Child's Name
*
First
Last
Gender
*
Male
Female
Age / Birthday
*
Grade
*
T-Shirt Size
*
T-Shirt
Child Size
Adult Size
School
*
County
*
How do you know about Camp Village?
Friend
Flyer/bulletin
Billboard
Web
Atlanta Parent Magazine
Newspaper
YouTube
Other
Fees
(t-shirt, breakfast, lunch & snacks included in fees):
Each Session is $175 ($25 discount each additional child)
Each Session checked requires a $50 non-refundable deposit
Before Care is Free
After Care is $50 each session & requires a $25 non-refundable
deposit
Transportation to headquarters’ campsite from & to other campsites -
$10 per week
Hours of Operation:
Before Care (8 am – 9 am)
Program (9 am-4 pm)
After Care (4 pm-6 pm)
Extended Care :
Before Care
After Care
Transportation
Select Campsite:
(HEADQUARTERS’ CAMPSITE)
Southwest–Carver Bible College/3870 Cascade Road, Atl., GA 30331
South–Creel Park/2775 Creel Road, College Park, GA 30349
Downtown–The APEX Museum/135 Auburn Avenue, Atl., GA 30303
East–Evergreen Village/445 Cleveland Avenue, Atl., GA 30354
Parent's Name
*
First
Last
Address
*
Street Address 1
City
State / Province / Region
Zip / Postal Code
Phone
*
Cell
*
Email
*
Relative (Relationship)/Guardian’s Name(s)
*
First
Last
Address
*
Street Address 1
City
State / Province / Region
Zip / Postal Code
Phone
*
Cell
*
Email
*
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Please check the Weekly Session (s) you are requesting:
*
SESSION 1 (June 8 – June 12)
SESSION 2 (June 15 – June 19)
SESSION 3 (June 22 – June 26)
SESSION 4 (June 29 – July 3)
SESSION 5 (July 6 – July 10)
SESSION 6 (July 13 – July 17)
SESSION 7 (July 20 – July 24) CAMP VILLAGE GO TO
DISNEY WORLD!(call for details)
Total Summer Package (6 wks) with
After Care ($1,350) or SAVE 25%
Pre-pay Summer Package (6 wks) with After Care ($1,012.50)
Total Summer Package (6 wks) without
After Care ($1,050) or SAVE 25%
Pre-pay Summer Package (6 wks) without After Care ($787.50)
Please call (404) 349-0122 for credit card payments and make checks/money orders payable to Camp Village, Inc.
Please mail payments to:
Camp Village, Inc. c/o Jo R. Edwards P.O. Box 110188 Atlanta, GA 30311
404. 349.0122/office --------- 404.758.4003/fax ---------- info@campvillage.com/email