2002 Computer Science and Art Summer Camp

Application & Reservation

Presented by Pacifica Computer Pros at Olympian Day Camp

P.O. Box 1515 , Burlingame , CA 94011-1515 , Olympian (650) 692-6400 Pacifica Compros (650) 355-2048

Camper’s name_______________________________ Birth Date:____________ Age:_______ Grade 2002/03________ Boy______ Girl______

Camper’s name_______________________________ Birth Date:____________ Age:_______ Grade 2002/03________ Boy______ Girl______

Home Address____________________________________________ City__________________________ State_________ Zip_________________

Separate Billing Address___________________________________ City__________________________ State_________ Zip_________________

Mother or Guardian:_____________________ Work phone_____________________ Cell phone______________________ E-mail____________

Father _________________________________ Work phone_____________________ Cell phone______________________ E-mail____________

Emergency contact:_____________________________________ Phone__________________________ Relationship______________________ 

Animation                   July 8-12                  _____________

Medieval Times         July 15-19                _____________

Digital Art                   July 22-26                _____________

Robotics                     July 29-Aug. 2        _____________

Express yourself!     Aug. 5-9                    _____________

Animation                   Aug. 12-16               _____________

Computer Science and Art Summer Camp

Number of weeks __________   x $295.00___________

Number of weeks __________      x $35.00___________

Non-Refundable registration fee required for each week

Total Tuition and Registration fees                         ____________

Less bonus if paid by June 1^st. Number of weeks_______   x $40.00                                   

Siblings discount each camper... Num. of weeks_______   x $10.00___________

Tuition and Registration less prepayments and discounts       ____________

 Transportation services available through Olympian Day Camp

“Door-to-Door” transportation…Num. of weeks ______   x $45.00_______

AM Trans. Address______________________________ PM Trans. Address________________________________

AM Trans. cross street __________________________ PM Trans. cross street_____________________________

Camper needs AM and PM transportation______________________ AM only____________ PM only___________

 Extended care services at Olympian 7:00am to 6:00pm

AM care 7:00am— 8:30am …Number of weeks _______   x $25.00_______

PM care 3:30pm — 6:00pm …Number of weeks _______   x $40.00_______

All Day care 7:00am — 6:00pm …Num. of weeks ______ x $65.00________

Please make Computer Camp checks payable to Pacifica Computer Pros.

All Computer Camp tuition must be paid in full by June 30^th.

A $30 transaction fee per camp is charged on all tuition refunds after June 30^th.