"CAMP LIGHT WAY"

Date_______________’08                                

Learner Name: First___________________ Last _________________

Address________________________________________

City_______________________ State_____ Zip________

E-mail_____________________ Phone: ___________________

Parent Name: First___________________ Last _________________

Address (if different) ____________________

City_______________________ State_____ Zip________

E-mail (required) ____________________________ Phone: ___________________

Registration and Supply Fee: $100 (non-refundable) Due by June 17^th, 2008. 

Tuition: 10 am – 6 pm M-F $225 per week x 4 weeks = $900

Payment:

1. Pay $100 registration and supply fee by June 17th to hold your space at camp. 

2. Pay tuition in full by July 1^st.

3. Contact us at 281 630 6055 if you need to make other payment arrangements for tuition.

Signed: ____________________________      Date: _____________

(Learner)

Signed: ____________________________      Date: _____________

(Parent/Guardian)

Please include cash, check, or money order made out to Light Way Schools for $100 with this form and send to the following address:  

Light Way Schools

5867 Sampley Way

Houston, TX, 77092

Light Way Schools reserves the right to terminate participation at any time at our discretion.

In case of termination by Light Way Schools all unused fees will be refunded. In case of termination by participant, all fees paid are non-refundable except in extenuating circumstances as discerned by Light Way Schools.

Payments are for the full month and no credits will be given for missed days.   

Light Way Schools,

5867 Sampley Way, Houston, TX, 77092 

zahra@lightwayschools.org 281 630 6055