Huckleberry Summer Camp Application

	Parents/Guardians Name:
	Address:
	City:	State:	Zip:
	Telephones: Home:   Cell:   Work:  E-mail:
	Camper's Name(s):      Age(s):

Please indicate the weeks your child/children will attend and the number attending.
	Camp Week:	#:
	June 13 - 17
	June 20 - 24
	June 27 - July 1
	July 5 - 8 (closed the 4th)
	July 11 - 15
	July 18 - 22
	July 25 - 29
	August 1 - 5
	August 8 - 12
	August 15 - 19

We will need the weekly fee of $120 per camper on or before the Monday of each session attended. Full Summer campers will be given preference during registration. Registrations for part time campers will be confirmed by May 15.