Cub Creek Science Camp
2009 Registration Form
 

Thank you for choosing Cub Creek Science Camp!

Completion of this form and receipt of your deposit will secure a space for the named camper at Cub Creek Science Camp. 

 

Deposit and camp payment: A $100 per week, non-refundable deposit, is required to secure a place for your child. This deposit is applicable to the total camp fee. If registration is canceled prior to April 1, total payment (less non-refundable deposit) will be returned. If cancellation occurs by May 1st , half the total fee will be returned (less the non-refundable deposit). No refund is offered if cancellation occurs after May 1st . The balance of the camp fee is due on or before April 1. Cub Creek Science Camp reserves the right to cancel enrollment if the camp fee is not paid in full by April 1.

Deposit Policy: Deposits are applicable only to the camper for which they are made and may not be transferred or added to another campers tuition. Under no circumstances will the deposit be transferred or refunded should a camper reduce the number of weeks attending.

 

Cub Creek accepts all applicants who are willing to abide by the rules and policies of camp. However, at its sole discretion, we reserve the right to dismiss any camper, without a refund of tuition, whose behavior  does not comply with camp rules or policies or is harmful to themselves or others.
 

 
Camper Information
Camper's Full Name
Nickname
Gender
Age
Birth date
Grade

(completed in spring 2008)
   
Home Address
City
State / Country
Zip
Home phone
   
Parent Information (Parents residing at the same address as the camper)
 
Camper lives with
Mothers Name
Work Phone
Cell Phone
Email Address
Fathers Name
Work Phone
Cell Phone
Email Address

Place a check next to the session in which you would like to enroll your child.

Sessions

Our programs range from one to six weeks in length.  Campers will choose two new courses for each week at camp and participate in new activities every day.  With over 100 different activities, it would take a camper a minimum of 5 weeks to try everything just once.

Session Age Date      Tuition  Deposit

Six Week Program
Weeks 4-9 7 - 16 June 28 - August 8 $3900 $600

Four Week Programs
Weeks 4-7 7 - 16 June 28 - July 25 $2700 $400
Weeks 6-9 7 - 16 July 12 - Aug 8 $2700 $400
 

Two Week Programs
Session Age Date Tuition  Deposit
Week 4-5 7-16 June 28 - July 11 $1350 $200
Week 6-7 7-16 July 12 - July 25 $1350 $200
Week 8-9 7-16 July 26 - Aug 8 $1350 $200
 

Leadership program 

 

Our leadership programs are open by invitation only.  If you are interested in taking part in this program and have not received an invitation or you have not attended Cub Creek as a camper in the past, please send us a letter or e-mail explaining why you would like to be a part of our leadership program.  Requests will be reviewed and responded to on an individual basis.
A.S.I.T. 1 15 - 17 June 7 - June 27 (3 weeks) $2025 $300
A.S.I.T. 2 15 - 17 June 28 - July 25 (4 weeks) $2700 $400
A.S.I.T. 3 15 - 17 July 26 - Aug 8 (2 weeks) $1350 $200
 
           

 

 

One Week Mini Camp 

 

For campers who aren't quite ready for a longer camp experience or who have too busy of a summer schedule, we offer 3 mini camp session.
1st week 7 - 16 June 7 - June 13 $725 $100
2nd week 7 - 16 June 14 - June 20 $725 $100
3rd week 7 - 16 June 21- June 27 $725 $100

 

 

 

How did you hear about Cub Creek Science Camp?
 If you are a returning camper, may we add your name to our list of references?   Yes  No
What do you love most about camp?  May we quote you?  Yes  No

 

 

Medication Will your child be taking medication while at camp?  If yes, how many times per day?      #x/day 
Cabin Request  Is there anyone this camper would like to share a cabin with ? (Must be within one grade / year of each other)

 
T-Shirt Size A camp T-shirt is included with every registration.  Please indicate your desired size


 
Person completing this form

 

 

We must receive a deposit of $100 per week in order to finalize your request.

 

 

 

Cub Creek Science Camp

Located at Bear River Ranch

16795 Hwy E

Rolla, Missouri  65401

573-458-2125

Director@BearRiverRanch.com