ABC Care Summer Camp Schedule Change Form

ABC Care Summer Camp

Schedule Change Form
**A schedule change fee of $40 will be charged for each schedule change.

**Two weeks notice is required for schedule changes to take place.

** Changes made the week of camper attendance will be charged $50

(Please refer to your Parent/Guardian Summer Camp Handbook)
Child's Name*

First NameLast Name
Siblings that need same schedule change:
Siblings that need same schedule change:
Parent's Name*

First NameLast Name
Parent's Phone Number*
Please enter a valid phone number.
Parent's Email*
example@example.com
Which ABC Care Camp does your child attend?*

Deer Park Adventure CampEldersburg Adventure Camp
For which week do you need to make a change?*

Week 1 (June 19-23)Week 2 (June 26-30)Week 3 (July 5-7)Week 4 (July 10-14)Week 5 (July 17-21)Week 6 (July 24-28)Week 7 (July 31- August 4)Week 8 (August 7-11)Week 9 (August 14-18)Week 10 (August 21-25)Week 11 (August 28-30)

Please check which days you are currently enrolled for and which days you would like to be enrolled. If you would like to cancel the entire week, please leave the second row (new enrollment status) blank. *

	Monday	Tuesday	Wednesday	Thursday	Friday
Current Enrollment Status
New Enrollment Status

Parent Signature*

Clear
Date*

MonthDayYear
Date
Comments:
Should be Empty: