In accordance with the Children's Online Privacy Protection Act
a person must by 13 years of age or older to complete and submit
this form.
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| You are welcome to complete the Optional Sales and Payment Worksheet or leave the calculating of your bill to our offices. you will receive a statement listing all charges and payments applied to this account. Questions regarding enrollment or billing should be directed to Amy Kinney, BDC's Associate Director at amy@brewsterdaycamp.com or 508-896-6555 x23. |
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I calculate this Account Balance to be $ |
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I authorize the Brewster Day Camp Office to calculate this Account Balance. Upon receipt of my account statement, I will review all charges and payments for accuracy. |
| Camper Name:
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| Paying Adult:
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| Please note that this Online Enrollment will not be processed until proper payment is received. |
Pay by check |
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Pay by credit card |
Please send checks or money orders payable to Brewster Day Camp:
Brewster Day Camp
3570 Main St.
Brewster, MA 02631
Please write camper(s) name on the memo line of all checks.
We are happy to accept VISA, MASTERCARD & AMERICAN EXPRESS cards, however, in order to maintain security and prevent identity theft, we are no longer accepting credit card information online.
To pay with a credit card, please call Brewster Day Camp/Family School at 508-896-6555 during normal business hours, Monday through Friday, 9am to 4pm. Thank you for your cooperation. |
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My child,
* has my permission to go on all field trips sponsored by Brewster Day Camp. In the event of sickness or accident, when parents or guardian can not be readily contacted, I authorize the calling of a physician, transporting of my child, and/or the providing of other necessary medical services including emergency transportation at my expense. A qualified staff person may administer first aid to my child. I give the Registered Camp Nurse my permission to administer Tylenol to my child if the nurse deems it necessary. The Emergency Names listed on this form may be contacted to support my child or take him/her from camp as noted above. I will have an updated copy of my child’s health records on file at camp prior to or by June 1, 2008. I give permission to Brewster Day Camp to use photographs taken of my child solely for promotional purposes. I give Brewster Day Camp permission to publish my family name, telephone number, and address in a camp directory for use only by camp families and staff.
My son/daughter/ward is enthusiastic and prepared to participate in all Brewster Day Camp programs. Furthermore, the undersigned agree that should the applicant’s conduct, at the sole discretion of Brewster Day Camp, be in violation of the rules or otherwise detrimental to the maintenance of standards or to the successful operation of a Brewster Day Camp program, the applicant may be removed from the program, either for a part of a day, for a day, or several days, or for the remainder of the camp season, in which event there will be no refund of the tuition fee.
The undersigned agree to pay the tuition, fees, and other charges incurred by the camper as set forth on this Enrollment Form and to pay the camp’s costs and expenses of collection and attorney’s fees if this account is placed for collection. The failure to pay tuition will render the camper ineligible to attend Camp or its functions. The undersigned has enclosed a non-refundable processing fee. The undersigned has read the “Tuition and Payment Policies” as described in the accompanying materials.
I understand that in the event of the withdrawal, dismissal, or absence of the camper after May 1, 2008, no portion of the tuition fee will be refunded, waived, or exchanged by the Families Schools Inc. and/or Brewster Day Camp. There will also be no refund to families or guardians whose camper is withdrawn or is dismissed during the camp season. I understand that all outstanding balances will automatically be charged to my credit card.
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I have read and agree to all the terms of “Agreement” as well as the description of the program as stated in the promotional materials. No employee or agent of the camp has the authority to modify or supplement the Agreement.
Please Note: A drop or change made to the above schedule before May 1, 2008 is free for the first change. A $50.00 fee will be applied to each reduction or change of schedule thereafter. Simply adding time or EXTRAS to the above schedule will not incur a change fee.
AFTER MAY 1, 2008, NO REFUNDS OR SCHEDULE CHANGES WILL BE GRANTED FOR ANY REASON. |
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I agree
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