Camper Information:
First Name    Last Name    Nickname
Age during Camp    Birthdate    Male    Female
Grade completed 07/08 school year    List other camps previously attended
Has this camper previously attended Camp Winding Gap?Yes No
If yes, please list all years

Parent Information:
Parents Name(s)
Street Address
City    State    Zip

Contact Information:
Telephones (please include area codes)
Home
Work-father Work-mother
Fax             Email
Other phone numbers- please list type (i.e. 'cell' and area codes:

Insurance and Emergency Contact Information:
Insurance Company Name
Policy, Group and/or Member Number
Emergency Contact Name(s)
Relationship to Camper
Contact Numbers: Home    Work
 

2008 Four Week Session Dates, Fees and Options:

Tuition Fees:
$4097    Regular Rate
$4010    Spring Savings Rate (Must enroll by April 30 2008)

Choose your session:

Session #3+4  July 13-August 8   Sunday - Friday

List brothers and sisters of camper:
Name    Age
Name    Age
Cabin-mate requests (one name only, must be same age OR grade, not guaranteed):

Please tell us about your child. Include any information that will help us get to know your child:

Has your child ever been away from home for extended periods of time? YesNo   Please describe:
Any instances of severe homesickness? Yes No   If yes, please describe:
How did you first learn about Camp Winding Gap? 
Why did you choose Camp Winding Gap? 

Type both parents/guardians or responsible parties names as agreement:
(required)

Camper Agreement:
I have read the CWG Camp Policies and understand and agree to abide by them.
Camper Type Name as agreement:
(required)

Payment Information and Schedule:
$250 nonrefundable Tuition Deposit required with submission of this application.

If enrolling after any of the dates below, earlier due payments must also be submitted with deposit.

Remaining balance paid in eight equal installments by each of these dates:

NOTE: Discounts do not apply to added trips and can only be taken from the full Regular Rate tuition).
This is the (check one) 2nd, 3rd, 4th family member I am enrolling  (do not deduct the discount if using any Pay-in-Full or other Savings Enrollment rates, coupons, special offer, or any other discounts)

If enrolling after any of the dates above, earlier due payments must also be submitted with deposit. (see above dates for calculating payment amount now due).

Select all that apply:
Please note that the minimum due with this application is the deposit along with any optional trips and programs which must be paid for at the time of enrollment and are not refundable.