Transcription of 2019 Application - Spring Lake Day Camp
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2019 Application - Spring Lake Day Camp
Mitchell & Michelle Kessler, Owners/Directors (973) 831-9000 fax: (973) Box 176 234 Conklintown Road Ringwood, New Jersey 07456 PARENT/GUARDIAN/FAMILY INFORMATIONPARENT/GUARDIAN #1: Full Name _____ Relationship to Camper _____Bus. Phone _____Cell Phone _____E-Mail _____Parent s Marital Status: q Single q Married q Remarried q Separated q Divorced q Widowed q Domestic PartnershipPARENT/GUARDIAN #2: Full Name _____ Relationship to Camper _____Bus. Phone _____Cell Phone _____E-Mail _____Parent s Marital Status: q Single q Married q Remarried q Separated q Divorced q Widowed q Domestic PartnershipThe camper lives with: (please be specific) _____q Additional mailing to go to: _____CAMPER NAMES1st Child _____ Grade (as of Sept.)
1. PAYMENT AND CANCELLATION: $500 deposit per Camper to accompany application by check, credit card or eCheck. 2nd tier deposit of $1,000 per Camper is due January 15th. Balance due by April 15th or as indicated on payment selection.
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