Summer Camp Registration To enroll your child in our summer camp programs, please complete the form below. Summer Camp Registration 2019 Child's Name* First Last Child's Date of Birth* Current Age*Please enter a number from 0 to 18.Gender*MaleFemaleGrade Completed by 6/19*Child's Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 1 Name* First Last Parent 1 Address* Same as child's address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 1 Email* Parent 1 Phone*Parent 2 Name First Last Parent 2 Address Same as child's address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent 2 Email Parent 2 PhoneCamp SelectionAge Group*Includes: transportation, meals, beverages, and snacks. No additional cost for before/after camp. Note - there is a $35 per week discount applied if you sign up for 5 or more weeks. Junior Camp Counselor (7th-8th grade) - $210 per weekAdventurer (current 2nd grade-6th grade, age 7 by 9/1/18) - $270 per weekExplorer (current kindergarten-1st grade) - $270 per weekPioneer (current pre-kindergarten, age 4 by 9/1/18) - $270 per weekLittle Pioneer (current pre-school, age 3 by 9/1/18) - $270 per weekChoose Campus*Pioneers and Little Pioneers remain at their home campus. Adventurers and Junior Camp Counselors are transported to Audubon if that is not their home campus. Explorers can choose whether to attend Audubon if that is not their home campus. CathedralRadnorChoose the Weeks Your Child Will Attend* Week 1 - June 17th Week 2 - June 24th Week 3 - July 1st Week 4 - July 8th Week 5 - July 15th Week 6 - July 22nd Week 7 - July 29th Week 8 - August 5th Week 9 - August 12th Week 10 - August 19th Week 11 - August 26th Total Number of WeeksCamp Subtotal (< 5 weeks selected)Camp Subtotal ( includes discount for >= 5 weeks)Total for Selected Weeks including discount if applicable Price: $0.00 Extra Activities Options (Pioneers/Little Pioneers)All activities for Pioneers or Little Pioneers take place over several weeks of camp. Soccer Karate Swimming GPCC Session 1 Swimming GPCC Session 2 Archery French Violin Chess Extra Activities Options (Explorer/Adventurer/Junior Counselor)Please be sure your camper is attending the week of your selected activity. Soccer (Week 2 - June 25th) Karate (Week 3 - July 2nd) Chess (Week 4 - July 9th) Theater (Week 4 and 5 -July 9th and July 16th) Archery (Week 5 - July 16th) Ice Skating (Week 8 - August 6th) Lego Robotics (Week 10 - August 20th) Aquarium (Week 10 - August 20th) French Violin Piano Total $0.00 Please note: Activity fees are billed in addition to tuition. Complete the registration form and return with a $200 deposit (applied to last week of camp's tuition) Submit paper forms or checks to the Administrative Office, 424 King of Prussia Road, Radnor, PA 19087 Make checks/money orders payable to Les Petits Cherubs. Submit payments to: Les Petit Cherubs Administrative Office Child's Home Campus Online via PayPal (link is provided after submission of form - Enrollment is limited. - All activities are tentative and subject to change. - There are no refunds given for illness or injury. - Activity fees will be refunded only if an entire weekly activity is cancelled by Les Petits Cherubs. - Half of the summer camp financial commitment is due by May 17th, 2019. - Remaining half (minus the registration deposit) is due by June 7th, 2019. - If your total financial commitment is less than $750, the entire payment is due by May 17th, 2019. - Weekly tuition is accepted. Signature*NameThis field is for validation purposes and should be left unchanged.