Payment by check or money order payable to Brewster Day Camp

I understand that my child's enrollment is on hold until my proper payment is received by the BDC Office. Half payment plus the Enrollment Fee is required to secure my child's space at camp and full payment is due by May 1, 2010.

Please send checks or money orders to:
Brewster Day Camp
PO BOX 5628
Providence, RI 02903 Please write camper(s) name on the memo line of all checks.

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, 2010. 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 beno 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 enrollment fee. The undersigned has read and agrees to 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, 2010, 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.

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.

* I agree