Rye Historical Society

"Hands-On-History" Summer Camp Registration Form - 2008

Name of camper(s): __________________________________________________

Address: ___________________________________________________________

              ___________________________________________________________

Phone:   ____________________________

E-mail   ______________________________

Camper age: __________

Camper grade:  ______________

Camper school:  ____________________________________

Parent/Guardian Name:  ________________________________________

Session Choice (please check)

Session I (July 8-18, 2008): _____

Session II (July 22-August 1, 2008): _____

Cost is $350 per session per camper. 

Payment Options:

____ Check is enclosed

____  Please bill credit card

          Type of Card: _________________________

          Card #: ______________________________

          Exp. date: _____________________

          Name of cardholder:  ___________________________________

          Billing address (if different):  ________________________________________