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 14 - 18
	June 21 - 25
	June 28 - July 1 (closed the 2nd)
	July 5 - 9
	July 12 - 16
	July 19 - 23
	July 26 - 30
	August 2 - 6
	August 9 - 13
	August 16 - 20

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.