The Learning Camp - Application Form

Camper Application Form

Summer 2007 Camper Application

The application process for The Learning Camp is completed in three easy steps.

1) Application
2) Camper's Needs Information
3) Deposit Received

Upon receipt of your Application we will contact you by phone or email to review these steps with you as well. A very important step is #2 The Camper's Needs Information. It is with this information that we determine if we can meet the needs of your child. It is imperative that your child have a successful summer and this will aid us in determining if we can help. All 3 steps must be completed for a spot to be reserved for your child. Simply submitting the Application does NOT guarantee a spot for the coming summer.

Step 1: The Application Complete and submit the online application form below now. The Learning Camp is for children ages 7 - 14 or grades 1st - 8th. We do not intend to solicit or collect personal information from anyone under the age of 18. If you are a potential camper, please have your parent or guardian fill out this information for application. Your privacy is important to us, for more information please read our privacy policy.
Please enroll my son/daughter: * (full name) * required field

Date of Birth:	*	Age at camp time:	*	Grade completed June 2007:	*

Please indicate the session you are applying for:

	Session 1	Mon. June 4- Friday, June 15			$2,900.00

	Session 2	Mon. June 18- Friday, June 29			$2,900.00

	Session 3	Mon. July 9- Friday, July 27			$4,500.00

	Session 4	Mon. July 30- Friday, Aug. 10			$2,900.00

	Session 5	Mon. Aug. 13 - Friday, Aug. 24			$2,900.00

		Camper staying between sessions (Not available between Session 2 & 3)			$300.00

				Total Fees:

Parent Information:

Name:
*

Work Phone:

Mailing Address:
*

Home Phone:

E-Mail:

Country:

I do not want to receive promotional information from The Learning Camp.

Parent Information:

Both parents live at same address

Name:

Work Phone:

Mailing Address:

Home Phone:

E-Mail:

Country:

I do not want to receive promotional information from The Learning Camp.

Step 2: The Camper's Needs Information:

Fill out the parent description below.

1.	Parent's description of child's individual needs and reason for interest in The Learning Camp.
2.	Recent report card Please mail or fax a copy of your camper's report card to: The Learning Camp PO Box 1146 Vail, CO 81658 Fax 970-524-4178
3.	Current IEP (Individual Education Plan) or current testing Please mail or fax a copy of the camper's IEP or physician testing to: The Learning Camp PO Box 1146 Vail, CO 81658 Fax 970-524-4178

Deposit due with application:

Balance due 30 days prior to your child arriving at camp:

Step 3: Deposit Received:
The Learning Camp accepts Visa, MasterCard, and Personal Check. Please contact our office to arrange for payment or mail it to The Learning Camp..

Cancellation Policy:
Before June 1, the application fee will be applied to next year's tuition or a refund of $800 will be given. After June 1, there will be no refunds.

In the event that we can not meet the needs of an individual child, The Learning Camp reserves the right to not accept the applicaiton and to return the deposit in full. We will also offer assistance in leading you in the direction of a camp that can meet their needs.

I have read and agreed to the terms of payment for Learning Camps, Inc.

If you have any questions or problems submitting this application form please call us directly at 970.524.2706 or email us.