PLEASE NOTE: THIS YEAR THE ENTIRE CAMP FEE IS DUE UPON REGISTRATION. CANCELATIONS PRIOR TO MAY 1ST WILL RECEIVE A REFUND MINUS A $75 REGISTRATION FEE. CANCELATIONS AFTER MAY 1ST ARE NON-REFUNDABLE.

Participant’s name:  _____________________________________  Age on first day of camp: ______  Birthdate:  ____/____/_____

Parents' names: _________________________________________________________________

Address: _________________________________________________

City: _________________________________ State: __________ Zip Code: ___________

Phone: ____________________________________ Email: ____________________________________

Any special needs? (Please list any disbilities, medical conditions, allergies, etc):   _____________________________________

Emergency contact (who can be reached during camp hours):______________________ Phone: ___________________

Where did you hear about Movie Makers? __________________________________________________________

I am enrolling in the following summer camp(s):

June 14th - 18th [Mystery/Suspense (younger); Silent Movies/Slapstick Comedy (older)] _________

June 21st - 25th [Super Heroes (younger); Action-Adventure (Older)] _______

July 5th - 9th [TV Shows & Music Videos (both groups)] ___________

July 26th - 30tht [Mockumentary (both groups)] ___________

August 2nd - 6th [Musical-Comedy (both groups)] __________

Please initial each of the following:

I am enclosing the full summer camp fee of $275 per camp. ______

I understand if I cancel prior to May 1st, I will receive a refund, minus a $75 registration fee.  ______

I understand if I cancel after May 1st, the entire camp fee is non-refundable.  ______

I have disclosed any medical conditions/special needs my child has _____

I understand my child needs to bring a lunch to camp each day ______

I would like to enroll in the extended childcare hours (8:00am - 5:00pm) for an extra $50/week. Yes / No / Not sure yet
(If registering for extended care, please add $50 to your payment, for a total of $325; Alternately, you may pay for extended care on the first day of camp.)

Make checks payable to: Movie Makers
Send this registration and your deposit check to:
Movie Makers
5502 Turkey Farm Road
Durham, NC 27705

www.movie-makers.net * melissa@movie-makers.net * (919) 960-8233