session2 june18-june22 - the YMCA of Delaware

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CAMP CHANGE FORM – ONE PER CAMPER
A change form is necessary for each child attending camp. Changes in your child’s camp schedule
must be made at least one week in advance and will depend on availability of openings. Your change
will be confirmed by the camp registrar, Gina Kapa, 478-9622, ext. 61 .
Camper’s Name:____________________________________________________________
Deposits are not refundable, but ARE transferable to another camp in 201 2 only.
Please make the following change to my child’s camp schedule:
CANCEL: Session # 1 2 3 4 5 6 7 8 9 1 0 11
Name of Camp cancelling________________________________________________________
(ex. Explorers, All Sports, Kinder Kapers, etc.)
Cancelling AM Care _____ Cancelling PM Care _____ Cancelling Bus _____
Camp Location: ____Hanby Outdoor Center ___Brandywine YMCA
Do you have a deposit to transfer? ___yes ___no
���������������������������������������������
Camper’s Name:_________________________________________________________
ADD: Session # 1 2 3 4 5 6 7 8 9 1 0 11
Name of Camp adding ______________________________________________________________
(ex. Explorers, All Sports, Kinder Kapers, etc.)
Adding AM Care YMCA_____ Camp Quoowant ______
Adding PM Care YMCA_____ Camp Quoowant ______
Adding Bus: Bus Number _________ Bus Stop _________
If you are not transferring a deposit or are adding an extra week, please include a
$60 - full day camp $30 -half day camp Check _____ Cash ______
Credit Card # _____________________________________________ Exp. date____________
Signature ________________________________________________ Date ________________
BRANDYWINE YMCA • Summer Day Camp 2012 • (302) 478-YMCA • www.ymcade.org