CAMP AKIBA (AT CAMP ARROYO GRANDE) AUGUST 1 - AUGUST 12, 2007
CAMP DIRECTOR
Bill Concoff
bill@campakiba.org
818-203-9509

PRINT AND RETURN TO:
CAMP AKIBA
5249 S. Sepulveda BL.
Culver City, CA 90230

PROGRAM DIRECTOR
Rick Degelsmith
rick@campakiba.org


Temple Members:
1ST CHILD.........$1110
2ND CHILD.........$1085
3RD CHILD OR CIT.........$1060

  • Early registration discounts - before April 10 save $25
    >> save bonus $15 for registration by March 1
  • NON TEMPLE MEMBERS ADD $90 PER CAMPER
  • CIT LIMITED TO 16, ACCEPTANCE BASED ON REGISTRATION DATE, PAST CAMP ATTENDANCE AND MALE/FEMALE RATIO
  • FIRST YEAR COUNSELORS PAY A REDUCED RATE OF $600 (NO DISCOUNTS)
  • ALL BALANCES DUE BY JUNE 30 , 2007
    $25 late fee for payments received after June 30, 2007
  • CANCELLATION BEFORE JUNE 1st SUBJECT TO A $200 FEE.
  • CANCELLATION AFTER JUNE 1ST BUT BEFORE JUNE 30TH SUBJECT TO $400 FEE.
  • CANCELLATION AFTER JULY 1ST FEE NON-REFUNDABLE
    CAMPER(S)

    1.  NAME _______________________________________________

         AGE _____________ GRADE IN SEPT. ______

     
    2.  NAME _______________________________________________

         AGE _____________ GRADE IN SEPT. ______

     
    3.  NAME _______________________________________________

         AGE _____________ GRADE IN SEPT. ______

     

    ADDRESS ____________________________________________

    CITY _____________ ZIP ______ PHONE ________________

    TEMPLE MEMBER OF ________________

    AMOUNT ENCLOSED $ ______________ ($400 per camper minimum deposit)

    PARENT SIGNATURE ____________________________________

    DATE ___________________

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
FOR OFFICE USE ONLY:
BALANCE DUE $       UNIT ASSIGNMENT       DATE OF APPLICATION    

2/27/07