Note: Submitting this form indicates you understand that a refund will be granted only if the request is made in writing and received by June 16, 2008. No refunds will be granted after June 16, unless the space can be filled with someone else. If your child is unable to personally attend the camp, substitutions will be permitted up to June 30.

Amount Enclosed: 

Please submit this form electronically to hold your space in the camp. Payment by check or credit card must be received within 10 days of submission of this form, or by June 16, whichever comes first. To insure security of your credit card information, please print this form, fill in the credit card information and fax it to our secure fax (302-831-8179), or you may call us with your credit card information (302-831-8302). If you prefer to pay by check, please print a copy of your registration form and send it with your payment to:

Payment Method: 
will send payment by check with a paper version of this form
will pay with credit and send credit card info and signature with a paper version of this form (circle one): MasterCard AmEx VISA Discover

Card #  Exp. Date 

Signature as it appears on card 

Credit Card Billing Street Address:

Credit Card Billing Zip Code:  

3 or 4 Digit CVV2 Code from the back of Credit Card: