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Camper's Enrollment Form

To enroll your child of age 8 through 16 at William Lawrence Camp for a 2019 summer session, please fill out the following form and then either mail a check to camp or make your deposit online. One form per child, please.

Payment Plans Available!

Page 1 of 4

Choose Session

In which session are you enrolling your child?(*)

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Choose a two week session(*)

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Choose a session(*)

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Parent or Guardian Information

First Name(*)
Please enter Parent or Guardian's First Name.

Last Name(*)
Please enter Parent or Guardian's Last Name.

e-mail(*)
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Cell Phone(*)
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Add'l Parent / Guardian First Name
Please type your full name.

Add'l Parent / Guardian Last Name
Please type your full name.

Camper Information

Camper's First Name(*)
Please enter the Camper's First Name.

Camper's Last Name(*)
Please enter the Camper's Last Name.

Birthday(*)
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Grade in Fall 2019(*)
Enter grade number 1 - 12

Street Address
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Address Line 2
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City
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State / Province / Region
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Zip / Postal Code
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Country
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Home Phone
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Comments
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Terms

I do not expect nor will I ask for a refund of any part of the tuition if this enrollment is cancelled or if the camper leaves camp before his session expires, except in case of illness incurred at camp. While my child is at camp, or engaged in any of its program activities or trips, I assume all responsibility for accident and agree to meet all expenses incurred for special medical, surgical, and nursing care in case of illness. I agree also to abide by the decisions of the nurse and/or director on activities to be participated in by my child. I also agree to let my child’s picture appear in camp promotional material. William Lawrence Camp accepts campers without regard to race, color, creed or national origin.

I will promptly send a check for the $500 non-refundable registration fee or make an online payment now, which will be credited toward tuition. This enrollment will be confirmed upon receipt of deposit and based upon availability. I agree to pay the tuition balance by April 1, 2018, or immediately if registering after April 1, 2018, or to call camp to arrange a payment plan. I am responsible for this bill, and I have read this application and agree to see that its terms are fully met.

Do you agree to these terms?(*)
You must agree to the terms before you can submit this enrollment.

Payment of Deposit

I will make a payment for the required deposit of $500. If paying online, we must pass along the credit card convenience fee which we are charged, so the charge to your card will be $511.55 USD

If you select 'I will pay online now.', clicking on the Submit button will take you to PayPal to complete your payment.

Deposit Paid by

Total if paying online
0.00 USD

How did you find us?(*)
Please tell us how you found us.

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