Discovery Camp Registration Contract

Mail to: Discovery Camp
The Franklin Institute Science Museum
222 North 20th Street
Philadelphia, PA 19103-1194

By fax: 215.448.1219

For registration questions, call: 215.448.1286.

O My kid(s) came to Discovery Camp last year, too.

How did you hear about Discovery Camp?

O I allow my phone number to be distributed to other camp parents who are interested in a car pool.

Membership ID No. (when applicable)
Parent Name
Address
City State Zip
Daytime Phone Evening Phone Email
Emergency Contact
Relationship to Child Weekday Phone
1) Child's Name Age O Male O Female
2) Child's Name Age O Male O Female

 

Please note the session(s) that your child(ren) will attend by writing their name(s) on the line next to the appropriate session(s).
 

Session Theme Session Dates
Discovery Days 1 June 12 to June 16 ____________
Behind the Screen June 19 to June 30 ____________
Weather or Not? July 3 to July 14 ____________
Secrets of Life July 17 to July 28 ____________
Art Smart July 31 to August 11 ____________
Discovery Days 2 August 14 to August 18 ____________

Payment
All fees must be paid in full with registration. Please fill in the appropriate fees.

___ x $_____for __ sessions at $500 for members; $555 for non-members
___ x $_____non-members save 5% when you register for multiple sessions before 5/19/06
___ x $_____three-session members' special $1475 ($1665 value)
___ x $_____four-session members' special $1875 ($2220 value)
___ x $_____plus early arrival ($60/session/child)
___ x $_____plus extended departure ($80/session/child)
___ x $_____Discovery Days 1 & 2: $275 each
___ x $_____minus $25 when you register for Discovery Days and a 2-week session
$__________TOTAL FEES

Include ID membership number to take advantage of member prices. Make all checks payable to The Franklin Institute. All fees are non- refundable.
O Check    O Visa    O Master Card    O American Express    O Discover
 
Amount Charged: Credit Card #:
Cardholder Name: Expiration Date:
Signature of Cardholder:


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