CONTACT: SARAH BROWN 2220 CAMPBELLTON RD. SW ATLANTA, GA 30311 404-523-9622 CAPS ACCEPTED INCOME VERIFICATION REQUIRED PAY 1ST WEEK ONLY $60.00! NO REGISTRATION FEE FOR PRIME TIME PARTICIPANTS! FIRST DAY OF CAMP MAY 27, 2015
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CONTACT: SARAH BROWN
2220 CAMPBELLTON RD. SW ATLANTA, GA 30311
404-523-9622
CAPS ACCEPTED
INCOME VERIFICATION REQUIRED
PAY 1ST WEEK ONLY $60.00!
NO REGISTRATION FEE FOR PRIME TIME
PARTICIPANTS!
FIRST DAY OF CAMP MAY 27, 2015
APRIL 6 –10, 2015 7:00AM - 6:30PM
CONTACT: SARAH BROWN 2220 CAMPBELLTON RD. SW
ATLANTA, GA 30311 404-523-9622
CAPS ACCEPTED
15 REGISTERED CAMPERS
REQUIRED TO
SCHEDULE CAMP
REGISTRATION
DEADLINE APRIL 3
REGISTRATION FORM
SCHOOL ________________________________________________________________________________
NAME__________________________________________________________________________________ DOB_________________________________
ADDRESS ____________________________________________________________________ CITY ___________________________ ST ___________
GUARDIAN’S NAME _________________________________________________________________ DOB_________________________________
ADDRESS ____________________________________________________________________ CITY ___________________________ ST ___________
TELEPHONE ______________________________________
FIELD TRIPS: FIELD TRIPS WILL REQUIRE AN ADDITIONAL FEE. MEALS: LUNCH IS NOT PROVIDED. CAMPERS MUST BRING A SACK LUNCH. FEES: PRIME TIME REGISTERED STUDENTS & YMCA PROGRAM AND FACILITY MEMBERS—$25/DAY
NON-PRIME TIME REGISTERED STUDENTS AND NON YMCA MEMBERS—$28/DAY*
CHOOSE DATES AND CALCULATE PAYMENT AMOUNT DUE, INCLUDE PAYMENT IN THE FORM OF CHECK,
MONEY ORDER OR CASH. FINANCIAL ASSISTANCE AVAILABLE.
HOLIDAY CAMP DAYS AND HOURS $25.00$25.00$25.00$25.00 $28.00$28.00$28.00$28.00
April 6, 2015 7:00 AM—6:30 PM
April 7, 2015 7:00 AM—6:30 PM
April 8, 2015 7:00 AM—6:30 PM
April 9, 2015 7:00 AM—6:30 PM
April 10, 2015 7:00 AM—6:30 PM
April 6, 2015 7:00 AM—2:00 PM
January 2, 2015 7:00 AM—6:30 PM
January 5, 2015 7:00 AM—6:30 PM
TOTAL AMOUNT INCLUDED WITH THIS REGISTRATION FORM
* Annual $40.00 program registration fee required if you are new to the YMCA.
FEBRUARY 13-17, 2015 7:00AM - 6:30PM
FUN & ENRICHMENT FOR
SCHOOL AGE YOUTH AT THE YMCA! CONTACT: SARAH BROWN
2220 CAMPBELLTON RD. SW ATLANTA, GA 30311
404-523-9622
CAPS ACCEPTED
15 REGISTERED CAMPERS
REQUIRED TO SCHEDULE CAMP
REGISTRATION DEADLINE FEB. 7
REGISTRATION FORM
SCHOOL ________________________________________________________________________________
NAME__________________________________________________________________________________ DOB_________________________________
ADDRESS ____________________________________________________________________ CITY ___________________________ ST ___________
GUARDIAN’S NAME _________________________________________________________________ DOB_________________________________
ADDRESS ____________________________________________________________________ CITY ___________________________ ST ___________
TELEPHONE ______________________________________
FIELD TRIPS: FIELD TRIPS WILL REQUIRE AN ADDITIONAL FEE. MEALS: LUNCH IS NOT PROVIDED. CAMPERS MUST BRING A SACK LUNCH. FEES: PRIME TIME REGISTERED STUDENTS & YMCA PROGRAM AND FACILITY MEMBERS—$25/DAY
NON-PRIME TIME REGISTERED STUDENTS AND NON YMCA MEMBERS—$28/DAY*
CHOOSE DATES AND CALCULATE PAYMENT AMOUNT DUE, INCLUDE PAYMENT IN THE FORM OF CHECK,
MONEY ORDER OR CASH. FINANCIAL ASSISTANCE AVAILABLE.
HOLIDAY CAMP DAYS AND HOURS $25.00$25.00$25.00$25.00 $28.00$28.00$28.00$28.00
February 13, 2015 7:00 AM—6:30 PM
February 16, 2015 7:00 AM—6:30 PM
February 17, 2015 7:00 AM—6:30 PM
December 29, 2014 7:00 AM—6:30 PM
December 30, 2014 7:00 AM—6:30 PM
December 31, 2014 7:00 AM—2:00 PM
January 2, 2015 7:00 AM—6:30 PM
January 5, 2015 7:00 AM—6:30 PM
TOTAL AMOUNT INCLUDED WITH THIS REGISTRATION FORM
* Annual $40.00 program registration fee required if you are new to the YMCA.
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