Thank you! Your information has been submitted successfully. You will receive a confirmation/schedule letter in the mail within 5-7 business days. Thank you and we will see you soon on the pink carpet!
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Please fill out form, hit send then mail in check or pay by credit card to secure your spot!
City, State, Zip
Emergency Name & Contact #
Parent's Signature (Electronic) I agree to terms & release
Mail check to: 19 Deloaks Dr. Madisonville, LA 70447
I filled out my address above. Please send me a Brochure with more information. You can pick up one at 5200 Hyw.22 Suite 4.
As a Jr. & Sr. counselor I can lead at the following session(s) list 1 or 2
CLASS & CRAFTS CAMP! JULY 24-28 $170.00
CIT Counselor 3+ yrs. 5th (camp fee)
Jr. Couns. 3 + yrs. 6th -8th Lead. WS (Camp fee)
Sr. Counselor 3+ yrs & Jr. Coun. exper. 9th & up
Credit Card # Payment by CC must be in full!
ATTENTION Registration- best if using a computer, if submitting by smart phone it will go through but may not give you a confirmation message!
Summer CAMP Payment
CLASS & CRAFTS $170.00 time 9-2:00 pay infull CC
Trad Camp paid in full Credit Card $210.00 -0 bal.
Trad. Camp mailed deposit $110.00 Balance 100.00
Trad. + Before/after Care $250.00 pd in full
Trad. + Before /After Care pd. $125.00 bal $125.00
Trad. + Lunch Program $260.00 pd in full
Trad. + Lunch Prog. pd $130.00 Bal $130.00
Trad. ++ B/A Care + Lunch $299.00pd in full
Trad. ++ B/A Care + Lunch pd $150.00 bal $150.00
Jr. Couns. 6th grade $210.00 includes Lead WS
Jr. Coun. 7th & 8th Lead. WS $75.00
Sr. Counselor 9th & up leadership WS $75
Contact Us at
Note: If it appears your form is "Thinking" and has not gone through ...It has been submitted and no need to do it again! You will receive a confirmation letter in the mail ASAP! THANK YOU!
TO MAIL REGISTRATION:
19 Deloaks Dr.
Madisonville , LA 70447