Summer Day Camp 2009

Summer Day Camp Dates

June 11th (7:00 PM) or June 13th (10:00 AM)
Mandatory Parent Orientation Meeting

June 15th
First Day of Day Camp

Summer Day Camp Cost

1. Registration Fee (non-refundable) - $35.00 per individual or $50.00 per family
2. Weekly Tuition - $75.00 per individual

Costs include: 2 Nutritious Meals/day, Supplies and 1 T-Shirt.

For more information call Chris Clemons at 713.524.6578 or by email: cclemons@goodhope.org.

Participant(s) Information

First Name

Last Name

Sex

Grade

T-Shirt Size

* Participant

Youth #1

First Name

Last Name

Sex

Grade

T-Shirt Size

Participant

Youth #2

First Name

Last Name

Sex

Grade

T-Shirt Size

Particpant

Youth #3

* List School(s) and School District(s)

* Registration Fees

Individual Participant (single youth) -$35.00

Family Participants - $50.00

* Total Fees for all Participants (Reminder: Do not forget to include the registration fees in the total cost)

Household / Adult Primary Contact

* Relationship to Participants:

Mother

Father

Guardian

Other

* First Name

* Last Name

* Address 1

Address 2

* City

* State

* Zip

* Phone

Cell/Alternate Phone

* Email Address

* Indicates Response Required