Name of Child:

       Date of Birth:

Age:

       Sex: M F

Mailing Address:

     Province/ State:

City:

Postal/Zip Code: Country:

E-mail Address:

       Fax #:

Parents/ Guardians Name:

Emergency Contact:

Home Phone #:

Business Phone #:

Cell Phone #:

Home Phone #:

Business Phone #:

Cell Phone #:

Please indicate whether you wish to pay the $50.00 non-refundable registration fee or the entire cost of $275.00 plus 5% GST or $200 plus 5% GST for short weeks #1 & #5.

Pay the $50.00 registration fee only (remainder of balance is due no later than 30 days prior to selected session). 

Pay $275.00 plus  5% GST (the entire cost of one week of summer camp including registration fee is.

Pay $200.00 plus 5% GST  (The entire cost of One SHORT week - Camps #1 or #5.

Cheque in Mail: (Silver Lake Forest Education Society, Box 20023, Kelowna, BC, V1Y 9H2) Note: needs to be received 30 days prior the selected session.

To pay with Credit Card:   

 Type of Card:   

Card Number:    Exp.                             

Name on Card:

Please indicate your 1st, 2nd, and 3rd choice of camp dates below. Dates will be confirmed by Silver Lake.

2008 Summer Camp Sessions

Camp

Camp # Choices in Priority  (3 Dates Required)

Age

Date & Themes

1*

-- #1 #2 #3

7 - 12

*July 8 - 11                    Pirates

2

-- #1 #2 #3

 10 - 14

   July 13 - 18                Hawaiian

3

-- #1 #2 #3

 7 -10

 July 20 - 25                    Disco

4

-- #1 #2 #3

 8 - 12

  July 27 - Aug 1            Survivor

5 *

-- #1 #2 #3

 7 -12

 * Aug 5 - 8                Super Heroes

6

-- #1 #2 #3

 10-14

     Aug 10 -15       Haunted Halloween

7

-- #1 #2 #3

13-16

   Aug 17 - 20               Toga Party  (teen week)

SPRING BREAK CAMPs

8

9

-- Spring_camp_8

-- Spring_camp_9

7-16

7-16

March 16 - 20                      Myth

March 25 - 29                  Mexican

* (Please also Note that Camp Numbers 1 and 5 are only 3 nights and 4 day camps. The fee for these camps are $200.00 + 5%GST)

A $50.00 non-refundable registration fee is required and will be credited from your Visa/Master card account or mailed in cheque.

The balance of the fee is due no later than 30 days prior to the selected session. Overdue fees may result in cancellation of this application. This fee (less the registration fee) will only be refunded if cancelled 30 days before the selected session.

Consent: I (the parent/guardian) agree and give permission for my child to attend the Silver Lake Forest Education Society Camp. In attending this camp, I hereby agree that he/she will be subject to the camp rules and regulations.

Parent / Guardian Signature: ________________________________   

Print Name: ____________________________________________

(if payment is made online, parent/guardian signature will be requested at time of arrival to  camp on Sunday 2pm - 4pm)

Disclaimer: The Silver Lake Forest Education Society is not responsible for any non approved alterations to any web site documentation.