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 POTOMAC VALLEY SPORTS CAMP
BEFORE AND AFTER CAMP APPLICATION

The Potomac Valley Sports Camp will be offering Early Drop and After Camp programming.  The Early Drop program will be available from 8:00 AM - 9:00 AM, and the After Camp program is available Mon through Thursday from 3:30 PM - 6:00 PM and Friday from 3:30-5:30.  There will be a snack provided during the After Camp program.

The fees for this programming are as follows:

            Early Drop                   $80.00 per 2-week session
            After Camp                  $100.00 per 2 week session.

For any After Camp children picked up after 6:00 PM, there will be a late charge of $1.00 per minute, per child, payable the next day of camp.

Payment will be accepted until the last Friday before the beginning of each session.  Any questions, feel free to call (301) 881-1404, ext. 4990.
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Please enroll my child_____________________in the Early Drop and/or After Camp programs cited below.

    Early Drop After Camp
Session 1  June 21 – July 2 [  ] [  ]
Session 2 July 5 - July 16 [  ]  [  ]
Session 3  July 19 – July 30 [  ]  [  ] 

                        Early Drop       $80.00 per 2-week session
                        After Camp      $100.00 per 2 week session

Amount Enclosed $____________

I agree to the drop off and pick up times of the Potomac Valley Sports Camp extended day program.  If for any reason my child is picked up after 6:00 PM.  I agree to pay the late fee before the end of camp the next day.

Signature of parent or guardian   Date
_________________________________ ___________

Mail To:
CESJDS Attn: Athletic Dept.
11710 Hunters Lane
Rockville, MD 20852