Day Camp Registration for Delaware Valley College in Doylestown, PA (Bucks County). Future Stars Day Camps and Program for children 4-13

2010 Day Camp at Delaware Valley College

Please fill out the form completely. You will receive verification for your child(s) reservation
within 2 weeks of submission. Any questions or problems, feel free to call us at (215)674-0494 or email us.

Camper's Name:
Address:
City:	State: Zip:
Email:
Home Phone:
Grade in Sept. '10:
Sex:	Date of Birth:
School:	City:
Parent #1 Name:	Work#:
Parent #2 Name:	Work#:

CAMP DATES

How did you hear about Our camp?
Notes:

WEEKLY CAMP RATES

Paid by 6/1/2010	Paid After 6/1/2010
$295	$305

3-Day Camper Discount - $60 off the weekly rate

ALL camp payments (new enrollments, present camper additional weeks and balance dues) received after June 1, 2010 are billed at $305.00 per week.

**Deposit payments are applied to the tuition and the remaining balance is due 5/31/2010.

Please Charge My:	VISA MasterCard AMEX
Please Charge	Full Amount $50 Deposit per week
Name on Card:
Account#	Expiration Date:


Agree	I Agree To the Terms and Conditions of Futurestarscamps' camps and refund policy

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Delaware Valley Application

2010 Day Camp at Delaware Valley College

Day Camps

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