Camper Name _________________________________ Sex _____ Birth Date ____________

Program Assistant (PA) __________________________ Sex _____ Birth Date __________ (for former campers age 16)

Address_______________________________________________________________________________________________

Phone _______________________ E-Mail ___________________________ Cell __________________________

Mother's Name _______________________________ Occupation __________________________

Address (if different from camper)__________________________________________________________________________

Father's Name ________________________________Occupation __________________________

Address (if different from camper)__________________________________________________________________________

I am interested in hosting a camper visiting from Korea ______________ (week prior to camp)

I will donate the following: 2 Cases of Water ____ 2 Boxes of Snacks ____ Prizes ____ Items for Camp Store ____

If your child is attending camp for the first time, please tell us how you heard about Camp Sejong? ______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________

If your camper is 15 or older, would they be interested in the Teen Track Trip August 9 - 10?____(details to follow)

Cancellation Policy: If cancellation notice is given prior to July 1, 2008, monies will be refunded less the deposit fee of $200 per camper. If notice is given after July 1, 2008, all monies will be forfeited unless a replacement camper is found, in which case monies are refunded less the deposit fee of $200 per camper.

I the undersigned understand the cancellation policy. In addition, I give Camp Sejong authorization to utilize photographs or videos taken at camp for whatever promotional purposes. These photos or videos may include my child or children.

Signature ___________________________________________ Date _____________________

----------------------------cut here and retain bottom portion for your records--------------------------------------------------

TUITION: $675.00 for first camper/$600.00 for second camper/$550.00 for third camper /$500.00 PA  

DUE NOW: $200.00 deposit. (NOT REFUNDABLE) Photo of camper (wallet size please) send with deposit