Subject:

Your Name:

Your Email Address:

How many children between the ages of 7 and 12 would you consider enrolling in our Summer Program?:

One Child
Two Children
3 or more Children

Hours Needed : (example: 8am -5:30pm)

Would you be able to volunteer some time each week?
Yes No

If so, when? : (example: Mondays from 8am - 11am)

We are looking at charging $10 per day for an all day program, Monday through Friday for 10 - 12 weeks. Do you feel this is reasonable ?
Yes No

(Discounts are available for multiple children and/or advance payment.)

Please tell us about your childs interests & hobbies :

Comments: