Summer Camp 2015 Payment Plan Application Form
This payment plan application form is for campers enrolling in any camp over $99.00
1/2 of total camp fees due at registration
PLEASE PRINT CLEARLY ---- ONE FORM PER CAMPER
Child's Name : ___________________________________________________________________________
Parents' Name: _________________________________________________________________________
Parents' Address: _______________________________________________________________________
City: ______________________________________ State: __________ Zip Code: ____________________
Parents' Phone: (__________) __________ - _______________
My child is enrolling in (check all that apply):
3 or 6 week Camps:
3 Week Session 1
Orange Cubs
Orange Lions
Lions on Safari
Jump Start Sports (Junior Varsity)
Jump Start Sports (Varsity)
Stagecrafters (Studio A)
Stagecrafters (Studio B)
Stagecrafters (Studio T)
3 Week Session 2
Orange Cubs
Orange Lions
Lions on Safari
Jump Start Sports (Junior Varsity)
Jump Start Sports (Varsity)
Stagecrafters (Studio A)
Stagecrafters (Studio B)
Stagecrafters (Studio T)
6 Week Session
Orange Cubs
Orange Lions
Lions on Safari
Jump Start Sports (Junior Varsity)
Jump Start Sports (Varsity)
Stagecrafters (Studio A)
Stagecrafters (Studio B)
Stagecrafters (Studio T)
EC Two-Year Old Camp
EC Two-Year Old Extended Care
Early Childhood (3-days)
Early Childhood (5 days)
EC Extended Care Camp (3 Days)
EC Extended Care Camp (5 Days)
Youth Department
Mad About Magic
Recycle Art
Full Week of Adventures
Funutations (Making an iPhone App)
Funutations (Minecraft Maps)
Funutations (Super Mario Bros. with Scratch)
Funutations K'nex Machines in Action)
Funutations (Making a Samsung Android App)
Funutations (Mindcraft Modding)
Bricks 4 Kidz: Classic Arcade Brick Adventures
Bricks 4 Kidz: Super Hero Academy
Cooking Camp
Fencing Camp
Sports Specialities
Challenger Sports - British Soccer
Challenger Sports - Tetrabrazil Soccer
Elite Soccer Camp-Half Day
Elite Soccer Camp-Full Day
Beginner Tennis Camp
Tune-up Tennis
Seal Scuba Camp
Kids Scuba Camp
Intermediate Tennis Lessons
Advanced Tennis Lessons
Enrichment Camps:
Early Childhood
Pee-Wee Soccer
Animal Lovers Camp
Ring Master Camp
Baker's Dozen
Stagecrafters
Lullaby of Broadway
Broadway Buddies
Broadway Buddies Dream Team
A valid credit card number is MANDATORY for Camp Payment Plans. If your credit card charges are declined, payment
must be made immediately or yuor child will be removed from camp (and you are not eligible for a refund of your first installment).
ATTACH TO THE OCE&R REGISTRATION FORM AND SUBMIT WITH FIRST PAYMENT BY MONDAY, MARCH 9 AT 8:00PM
Questions? See the attached Payment Plan Information Sheet or call Orange Community Education Recreation at 216-831-8601