Summer Camp Registration | JJ's Jam | Summer Camps

Child's First Name:		Last Name:	Gender:
Date of Birth:		Grade Entering in Fall 2012:
Elementary School:
T-Shirt Size:	SM (6-8) Med (10-12) LG (12-14) XL (adults)
Parent(s) name(s):
Street Address:
City:		State:	Zip:
Phone Numbers: Home: Cell: Work:
Email Address
Location	St Anthony/Roseville Blaine

PAYMENT INFORMATION (Please check all that apply)

Deposit: Full Payment: Total Payment Amount: $

$96.00 Foss Swim School Fee $12 Per Lesson: $
(Foss Swim School Fee must be paid in full at time of registration and is non refundable for weeks 2 & 3 only)

Payment Method:

Check #
Cash
Credit Card (Visa, Master Card or Discover payment can be made via phone 612-455-8955)

I understand that I will be responsible to sign off on all registration, payment, cancellation,
and liability policies prior to the start of JJs Jam Summer Camps.

Signature of Parent / Guardian:

_____________________________________________

Please enclose a $50 non - refundable deposit for each camp
*Single day camp fees are due upon registration. all itineraries are subject to change.

WEEK	DATE	CAMP	COST
1	June 4th	Get Ready for Summer!	$65
	June 5th	Get Ready for Summer!	$65
	June 6th	Simply Jane Art Studio	$65
	June 7th	Simply Jane Art Studio	$65
	June 8th	Fitness Friday!	$65
2	June 11-15	Swim Into Summer with FOSS Swim School	$250
3	June 18-22	Swim the Day Away with FOSS Swim School	$250
4	June 25-18	Art Spectacular!	$250
5	July 2nd	4 Days of Freedom: Zero Gravity Trampoline	$65
	July 3rd	4 Days of Freedom: Minute to Win It!	$65
	July 5th	4 Days of Freedom: : Cooking Around the World	$65
	July 6th	4 Days of Freedom: : Fitness Friday	$65
6	July 9-13	The Hydro Plunge	$250
7	July 16-20	Sports Supreme	$250
8	July 23-27	Mini Mexico	$250
9	July 30-Aug 3	The Next Great Chef!	$250
10	Aug 6-10	It�s A Slippery and Slimy Life!	$250
11	Aug 13-17	Science Explorers	$250
12	Aug 20-24	The Best of the Best	$250
13	Aug 27th	MN State Fair	$65
	Aug 28th	Brunswick Zone	$65
	Aug 29th	Elm Creek Park Reserve	$65
	Aug 30th	Magic Mirror Face Painting	$65
			TOTAL

Enter Words:

10% same camp sibling discount. Early bird discounts for registration before 5/1/12. Register no later than 10 days before the start of each camp. Part time options and pricing is available. Please call for more details.

Please mail or hand deliver registration forms and deposits to:
JJ's Jam: 2812 Anthony Lane South Suite 400. St. Anthony, MN 55418 Online registration is also available at jjsjam.com
Upon receipt of registration and deposits, additional registration materials will be sent at least 2 weeks prior to your child's first camp that must be completed before camp begiins.