Mazemakers Registration

Mazemakers at Meadowbrook School
2017 - Online Registration Form

Please submit the application and send a $500 non-refundable deposit to be applied to tuition

Make checks payable to: Mazemakers at Meadowbrook

10 Farm Rd., Weston, MA 02493   Email: Mazemakers@gmail.com
 
Hours: 9 AM to 4 PM Monday - Friday
 
Early Bird Pricing through December 31, 2016
Tuition: $2700 for Session 1 (Four weeks - June 26- July 21) - No Camp July 4th
Tuition: $2700 for Session 2 (Four weeks - July 24- Aug 18)
Tuition: $5400 for 8 weeks  (June 26 - Aug 18)
Pricing after December 31, 2016
Tuition: $2800 for Session 1 (Four Weeks - June 26 - July 21)
Tuition: $2800 for Session 2 (Four Weeks - July 24 - Aug 18)
Tuition: $5500 for 8 weeks (June 26 - Aug 18)

* Remember, your place is NOT saved until the DEPOSIT is received!! *


    Please fill out one form per camper:
    New Family        Returning Family
  Parent/Guardian (1)     Parent/Guardian (2)
Name   Name
Primary Phone   (555-555-1234)   Primary Phone   (555-555-1234)
Work Phone   (555-555-1234)   Work Phone   (555-555-1234)
Cell Phone   (555-555-1234)   Cell Phone   (555-555-1234)
Email   Email
Address   Address
City   City
State   State
Zip   Zip
         

 

Where did you hear about Mazemakers?
Friend
Webpage
Internet Search
Newspaper/Radio
Other
 

Emergency Contact other than parent/guardian
 

Name
Relationship to camper
Primary Phone
Work Phone
Cell Phone
   
Camper Information
   
Camper's First
Camper's Last
Date of Birth (__/__/__)
Grade (Fall 2015)
Primary Phone   xxx-xxx-xxxx
Street
City
State
Zip
T-Shirt Size Child SM   Child M Child L
  Adult SM   Adult M Adult L
   
Circle Friend(s) Request(s)

Transportation
Names of people authorized to pick up my child(ren)
1.
2.
3.
4.
 
 
Is it OK to share my name & email address for carpooling purposes?
Yes   No
 
I am interested in FREE Bus transportation
Yes
No
 
Will you need Early Stay? (from 8am; $15 per any part of an hour)
If yes, by June 1st please contact us at Mazemakers@gmail.com
  
Yes
   No
 
Will you need Late Stay? (to 5pm; $15 per any part of an hour)
If yes, by June 1st please contact us at Mazemakers@gmail.com 
    Yes
    No
 
Please choose your session:
 
  June 26 - July 21 (Session One - four weeks)
   July 24 - Aug. 18  (Session Two - four weeks)
   Both  (June 26 - Aug. 18 - eight weeks)
 
Please select 6 courses in order of preference:
    (Course 1 being the most preferred)
We will make every attempt to assign
you to your first four choices