summer program 2016 membership checklist · summer program 2016 membership checklist ... foster...
TRANSCRIPT
![Page 1: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/1.jpg)
SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST Member’s Name:_________________________________________ Age:_____________ ___________ Completed Membership Application (all lines on the application must be filled
out; incomplete applications will not be considered and will result in your child being placed on a waiting list.
___________ Signed Membership Orientation Handbook ___________ Immunization Records ___________ Physical Form ___________ Birth Certificate ___________ 2 Emergency Contacts other than Parents ___________ $10 Registration Fee
YES Program participants are required to pay registration fee.
PAYMENT OPTIONS PAY PER DAY PAYMENT IN FULL (BY: APRIL 30TH)
$5.00 PER DAY ($7 on Pool Days)
$135.00 (10% Discount Included)
*Teens will pay pool days separately. They will need to bring $2.00 to swim on these days.* Unit Director’s Initials:____________ Date:_____/_____/______ Unit/Site: WTZ Grade:________________
![Page 2: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/2.jpg)
![Page 3: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/3.jpg)
![Page 4: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/4.jpg)
![Page 5: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/5.jpg)
![Page 6: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/6.jpg)
![Page 7: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/7.jpg)
![Page 8: SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST · SUMMER PROGRAM 2016 MEMBERSHIP CHECKLIST ... Foster parent(s) $0 - $5000 $65,000 $70,000 $75,000 $80,000 $85,000 $5001 - $10,001 - $15,001](https://reader035.vdocuments.us/reader035/viewer/2022081406/5f0e06277e708231d43d3de4/html5/thumbnails/8.jpg)