2021 Fair Acres Summer Day Camp Application

2021 Fair Acres Summer Camp Registration

Please complete and submit a separate form for each camper
Camper Information
Camper Name

First NameLast Name
Grade Entering in September, 2021
Camper Date of Birth

MonthDayYear
Date
Parent 1
Parent Name
Parent 1 Email Address
example@example.com
Parent 1 Phone Number

Area CodePhone Number
Mailing Address

Street Address

Street Address Line 2

CityState

Zip Code
Parent 2
Parent Name
Parent 2 Email Address
example@example.com
Parent 2 Phone Number

Area CodePhone Number
Parent 1 Workplace
Parent 1 Work Phone Number

Area CodePhone Number
Parent 2 Workplace
Parent 2 Work Phone Number

Area CodePhone Number
Additional Emergency contact
Relationship to Child
Emergency Contact Phone Number

Area CodePhone Number
Child's Physician
Physician Phone Number

Area CodePhone Number
Known Allergies/Identifying Marks
Camp Sessions

Two-Week Sessions
Choose which session(s) your child will attend
Choose which session(s) your child will attend
Choose a departure time
Pre-Camp Week

One-Week Session
Choose a departure time (Pre-Camp Week)
Payment Information
Billing Name

First NameLast Name
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Summer Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
- $765 per session (2 weeks)
- $688 per session (2 weeks) 2nd child
A $75.00 registration fee plus one session of camp tuition is due to secure your registration. The sessions that your child is registered for are binding and payment will be due prior to the start of the session. A discount will be given to families enrolling more than one child. Please mail your check to: 35 Fair Acres Drive, Marstons Mills, MA 02648.
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2021 Fair Acres Summer Camp Registration

Camper Information

Camp Sessions

Pre-Camp Week

Payment Information