SUMMER PROGRAM

ENROLLMENT FORM
Session ___ Full Session (6/17/13 to 8/7/13) ___ 1st Session (6/17/13 to 7/12/13) ___ 2nd Session (7/14/13 to 8/7/13) Enrollee School Cabin Mate Request (only one) Mothers Name Home Address City Home Phone ( Mothers Mobile ( Email Other Mailing Address City State Zip Your signature indicates that you have read and accept said items in the terms and conditions. ) ) State Fax ( ) ) Fathers Mobile ( Zip Fathers Name Tuition $7,900 $4,900 $4,900 Birth Date Grade

Signature of Parent or Guardian / Date $1,000.00 Deposit due at time of enrollment. Balance due by February 1, 2013. Payment Method: Cash Check Amount: $ Single (payable to Camp Ojibwa) Separate mailing . For mailing purposes please indicate: Married

Mail this form with payment to: Dennis Rosen, 1549 Arbor Avenue, Highland Park, IL 60035

Office use only: 2013 Tuition Brother Discount Travel Discount

Full session Hosted Party

1st Session Referrals

2nd Session Total Billed

. .

SUMMER PROGRAM
This agreement covers the full enrolled camp session. No refunds will be made for late arrival or early departure of the enrollee without approval of the Director. Ojibwa Enterprises, Inc., is authorized to use photographs or other media reproductions of any camper for its brochures or other advertising. Medical, prescription and dental expenses with respect to the treatment of a camper are not included in the tuition and remain the financial responsibility of the parents or guardians of the camper. Completed medical health history, insurance, participation and hospital forms will be provided by the camp and must be completed by parents or guardians of the camper prior to the camp season. Campers will be withheld from all camp activities without these forms. The right is reserved to sever connections with any camper whose presence and/or behavior is determined by the Director to be detrimental to the best interests of camp. No refunds will be given under such circumstances. Ojibwa Enterprises Inc., is not responsible for any lost or damaged personal belongings. Camp does not accept credit cards. Deposit: $1,000.00 deposit at time of enrollment. Balance due by February 1, 2013. All Early Bird Discounts apply only if tuition is paid in full by February 1, 2013. Tuition includes laundry, canteen, yearbook and video but does not include transportation, baggage transfer, spending money, camp wear, and special trips. Cancellations & Changes: A $250.00 processing fee will be charged for all cancellations before December 1, 2012. Forfeiture of $1,000 deposit for cancellations on or after December 1, 2012. Changing from a full session camper to a one session camper only after December 1, 2012, will incur the full half session tuition plus a $500.00 change fee. Changing from a full session camper to a one session camper only after February 1, 2013 will incur the full half session tuition plus a $1,000.00 change fee. No refunds for cancellations after march 1, 2013.

TERMS AND CONDITIONS

For more informations, please contact: Denny Rosen, Director Phone (847) 831-5374 Fax (847) 831-2445 Email denny@campojibwa.com Stu Nitzkin, Director of Recruiting and Development Phone (773) 875-2425 Email stu@campojibwa.com Check us out online at: campojibwa.com