2023 – CURRENTLY ENROLLED - DISCOVERY CLUB – SUMMER Schedule Request Form

BOYS & GIRLS CLUBS OF METROWEST

169 Pleasant Street, Marlborough, MA 01752 Fax: 508-229-7818 Phone: 508-485-4912
DISCOVERY - SUMMER 2023 SCHEDULE REQUEST FORMS
Child's Information
Name*
Date of Birth*

MonthDayYear
Date
Grade in Fall*
Parent Guardian Information
Name*
Home Phone #*
Cell Phone #*
E Mail*
example@example.com
Select days OR weeks you are registering for.

If you would like every day during the week please select the ALL WEEK option.

I understand the following:

● Deposits are due at time of registration. Deposits are non-refundable.
● There is a $25 registration fee for un-enrolled members for summer only.
● I understand the weekly balance is due 2 weeks prior to the week your child is attending. For example, the remaining balance for Week # 1 is due on
June 12, 2023.
● If payment is NOT received on time, your child will be removed from the program and replaced by a child on the waitlist.
● Registration changes must be done in writing via email or letter. We require 2 weeks written notice.
● Without 2 weeks written notice, you will be responsible for the full week's camp payment.
● There will be no refunds, credits or pro-rating for missed days.
Week #1- Summer is Sweet

MON 6/26 - ($70) (5 Spots Left)TUES 6/27 - ($70) (2 Spots Left)WED 6/28 - ($70) (2 Spots Left)THURS 6/29 - ($70) (4 Spots Left)FRI 6/30 - ($70) (6 Spots Left)
ALL WEEK 6/26-6/30 - ($323)
Week #1 - Total Balance
Week #2- Where in the World (TUES 7/4 Closed)

MON 7/3 - ($70)WED 7/5 - ($70) (5 Spots Left)THUR 7/6 - ($70)FRI 7/7 - ($70)
Week #2 - Total Balance
Week #3- Marvelous Magic

MON 7/10 - ($70) (4 Spots Left)TUES 7/11 - ($70) FULL Not AvailableWED 7/12 - ($70) (1 Spot Left)THUR 7/13 - ($70) (5 Spots Left)FRI 7/14 - ($70) (4 Spots Left)
ALL WEEK 7/10-7/14 - ($323) Not Available
Week #3 - Total Balance
Week #4- Limitless Legendary LEGO

MON 7/17 - ($70) (4 Spots Left)TUES 7/18 - ($70) (2 Spots Left)WED 7/19 - ($70) (1 Spot Left)THUR 7/20 - ($70) (1 Spot Left)FRI 7/21 - ($70) (3 Spots Left)
ALL WEEK 7/17-7/21 - ($323) (1 Spot Left)
Week #4 - Total Balance
Week #5- Animal Planet

MON 7/24 - ($70) (6 Spots Left)TUES 7/25 - ($70) FULL Not AvailableWED 7/26 - ($70) FULL Not AvailableTHUR 7/27 - ($70) (4 Spots Left)FRI 7/28 - ($70) (5 Spots Left)
ALL WEEK 7/24-7/28 - ($323)Not Available
Week #5 - Total Balance
Week #6- Color Wars

MON 7/31 - ($70) (3 Spots Left)TUES 8/1 - ($70) FULL Not AvailableWED 8/2 ($70) (1 Spot Available)THUR 8/3 - ($70) FULL Not AvailableFRI 8/4 - ($70) (3 Spots Left)
ALL WEEK 7/31-8/4 - Not Available
Week #6 - Total Balance
Week #7- Spectacular Sports

MON 8/7 - ($70) (3 Spots Left)TUES 8/8 - ($70) FULL Not AvailableWED 8/9 - ($70) FULL Not AvailableTHUR 8/10 - ($70) FULL Not AvailableFRI 8/11 - ($70) (2 Spots Left)
ALL WEEK 8/7-8/11 - ($323) Not Available
Week #7 - Total Balance
Week #8- Show Some Discovery Spirit

MON 8/14 - ($70) (1 Spot Left)TUES 8/15 - ($70) (1 Spot Left)WED 8/16 - ($70) (1 Spot Left)THUR 8/17 - ($70) (1 Spot Left)FRI 8/18 - ($70) (3 Spots Left)
ALL WEEK 8/14-8/18 - ($323) (1 Spot Left)
Week #8 - Total Balance
Parent/Guardian Signature*

Clear
Date (Valid for Current School Year)*

MonthDayYear
Date

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

BOYS & GIRLS CLUBS OF METROWEST

DISCOVERY - SUMMER 2023 SCHEDULE REQUEST FORMS

Child's Information

Parent Guardian Information

PAYMENT