CAMPER INFORMATION

Camper's Name:*
Sex:*
Camper's Email:*
Home Fax:*
Camper's Address:*
City:*
 
State:* Zip:* Country:
Home Phone:*
Date of Birth:*
Mo: Day: Year:
School Name:
 
Grade in School as of Sep. 2005:*
Grouping Request:

PARENT INFORMATION

Father's Name:
Father's E-Mail:
 
Home Phone:
 
Work Phone:
 
Cell Phone:
Mother's Name:
Mother's E-Mail:
 
Home Phone:
 
Work Phone:
 
Cell Phone:
Address:
City:
 
State: Zip: Country:

IN CASE OF EMERGENCY

Name:
Relationship:
 
Home Phone:
 
Work:
Address:
City:
 
State: Zip:   Country:

HOW DID YOU HEAR ABOUT JULIAN KRINSKY CAMPS AND PROGRAMS?

Previously Attended JKCP
Which Camp:
Number of Years:
From Another Camper
Name:
Advertisement
Publication:
Camp Fair
Name:
Camp Referral Agency
Name:
Teacher/Coach/Pro
Name:
Other

FOR COMPLETION BY PARENT/GUARDIAN

I give my permission for my son/daughter to participate in the 2005 Julian Krinsky Junior Enrichment program. I agree that my son/daughter will abide by the camp rules and realize any breach of these rules may result in his/her immediate dismissal without refund of any fees.

I authorize Julian Krinsky Junior Enrichment, or its authorized representatives, to take whatever actions it may consider warranted under the circumstances regarding my child's health and safety. I fully release Julian Krinsky Camps & Programs and its authorized representatives from any liability for such circumstances or actions as may be taken in connection therewith.

I authorize Julian Krinsky Camps & Programs, or its authorized representatives, at its discretion, to place my child, at my expense and without further consent, in a hospital for medical services and treatment, or if no hospital is readily available, to place my child in the hands of a licensed doctor for treatment. Camp may elect to access my family health/accident policy.


Julian Krinsky Camps & Programs retains the right to use photographs of this camper for advertising purposes.

I have carefully read the above information and agree to the conditions stated.

For consent, please check box
Please check here if any medical, physical or other conditions may limit your child's ability to fully participate in any activity.

PLEASE CHECK SESSIONS DESIRED:

  Overnight Camp   Day Camp
1. June 19 - June 25 (1 weeks) 1, June 20 - June 24 (1 weeks)
2. June 26 - July 2 (3 weeks) 2. June 27- July 1 (1 weeks)
3. July 3 - July 23 (3 weeks) 3. July 4 - July 22 (3 weeks)
4. July 24 - August 13 (3 weeks) 4. July 25 - August 12 (3 weeks)
    Transportation Required ?

PLEASE PICK CLASSES:

Please select from the following drop down menus to structure your morning classes. Please realize that if you choose a Focus Track you are not able to select Discovery Tracks for that same cycle. Please contact us in the office if you have any confusion about the course selections. 1-866-TRY-JKCP

Focus Tracks :

Mon. Wed. Fri. 9am-12pm



Tue. Thu. 9am-12pm


Discovery Tracks:

Monday Wednesday Friday 9:00am - 10:30am


Monday Wednesday Friday 10:30am - 12:00am


Tuesday Thursday 9:00am - 10:30am

Tuesday Thursday 10:30am - 12 :00pm

PRICING AND FEES:

1st, 2nd Session
(1 week)
3rd, 4th Sessions
(3 weeks)
Residential
Tuition, room and board
(Including room with fan & refrigerator, and amenities package.)
$1,150
$3,700
Trips (weekdays, Saturdays and Sundays excluding meals )
$130
$260
Course materials & lab fees
$75/week
$75/week
Application Fee (non-refundable)
$50
$50
Day
Tuition and lunches
$425
$1350
Course materials & Lab Fees
$150
$225
Application Fee (non-refundable)
$50
$50
Transportation can be provided at an additional cost for day students.
Please indicate on application form if interested.

OPTIONAL SERVICES :

Extended Day 8 am to 5 pm:
Afternoon Golf:
Afternoon Tennis:
Princeton Review SAT Prep:
Laundry service:
Kosher Meals:


Private Tutor:

Philadelphia Airport pickup
And drop off:

Van shuttle:



Overseas camper surcharge:
(includes local airport pickup and drop off, laundry, linens)
$60/week
$25 per afternoon
$20 per afternoon
$450
Charged by the pound
$75 per week (Overnight Campers)
$30 per week (Day campers)

$70 per hour


$50 round trip ($30 one way)

$100 round trip, $60 one way
(Tarrytown Hilton, New York City or Newark Airport)

$150 per student
 
REFUNDABLE DEPOSITS
FOR RESIDENTIAL STUDENTS

Room/Common Area Damage
Lost Key

($200)

$100
$100
 

PAYMENT DETAILS:

A $750 deposit plus a $50 non-refundable application fee for overnight campuers or a $350 deposit plus a $50 non-refundable application fee for day campers must be sent under seperate cover within two weeks of submitting application. Full payment is due April 1, 2005 or enrollment may be subject to cancellation. Reservations are made in order of receipt. We will notify you if preferred weeks are not available.

Refund/Cancellation Policy: Notification of withdrawal must be made in writing to the camp. Refunds will be made as follows:

Withdrawal Date:       By May 1st        May 2nd and later
Amount of Refund:
  All but $300   No refund without cancellation insurance*

*Julian Krinsky Camps & Programs offers cancellation insurance that provides a refund of all but $300 of your total payment. The price of insurance is 5% of your tuition. There will be no refund of tuition after May 1st if cancellation insurance is not paid in full by that date.

Even if cancellation insurance is paid for, there will be no refund for a camper who is asked to leave the camp for the use of drugs or alcohol, non-notification of a serious medical condition, or whose conduct is detrimental to the camp. These decisions are at the sole discretion of Julian Krinsky Camps and Programs. No refund will be made for late arrival, early departure, or withdrawal due to family vacation.

Please send payment with check(s) payable to:

Julian Krinsky Camps & Programs
610 S. Henderson Rd.
King of Prussia, PA 19406 USA

Phone: (610) 265-9401 or 1(866) TRY-JKCP
Fax: (610) 265-3678

Payment of Fees for Overseas Campers:

1. Money should be transferred to Wachovia Bank, Philadelphia, PA 19101.
2. ABA (routing) # 031201467
3. Swift: PNBPUS33
4. Deposit payment to: JKST, Inc. A/CT #2000013367204
5. Reference: Camper's Name / Junior Enrichment Camp

SUBMIT APPLICATION:

Thank you for submitting your application. We look forward to seeing you soon.

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