TEDDY BEAR CAMP

SUMMER 2012 REGISTRATION

June 11 - August 10 2012

Child's Name:____________________ Nickname:__________

 Sex: M___ F___ Date of Birth:___________

Name of Parents or Guardian:____________________________ ______

 Address:_______________________________________________

______________________________________________________

Phone (H) ___________________     (C) ______________________

Email Address:____________________________________________________________

School/grade child currently attending:_________________________Does your child have any Allergies, health concerns or Special Needs that we should be aware of?

_____________________________________________________

_____________________________________________________

How did you hear about us?

______________________________________________________


I wish to enroll my child in Teddy Bear Camp for the following weeks:

                                          1/2 Day $195              Full Day $245
                                            9 -12 noon                     9 - 2 p.m

Week 1: June 11       _______________            ______________

Week 2: June 18       _______________            ______________

Week 3: June 25       _______________            ______________

Week 4: July 2          _______________            ______________

Week 5:July 9           _______________            ______________

 Week 6:July 16        _______________            ______________

Week 7: July 23        _______________            ______________

Week 8:July 30         _______________            ______________

Week 9:Aug 6          _______________            ______________

 Number of weeks my child will attend_____ 

Aftercare until 5pm     _______      $125 weekly or $10 per hour drop in rate

A deposit of $75 per each week enrolled is required to secure your place. This deposit will be applied to tuition. Please make all Checks payable to Fiona Parnigoni and attach to registration.Total Deposit enclosed: $________

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 of $75 per week registered is required to secure your place. In order to keep all our campers safe Teddy Bear Camp will be PEANUT FREE.Early Bird and after care is available on a weekly or daily basis for an additional fee. Please direct any questions you may have to:

Fiona Lewsley Parnigoni & Anne McGrath

Director & Assistant Director

  202 352-6081 or emailinfo@teddybearcamp.com