Vacation Programs Registration Form

December Vacation Program

Grades K - 4: Cost is $100.00 for members, $120.00 for nonmembers
OR
daily rate of $30.00 members, $35.00 nonmembers

Grades 5 - 8: Cost is $110.00 for members, $125.00 for nonmembers
OR
daily rate of $30.00 members, $35.00 nonmembers
(Thursday field trip not applicable for one-day enrollments).

February Vacation Program
Grades K - 5: Cost is $85.00 for members, $100.00 nonmembers
OR daily rate of $30.00 members, $35.00 nonmembers.

Send registration with deposit/payment to:

Roaring Brook Nature Center
70 Gracey Road, Canton, CT 06019

Child's Name: _____________________________________________________________Grade: _______Age:______

Are you a member of RBNC/The Childrens Museum? ____Yes ____No

    
DECEMBER PROGRAM
FEBRUARY PROGRAM

 

Price

Price
Monday - Friday: Dec 27 - 31
  Tues - Fri: Feb 22-25  

Monday, December 27
  Tuesday, February 22  

Tuesday, December 28
  Wednesday, February 23  

Wednesday, December 29
  Thursday, February 24  

Thursday, December 30
  Friday, February 25  

Friday, December 31
     

TOTAL
 
TOTAL
 

Parent's Name (please print) :______________________________________________________________________  

Parent's Signature:_______________________________________________________________________________


Address:_______________________________________________________________________________________


Day Phone: __________________________________Evening Phone:_____________________________________

Email:_________________________________________________________________________________________

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