Culture Camp Southeast Recreation Department, Brewster, NY, 10509
|
Culture Camp Southeast Recreation Department, Brewster, NY, 10509 |
|
|
For Printable Version click here Culture Camp Registration Form Camper’s name: ___________________________Age:____Telephone:____________ Address: ______________________________Work Telephone 1) ________________ Parent/Guardian name:____________________Work Telephone 2) _____________ Email (please print): _____________________________________________________ Total amount (number of weeks X $155) : $___________**(non-residents please add 10%) **Please pay materials fees to instructors on the first day of camp. _____________________________has my permission to attend Culture Camp offered by the Town of Southeast. It is the applicant’s responsibility to pay for his/her own medical insurance coverage. The applicant herein acknowledges the above and releases the Town of Southeast from any and all liability for medical incurred due to injury from this activity. ALL FEES ARE NON-REFUNDABLE. PARENT/GUARDIAN SIGNATURE___________________________________________________________
|
|
Send mail to
contactus@culturecamp10509.com with
questions or comments about this web site.
|