WORCESTER ACADEMY SUMMER PROGRAM * Mornings: 7:30 am – 9 AM / Afternoon: 3:30 pm – 5:00 pm • Enrollment is for AM and/or PM by week (special arrangements on request). • The first start day (registration) of each specific camp AM is not offered. Week 1: SPORTS Week of June 22: AM (Tue–Fri) $45 ________ PM (Mon–Fri) $55 ________ Discounted Rate $85* ________ Week 1 Total: $ ________ Week Week Week <<< Week 2: SPORTS, SCIENCE, CLAY ART & MULTIMEDIA Week of June 29: (No Camp July 3rd) AM (Mon–Thurs) $45 ________ Week PM (Mon–Thurs) $45 ________ Week Early Bird Discount $85* ________ Week Week 2 Total: $ ________ <<< Week 3: SPORTS, MULTIMEDIA, CLAY ART & WASA Week of July 6: AM (Tues–Fri) $45 ________ PM (Mon–Fri) $55 ________ Early Bird Discount $85* ________ Week 3 Total: $ ________ ONLY $85 per week for AM & PM Extended Day if you sign up one week prior to first day of camp. Week 5: SPORTS, ROBOTICS, WASA, LLLLLLVIDEO GAME & VISUAL ARTS Week of July 20: AM (Tue–Fri) $45 ________ Week PM (Mon–Fri) $55 ________ Week Early Bird Discount $85* ________ Week Week 5 Total: $ ________ <<< Week 6 : SPORTS, ROBOTICS, SOCCER, WASA & 3D DESIGN Week of July 27: AM (Mon–Fri) $55 ________ Week PM (Mon–Fri) $55 ________ Week Early Bird Discount $85* ________ Week Week 6 Total: $ ________ <<< Please note: no extended day on Friday PM for Soccer. Week Week Week <<< Please note: no extended day on Friday PM for Soccer. Week 4: SPORTS, VISUAL ART , WASA & SOCCER Week of July 13: AM (Mon–Fri) $55 ________ PM (Mon–Fri) $55 ________ Early Bird Discount $85* ________ Week 4 Total: $ ________ ounted Ra t e EXTENDED DAY PROGRAM 2015 sc Di Week 7 : BASKETBALL Week of August 3: AM (Tue–Fri) $45 ________ PM (Mon–Thur) $45 ________ Early Bird Discount $85* ________ Week 7 Total: $ ________ Week Week Week <<< Please note: no extended day on Friday PM for Basketball. Week Week Week <<< Grand Total $ ________ <<< Please note: each day after our extended day program concludes, a $15 fee will be applied for each half hour past the advertised pick up time! Camper’s Name: _____________________________________________________________ Age: _____________ Grade: _____________ Gender: � M � F Parent/Guardian 1 Name: _________________________________________________________________ Cell #:___________________________________________________ Home #: ________________________________________________________________________________________ Work #: __________________________________ Parent/Guardian 2 Name: _________________________________________________________________ Cell #:__________________________________ Home #: _________________________________________________________________________________________ Work #:__________________________________ Emergency Contact Name: ________________________________________________________________ Cell #: __________________________________ Home #: ________________________________________________________________________________________ Work #:__________________________________ WORCESTER ACADEMY 25 81 PROVIDENCE STREET, WORCESTER, MASSACHUSETTS 01604 USA WWW.WORCESTERACADEMY.ORG 25