Registration Form - Cary Academy

STUDENT NAME:
PAYMENT AND REGISTRATION FORMS
All payments for camp registrations are to be made in full at the time of registration.
Make checks payable to Cary Academy. The registration form and payment can be mailed to Cary Academy Summer Quest, 1500 North Harrison
Avenue, Cary, NC 27513. You may also drop off the form and payment at the reception desk in the Administration Building. If paying by credit card you
may fax this registration form to 919-677-8892. The fax machine is kept in a secure office within our Business Office. Upon receipt of full payment,
additional information about Summer Quest will be sent to you.
Online registration is available at www.caryacademy.org/summer. If you are registering online, please do not send in a
duplicate copy of the registration form. Registration will be accepted until five days prior to the start date of each camp.
TRANSFER POLICY
All transfer requests must be submitted in writing and may be sent to the Summer Quest office via e-mail, fax or mail.
After April 1, 2013, a transfer fee of $15 per camp will be charged to the customer.
REFUND POLICY
All refund requests must be submitted in writing and may be sent to the Summer Quest office via e-mail, fax or mail.
All summer programs require a minimum enrollment; you will be notified at least two weeks prior to the start date in the event a program must be
cancelled. Program fees are fully refundable when the program is cancelled by Cary Academy. Otherwise, program fees are refundable as follows:
• Cancellations received in writing on or before April 1, 2013 will be entitled to a full refund less a $25 cancellation fee per program.
• Cancellations received after April 1, 2013 will only be entitled to a refund (less the applicable cancellation fee per program) if the camper’s
spot can be filled.
SECTION 9:
PAYMENT INFORMATION
Check or Money Order (Please make check payable to Cary Academy.)
Cash (Received by Summer Quest Staff only; please do not send through mail)
Credit Card (Visa/Mastercard/Discover is accepted.)
Fax (Registration forms that have credit card information and are signed can be faxed to a secure office at 919-677-8892.
Credit card cannot be processed unless all information is filled out below.
Credit Card Number _______ Exp. Security Code (*3 digit number on back of card)
(Mo./Yr.)
Name as listed on card
I authorize Cary Academy to charge registration fees to my credit card account
(Cardholders Signature)
Date
SQ USE ONLY: PAYMENT FORM: CASH_____; CHECK ________; CHECK #_____; CREDIT CARD: MC___ VISA___ DISCOVER___