2008 Camp Stella Maris Summer Online Registration Form
Camper Last Name:
 First Name:
 M.I.:
 Gender:
 D.O.B:
Mailing Address:
City:
 State:
 Zip Code:
 Child Lives With:
Parent Name(1):

Alumni:
Day Phone:
Evening Phone:
Cell Phone:
Parent Name(2):

Alumni:
Day Phone:
Evening Phone:
Cell Phone:
Contact Email:
 How Did You Hear About CSM?
Resident Camp: Ages 7-15
Must be 15 or younger during entire session.
June 29 - July 5
Extreme Specialty Camp 		$520
July 6 - 11 $490
June 29 - July 11 $1060
July 13 - 19 $520
July 20 - 25 $490
July 13 - 25 $1060
July 27 - August 2 $520
August 3 - August 8 $490
August 10 - 16 $520
August 17 - 22 $490
August 10 - 22 $1060

** due to Extreme Specialty Camp being offered A Week, no “holiday special” will be offered this year
Day Camp: Ages 5-10
June 30 - July 4 $160
July 7 - 11 $153
July 14 - 18 $160
July 21 - 25 $160

July 28 - August 1		 $153
August 4 -8 $160
August 11 - 15 $160
August 18 - 22 $153

     7:30 - 8:45 a.m. 		$25/
Week

Field Trips:
RMSC: Rochester Museum and
Science Center RWP-Roseland Waterpark
SB-Seabreeze Amusement Park
SNMP: Strong-National Museum of Play
Leader-In-Training Program:
Age 15 -See pg.2, “LIT PROCEDURE” for requirements. Please number sessions, 1-4, in order of preference.
Session 1 A/B Weeks* $999
Session 2 C/D Weeks* $999
Session 3 E/F Weeks* $999
Session 4 G/H Weeks* $999
Postmark date December 31, 2007
 
Counselor-In-Training Program:
Age 15 -See pg.2, “CIT PROCEDURE” for requirements. Please number sessions, 1-4, in order of preference.
Session 1 A/B Weeks* $699
Session 2 B/C Weeks* $699
Session 3 C/D Weeks* $699
Session 4 D/E Weeks* $699
Session 5 E/F Weeks* $699
Session 6 F/G Weeks* $699
Session 7 G/H Weeks* $699
Postmark date November 26, 2007
*Session Week Descriptions:  (this section is to define weeks listed for LEADER-IN-TRAINING and COUNSELOR-IN-TRAINING Sessions)
Week A: June 29 - July 5 Week C: July 13 - 19 Week E: July 27 - August 2 Week G: August 10 - 16
Week B: July 6 - 11 Week D: July 20 - 25 Week F: August 3 - 8 Week H: August 17 - 22
Overnight Experience: Ages 6-10
June 30 - July 1 $70/75
July 3 - July 5 $95/105
See pg.2, "OVERNIGHT EXPERIENCE" for applicable rates. ** due to restructuring of this program, 2008 rates are in effect
Resident Camp Cabin Placements: Each camper may choose to request ONLY ONE cabin mate. To consider the request, BOTH campers must request each other.
If more than one camper name is listed, only first name will be recorded. Due to logistics, there are no guarantees. Campers are assigned to cabins by age. Cabin mate request (ONLY ONE name):
I request:

CSM will discount for each additional child registered per household per session (see pg.2,"SIBLING DISCOUNTS").

A sibling of this camper will be attending CSM, Name(s) of sibling(s):


I am a new CSM camper and was referred to camp by a currently registered CSM camper (see pg.2,"BRING-A-FRIEND").

Name of Friend:

Camp Registration Agreement:
  • I agree to be responsible for all fees due.
  • I consent that any photo or video of my child taken by CSM may be used for marketing purposes.
  • I have read and I agree to all terms included on this registration and conditions relating to programming, fees and refund policies.
Name of Parent/Guardian:
Date:

CONFIRMATION PACKET:
Please send my Confirmation Packet via (choose one):
  
Payment Agreement:
Please select method of deposit and one balance payment option.
Non-refundable $75 per camper per session deposit due upon registration:
  
Payment Option 1-Payment in full today:
  
Payment Option 2-Payment in full on April 1st:
  
( Selecting Payment Option 2, and using a credit/debit card, CSM will debit your account automatically on specified date)
Credit Card:

Card#: Exp.Date:
Name on Card:
I agree to the payment terms selected above.
Authorizing Name: Date:

Calculate Your Balance:
Total Fee
(includes session fees & Day Camp Early drop-off):		 $
Contribution to our CSM Campership Fund: $
Additional Sibling Discount (calculated by CSM):  
Total: $
Non-refundable Deposit: $
Total Charged: $
Balance Due: $

** All participants must agree to the Information and Policies page.  It is located on page two of the registration form. **