Camp Combe Fall 2007 - YMCA

Camp Combe YMCA Vacation Camp
Fall/Winter/Spring 2007-08 Registration Form
Child’s name: ____________________________________________________________
Address: _______________________________________________ Zip :__________
Birthdate: ____/____/_________ Sex: ___Male___Female Grade in Fall ‘07:_______
Parent/Guardian name:___________________________ Phone: ( )________________
Cell Phone: ( )__________________ Work Phone: ( )______________________
Camp Programs, Sessions, & Hours:
Camp program desired:
___Lego Robotics, Grades 3-6 (8AM-6PM*)
February 18th – February 22nd ($221/week)
*Please note: Campers are actively engaged in specialty programming—
Lego Robotics—between the hours of 9:00 a.m. and 3:00 p.m. allowing
for shorter day, if desired. Remaining time is filled with traditional
vacation camp activities.
___Basic camp, Grades K-6 (8 AM-6 PM):
Please circle the dates that you will need:
November 6 February 18 April 21
November 12 February 19 April 22
February 20 April 23
February 21 April 24
February 22 April 25
Fee:
# Days Needed_______ X $43 =___________
___Annual Membership Fee $40, Applicable to new families only.
continued on next page