
Week 9: Aug 2 - 6 ____________ ___________
Week 10:Aug 9 - 13 ___________ ___________
Total number of weeks my child will attend_____ . Full tuition is due at this time. Please make checks payable to Fiona Parnigoni Registration Forms can be mailed to:
Teddy Bear Camp
P.O. Box 7165, 2200 N George Mason Dr.Arlington VA 22207
Please remember that spaces are limited and a deposit is required to secure your place. Full camp details will be sent out the week of May 4th. In order to keep all our campers safe Teddy Bear Camp will be PEANUT FREE. Please direct any questions you may have to:
Fiona Parnigoni
Camp Director
703 243-7712 / 202 352-6081
Download your registration form here