*Camps may be cancelled at discretion of MTC.

I am planning to use extended hours in the (please check):
     Mornings   Afternoons
  
Student Name*
Date of Birth / /       Age as of June 1, 2010

Entering grade in September 2010

Street Address*
City*  State*   Zip*

Home Phone*
e-mail address

Person(s) responsible for tuition

Primary contact  Work Number
     Employed by

Secondary contact   Work Number
     Employed by

T-Shirt Size*   Child L   Adult S   Adult M   Adult L   Adult XL
(T-shirt is included in tuition - the shirt is used in the end-of-camp performance.)

The tuition includes a NON-REFUNDABLE deposit of $100 per session per child. There is no refund if a camper is withdrawn less than a month before camp begins.

Multiple Registration Tuition Discount: If a student registers for an additional camp session, camps of the same or lower price are discounted 5%. If a family has multiple registrations (siblings), the first camp tuition is full price and each additional registration receives a 5% discount. MTC will apply the discount at time of charge.