Camp Waluta Registration 2016

*Required Registration Fee

• One Child +$20.00
• Two or more children +$30.00
• I have already paid the one time registration fee

*Camper Name

*Date of Birth

*Age as of 07/5/16

*Gender

*Grade Entering in Fall 2016

*Does camper have any siblings enrolled at Camp?

Sibling Name

Sibling Date of Birth

Sibling Age as of 07/05/16

Sibling Gender

• None
• Male
• Female

Sibling Grade Entering in Fall 2016

*Parent(s) Name

*Address

*City

*State

*Zip Code

*Cell Phone

*Home Phone

*Work Phone

*Email Address

*Is your child(ren) currently enrolled in any other Camp Fire Programs?

• No
• Yes

*Please indicate if you need Pre-Camp, Post-Camp, Both or Neither

• Pre Camp (7:00am - 9:00am)
• Post Camp (4:00pm - 5:30pm)
• Both
• Neither

Waluta: Weekly Deposits (Please keep in mind, families must make a weekly deposit for each child they are registering)

• Week 1 (July 5 - July 8) *4 day week due to 4th of July holiday +$25.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$25.00
• Week 5 (August 1 - August 5) +$25.00
• Week 6 (August 8 - August 12) +$25.00
• Week 7 (August 15 - August 19) +$25.00
• Week 8 (August 22 - August 26) +$25.00
• WEEK 9 IS CLOSED

Waluta: Weekly Deposits (Sibling)

• Week 1 (July 5 - July 8) *4 day week due to the 4th of July holiday +$25.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$25.00
• Week 5 (August 1 - August 5) +$25.00
• Week 6 (August 8 - August 12) +$25.00
• Week 7 (August 15 - August 19) +$25.00
• Week 8 (August 22 - August 26) +$25.00
• WEEK 9 IS CLOSED

Waluta: Weekly Balances

• Week 1 (July 5 - July 8) *4 day week due to the 4th of July holiday +$103.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$135.00
• Week 5 (August 1 - August 5) +$135.00
• Week 6 (August 8 - August 12) +$135.00
• Week 7 (August 15 - August 19) +$135.00
• Week 8 (August 22 - August 26) +$135.00
• WEEK 9 IS CLOSED

Waluta: Sibling Balances (The sibling rate applies ONLY if you have 2 children enrolled in Waluta OR an older child in Camp Discovery, Adventure Camp or CIT. The sibling rate applies ONLY to the youngest child).

• Week 1 (July 5 - July 8) *4 day week due to the 4th of July holiday +$90.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$119.00
• Week 5 (August 1 - August 5) +$119.00
• Week 6 (August 8 - August 12) +$119.00
• Week 7 (August 15 - August 19) +$119.00
• Week 8 (August 22 - August 26) +$119.00
• WEEK 9 IS CLOSED

Waluta: Pre-Camp (7:00am-9:00am)

• Week 1 (July 5 - July 8) *4 day week due to the 4th of July holiday +$20.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$20.00
• Week 5 (August 1 - August 5) +$20.00
• Week 6 (August 8 - August 12) +$20.00
• Week 7 (August 15 - August 19) +$20.00
• Week 8 (August 22 - August 26) +$20.00
• WEEK 9 IS CLOSED

Waluta: Pre-Camp (Sibling)

• Week 1 (July 5 - July 8) *4 day week due to the 4th of July holiday +$20.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$20.00
• Week 5 (August 1 - August 5) +$20.00
• Week 6 (August 8 - August 12) +$20.00
• Week 7 (August 15 - August 19) +$20.00
• Week 8 (August 22 - August 26) +$20.00
• WEEK 9 IS CLOSED

Waluta: Post-Camp (4:00pm-5:30pm)

• Week 1 (July 5 - July 8) *4 day week due to the 4th of July holiday +$20.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$20.00
• Week 5 (August 1 - August 5) +$20.00
• Week 6 (August 8 - August 12) +$20.00
• Week 7 (August 15 - August 19) +$20.00
• Week 8 (August 22 - August 26) +$20.00
• WEEK 9 IS CLOSED

Waluta Post-Camp (Sibling)

• Week 1 (July 5 - July 8) *4 day week due to the 4th of July holiday +$20.00
• WEEK 2 IS CLOSED
• WEEK 3 IS CLOSED
• Week 4 (July 25 - July 29) +$20.00
• Week 5 (August 1 - August 5) +$20.00
• Week 6 (August 8 - August 12) +$20.00
• Week 7 (August 15 - August 19) +$20.00
• Week 8 (August 22 - August 26) +$20.00
• WEEK 9 IS CLOSED

* Required Fields