Franc-O-Fun Online Registration Form Summer Camp 2008 One Form is required for each student         Student *Name   *Birthdate *Address *Grade *City *State Connecticut Massachusetts New Jersey New York Other Pennsylvania Rhode Island *Home Phone *Zip *Sex Male Female         *Choose One ... New Student Continuing Student   Experience         Parent *Name   *Home Phone *E-Mail   Cell/Mobile         Medical *Dr. Name   *Phone     Medical Conditions which may require attention, ie. allergies, medications, physical impairment          In case of an Emergency Please Notify:     *Name   *Home Phone *Address             Camps *Camp Please Choose One... Summer Camp 2 Weeks Summer Camp 1 Week     *Location Please Choose... Ridgefield Wilton         Supplies Camp T-Shirt Yes No $8.00 Camp CD Yes No $12.00 T-Shirt Size Small Medium Large             Extra Questions   How did you hear about us?   Please choose one... Google Friend Email Advertisement County Kids Kids Events Flyer Poster Newspaper Other   Comments and or Suggestions?       * fields are mandatory     You have a choice of paying in Full now... OR - Send a nonrefundable deposit of $100 to hold your space and pay the balance of $610 (includes T-Shirt and CD) before April 10th or $615 after April 1st, if paid after April 1st balance is $635 (includes T-Shirt and CD) All checks may be made payable to Franc-O-Fun LLC. By Filling out this Regisration Form and clicking the "Submit"button you are giving permission for your child to participate in Franc-O-Fun LLC. classes and you agree that Franc-O-Fun LLC. is not responsible and may not be held liable if your child has an injury during the time he/she is at class. Before submitting please read the Franc-O-Fun Summer Camp Guidelines & Refund Policies - click here.