Registration Form

2019 Name of Child First Name First NameMale☐/ Female ☐ Date of Birth Date of Birth Age AgeParent(s)/Guardian(s) Name Parent/Guardian(s) NameAre you member of SOFCC ☐Yes ☐NoAddress Address (Cell) Cell Number (Home) Home Number (Work) Work Number

(Email) Email(Camp is closed July 23-27 cost is not included in the rates)

All students must be completely potty trained.A non-refundable registration fee is due with this form. Registration fees are to be paid by money orders or cashier

checks only.Registration Fee: $185.00 (3-4) $210.00 (students who have completed kindergarten -12 years old)

Includes one summer camp t-shirt.(Each additional sibling $25.00 discount)

Registration fee is the same for all payment options and will not be prorated. Hours of Operation: 9:00 am to 4:00 pm Monday through Friday

PLEASE CHECK ONE (SEE PAYMENT SCHEDULE FOR COST)☐ Before-Care 7:00 am – 9:00 am ☐After-Care 4:00 pm – 6:00 pm ☐ Before and After-Care (includes breakfast if student arrives by 7:30 am) (includes snack)

☐Do Not Need Before or After CareMust enroll at time of registration for lunch, before and/or aftercare programs. You cannot register for lunch before and/or aftercare programs any other time during the summer program, nor can you drop out of the program. ☐Lunch---- Students may bring lunch, however we have a lunch option as part of our program. Fees vary depending upon payment plan and will not be prorated or reimbursed for any reason including but not limited to student not participating , early withdrawal or dismissal. If lunch is chosen you must be committed to it for the entire summer.

Parents may choose from one of three payment options. Please check your choice below.Once choice of payment option is submitted it cannot be changed.

☐ Two payments (see payment due dates located on attached payment schedule). ☐ Bi-weekly payments—(see attached payment schedule)

(THIS PAYMENT OPTION IS ONLY OFFERED TO STUDENTS IN THE PROGRAM FOR EIGHT OR MORE WEEKS) ☐ Choose weeks your camper will attend (see attached payment schedule—on the back of this form place a check in the boxes next to the weeks your camper will attend. )

☐Small Group Guitar + Piano Combo Class: School Age $27 per week –Kindergarten-12 ☐Small Group Piano: 3-5 Years $20 per week ☐Swim Lessons for ages 6-13 $16 per week only open to 20 students ☐Over Night Camp for ages 9-13 (3 days 2 nights—June 25-June 27th)---$400

$50 deposit due at time of registration-- students may attend camp on Thursday and Friday during regular business hours total amount for camping trip is $400 includes transportation, food, lodging and activities. See payment plan.

Refer a camper and receive $50 off once the referred parent makes their first tuition payment. The parent that was referred must submit your name at the time of registration.

How did you hear about our summer program? _______________________________________________Would you like to donate to allow a child who is less fortunate to attend the program? Yes No (Please add that amount to your registration) amount $_________________________

I understand the terms and conditions for which I am registering my child for the Summer Program at Firm Foundation.

Parent Signature __________________________________________________ Date ____________________

Enrollment Form

Firm Foundation Summer ProgramAges 3 through 12 (Part 2)

We have three payment options one that is perfect for you!!!

The price list below is for the option of choosing weeks. The price is for all age groups. Once weeks are chosen you may add lunch if you would like us to serve your child. Because we are reserving weeks for you they cannot be

changed or traded for any other weeks. We are closed July 22-26. This week is not any cost to you.

Check in the boxes to what weeks you have chosen.

Weeks Dates $180Hours 9-4

$200includesBC or AC

$220includesBC & AC

$20Lunch

1 June 12- June 14 ☐ ☐ ☐ ☐2 June 17-21 ☐ ☐ ☐ ☐3 June 24-28 ☐ ☐ ☐ ☐4 July 1-5 Closed 4th of July ☐ ☐ ☐ ☐5 July 8-12 ☐ ☐ ☐ ☐6 July 15-19 ☐ ☐ ☐ ☐7 July 29 – August 2 ☐ ☐ ☐ ☐8 August 5-9 ☐ ☐ ☐ ☐9 August 12-16 ☐ ☐ ☐ ☐

10 August 19-22 ☐ ☐ ☐ ☐

Weeks 1-5 must be paid by May 6, 2019. Weeks 6-10 must be paid by June 3, 2019. Must be paid by money order or cashiers check.

This section is for office use only.

Calculate total payments: Camp # of weeks __________ x tuition per week $___________ = $__________ 1st payment Due 5/6/19

# of weeks __________ x tuition per week $___________ = $__________ 2nd payment Due 6/3/19

2 Payments

IMPORTANT NOTICE PLEASE READ CAREFULLYBEFORE SUMBITTING PRE-ENROLLMENT FORM

Registration is non-refundable, transferable or any such like.

Firm Foundation is a non-profit organization and is solely supported by tuition income. Therefore, we will not reimburse any portion of the tuition if the student does not participate in the program, early withdrawal or dismissal.

The 2 Payment Plan covers 5 weeks at a time.

Weeks DatesWe are closed July 22 -26. This week is not any cost to you.

Ages Tuition9:00-4:00

Tuition with BC or AC

Tuition with BC & AC

1st payment 1-5 June 12-July 12Due June 12, 2019Add $100 for lunch payment

2nd payment 6-10 July 15-August 22Due July 1, 2019Add $100 for lunch payment

2 year olds $838.00 $938.00 $1038.00

3 year olds $738.00 $838.00 $938.00

4 year olds $725.00 $825.00 $925.00

Kindergarten - 12 $719.00 $819.00 $919.00

Payment plan for biweekly payments (PAYMENT OPTION IS ONLY OFFERED TO STUDENTS ENROLLING IN EIGHT WEEKS OR MORE)(CAMP CLOSED JULY 22-26 COST NOT INCLUDED IN RATES)

9:00 AM-4:00 PM Tuition with Before or Aftercare

Tuition with Before and Aftercare

Payment Due Date

2 year olds $335.00 $375.00 $415.00 May 6, 2019Covers 6/12-6/21Add $40.00 for lunch payment

3 year olds $295.00 $335.00 $375.00 May 20, 2019Covers 6/24-7/5Add $40.00 for lunch payment

4 year olds $290.00 $330.00 $370.00 June 3, 2019Covers 7/8-7/19Add $40.00 for lunch payment

Kindergarten and up

$285.00 $325.00 $360.00 June 17, 2019Covers 7/29-8/9Add $40.00 for lunch paymentJuly 1, 2019Covers 8/12-8/22Add $40.00 for lunch payment

Overnight Camping Trip Payment Plan

May 6 ----$100 due; May 20 ----$100; June 3 -----$150