SB2W HOME PAGE • SB2W LAKE GLORIA • SB2W AT THE QUE • SB2DUB CITIKIDZ
2008 APPLICATION FOR ENROLLMENT
Please complete all information. One Name Only Per Application.
If selecting more than one option, please specify order of preferences in comment area.
Camp
Summer One
First Term
Second Term
Third Term
Fourth Term

June 12-June 20
June 22-July 4
July 6-July 18
July 20-Aug 1
Aug 3-Aug 15

June 12-June 20
June 22-July 4
July 6-July 18
July 20-Aug 1
Aug 3-Aug 15

TUITION: Summer One tuition is $425 ... $440 if paid by credit card. Two Week tuition is $615 ... $630 if paid by credit card. A $50 deposit must accompany each application. Balance is due April 15 unless other arrangements have been made. After acceptance, $10 is not refundable. After March 15, $20 is not refundable. After April 15, $50 is not refundable. Full Tuition is not refundable within three weeks prior to our term. Full refunds are available from the waiting list any time.

Note: Online Registration requires the deposit to be paid by Credit Card.
Name of Camper*   Nickname
Address*
City*   State*
  Zip*
Phone w/Area*   Fax
Family Email*      
Present Age*   Gender*
Present Grade(07-08)*   Birthdate*
Social Security(Optional)      
 
Parents' Names (Dr., Rev., Mr. and/or Mrs.)*
Are Both Parents Living?*   Is Camper Living with both*
If separated, who receives camp correspondence?*
Church you attend
Father's Business or Profession   Work Phone
Mother's Business or Profession   Work Phone
Insurance Carrier*   Policy Number*
 
How many years have you completed at SB2W Resident Camp?
If you or a sibling were a former camper, please indicate team:
If you have attended a SB2W Day Camp, where?
If this is your first year, who most influeced your decision to attend SB2W?
What do you most desire that your Camper get out of Camp?
List and discuss any physical or psychological concerns for your Camper
Additional Comments/Questions/Concerns
 
CREDIT CARD INFORMATION
Please Note: All on-line applications must pay the deposit by Credit Card. Tuition balance my be paid by Credit Card or Check.
Deposit
  Charge my $50 deposit to my Credit Card.
Balance
   
Name on Card
Card Number
Expiration
Card Type
CONDITIONS OF APPLICATION*
I Approve the application above and the conditions listed below. I have written any necessary and pertinent information concerning our family and our camper. In case of illness I hereby give permission for medical care by physician and/or hospital chosen by Camp Director/Doctor/Nurse. I understand that every effort will be made to contact parent/guardian in case of emergency.
 
 
*Field is required.
 
SB2W HOME PAGE • SB2W LAKE GLORIA • SB2W AT THE QUE • SB2DUB CITIKIDZ
 
Summer's Best Two Weeks • 111 Lake Gloria Road • Boswell, PA 15531-2509 • 814.629.9744 • info@sb2w.org
?? 2007, SUMMERS BEST TWO WEEKS