FLYERS SUMMER DAY CAMP 2018 REGISTRATION FORM

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1 FLYERS SUMMER DAY CAMP 2018 REGISTRATION FORM A $50 Non-Refundable Deposit is required to reserve a spot for your child for each desired summer week/session. Remaining weekly balances need to be paid seven days in advance for each session. Weekly fees are $170; Anne Springs Close Greenway members receive a $15 weekly discount and siblings receive a $15 discount. Each weekly session includes a field trip. FLYERS camp hours of operation are 7:00 am-6:00 pm and serve only rising 1 st graders through students who have completed 5 th grade. Please be sure any cancellations are made two weeks prior to the start date of the registered program. Any cancellation made within the two-week period may result in being responsible for full payment. Any transfers between FLYERS summer camp programs will incur a $10 fee. To complete your child s registration, forms must be brought in person to the Recreation Complex located at: 971 Tom Hall Street, Fort Mill, SC Please check our website for hours of operation: ascgreenway.org Parent/Guardian Name Child s Name: Grade entering school year: Address City Zip Home Phone Cell Phone Work Phone *Greenway family membership? Yes No Step 1: Check programs at location preferred SPRINGFIELD ELEMENTARY (4933FLSF ) PLEASANT KNOLL ELEMENTARY (4937FLPK ) TEGA CAY ELEMENTARY (4938FLTC ) DOBY S BRIDGE ELEMENTARY (4939FLDB ) Step 2: Choose weeks of attendance 01 Wacky and Wonderful May 29-June 1* 02 Mission Impossible June Space is the Place June Amazing Race June Myths and Legends June Timewarp July 2-6* 07 Westward Bound July Inventors Workshop July Castles, Kings and Royal Tales July Treasure Hunters July 30-Aug 3 11 Animal Planet August TBD Please note: Thank you for entrusting your child to us and our summer camp program. Now that your child is registered please be on the lookout for an from CampDoc.com. These s will begin being sent in early May That will allow you to create an account where all of your child s pertinent enrollment information will be filled out and stored. All fields MUST be filled out before your child can attend the program to be sure we are able to care for your child in the best way. We are looking forward to all of the fun we will have this upcoming summer. Initial

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3 FLYERS Automatic Credit Card Payment SUMMER 2018 Please note a new form must be filled out for the summer session previous auto draft forms will not apply. Anne Springs Close Greenway is pleased to offer you the pre-authorized payment plan service for your convenience. Each week the FLYERS fee will be automatically charged to your credit card. This plan eliminates the need for you to call each week to charge your credit card and allows us to better service your account. Instructions: Complete the Automatic Credit Card Payment Authorization Form on this page and make a copy of the completed Authorization Form for your records. I authorize Anne Springs Close Greenway to initiate charges to my credit card account. I authorize the credit card company named to accept these charges to my credit card account. These payments will be charged as indicated below. The tuition amount and payment schedule is listed below by week. Note that any changes in membership status will affect your automatic credit card tuition payment. Anne Springs Close Greenway is authorized to add any applicable fee s for late pick up s or payments. This authorization is to remain in effect for the ASCG Summer 2018 FLYERS Program. To cancel this automatic payment, I must provide written notice of cancellation to ASCG not less than 10 days prior to the next scheduled payment. ASCG may terminate this payment plan upon notice of two (2) declined transactions. ASCG reserves the right to cancel this agreement with prior written notice. ASCG will notify me of any changes in the dollar amount charged to my account. ASCG shall not be liable for losses caused by the credit card company s failure to act in accordance to this request. ASCG has the authorization to run the credit card a second time if the first time it was declined due to NSF the next business day. Child s Name (Please Print) FLYERS Site Cardholder s Name Home Address City State & Zip Code Phone Address (s) Member Status (Check One): ( ) Member ASCG ( ) Non-Member ASCG Weekly fee reflects the payment reduction for the $50 non-refundable deposit that was due at the time of registration for each chosen week. Sibling rate will reflect a $15 decrease for each summer week. Please check EACH week that your child will be attending summer camp. Balance and Draft Date: Draft Draft Date Member Non-Member Date Member Non-Member Week1:* May 29-June1 May 21 $105 $120 Week 6: *July 2-6 June 25 $105 $120 Week 2: June 4-8 May 28 $105 $120 Week 7: July 9-13 July 2 $105 $120 Week 3: June June 4 $105 $120 Week 8: July July 9 $105 $120 Week 4: June June 11 $105 $120 Week 9: July July 16 $105 $120 Week 5: June June 18 $105 $120 Week 10:Jul 30-Aug 3 July 23 $105 $120 Week 11: *Aug 6-10 July 30 $105 $120 Type of Credit Card to be Charged (Check One): ( ) Visa ( ) MasterCard ( ) Discover ( ) American Express

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5 SUMMER FLYERS 2018 WEEKLY PROGRAM FEES SCHEDULE FOR PARENT USE please keep as reference A $50 Non-Refundable Deposit is required to reserve a spot for your child for each desired summer week/session. Remaining weekly balances need to be paid seven days in advance for each session. Weekly fees are $170; Anne Springs Close Greenway members receive a $15 weekly discount and siblings receive a $15 discount. Each weekly session includes a field trip. FLYERS camp hours of operation are 7:00 am-6:00 pm and serve rising 1 st graders through students who have completed 5 th grade. Please be sure any cancellations are made two weeks prior to the start date of the registered program. Any cancellation made within the two-week period may result in being responsible for full payment. Any transfers between FLYERS summer camp programs will incur a $10 fee. WEEKLY SCHEDULE: Site attending (circle one): Springfield ES/ Pleasant Knoll ES/ Tega Cay ES/ Doby s Bridge ES REGISTRED SESSION PROGRAM DATES DUE Wacky and Wonderful May 29-June 1* May 21 Mission Impossible June 4-8 May 28 Space is the Place June June 4 Amazing Race June June 11 Myths and Legends June June 18 Timewarp July 2-6* June 25 Westward Bound July 9-13 July 2 Inventors Workshop July July 9 Castles, Kings and Royal Tales July July 16 Treasure Hunters July 30-Aug 3 July 23 Animal Planet August 6-10 July 30 TBD Program Fees are due seven days in advance of starting session week. If payment is not received by Wednesday, the week prior to the session start date, your child will be removed from that week s roster. TO REGISTER AND MAKE FLYERS PAYMENTS: Recreation Complex on the Greenway Tom Hall Street, Fort Mill, SC Call Member Services (to make payments over the phone): , 1027 or 1029

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