Summer Camp Registration Form 2008

Camper’s Name: ___________________________________________________________

Parent’s name: _____________________________________________________________

Child’s age: _________________
 

The two-week Summer Italian Camp dates are: July 7 – July 18 (M-F). We highly encourage all campers to participate in the full two-week immersion camp experience. A few special exceptions will be made for those who can only come for one week of Italian Camp however, the fee will increase slightly. A snack is included.

Check session(s) you wish to attend:

Text Box:  

 

             i prescolari (preschoolers) ages 3-5

             9-11:30am, $450

Text Box:  

 

             i giovanotti, ages 6-10

             12:30-3:00pm, $450

Text Box:

             Junior Assistant in Training Program, ages 11-14

             9:00am-3:00pm, $350

 

Address: ___________________________________________________________________

___________________________________________________________________________

Phone: H.______________________________ C.__________________________________

E-mail: ____________________________________________________________________

AnyAllergies?_______________________________________________________________

Pediatrician: _________________________________Tel:___________________________

Tuition due: _____________________Amount enclosed $___________________________

In the event you withdraw your child from the program prior to June 16 all payments will be refunded, excluding a non-refundable deposit of $150 for each camper. No refunds will be given for withdrawals after the above-listed date.

Please make all checks payable to: Carolyn Gengo Di Domenico

Mail form to:

La Piazza di Carolina
116 Alta Vista Drive
Crestwood
Yonkers, NY 10710  (914) 793-2629

 

116 Alta Vista Drive · Yonkers ·NY · 10710 · (914) · 793-2629 · cgengo@optonline.net www.lapiazzadicarolina.com