Camp College Prep: Registration

Name

Address

E-mail address

Phone Number ( )

High School

Grade as of 9/18

Parent Name

Parent work phone

Please Circle Session
Week One: July 9-12 Nazareth College Session I: 8:30-noon Session II: 1-4:30p.m.	Week Two: July 23-26 Nazareth College Session I: 8:30-noon Session II: 1-4:30p.m.

Registration is on a first-come basis
Maximum of 25 students per session
Camp fee is $275
Deposit of $150 will hold a spot until one week prior to the session when full payment will be due.

Please complete the registration form above and mail check payable to Camp College Prep to:

Camp College Prep
c/o John Serafine
16 Glendower Circle
Pittsford, New York 14534