PLEASE FILL OUT BOTH SIDES COMPLETELY Camp Title Day / Time Tuition


A. Total Tuition Due:


or 50% Camp Deposit: (full tuition due if mailed after 6/1)


B. 10% Discount for Members at the Contributor level or above ($120+) C. Add or renew a Flynn Membership at the following level:


All members have access to early registration. Members at $120+ get 10% off classes and camps.


 Friend ($50-$119)  Donor ($250-$499)  Contributor ($120-$249)  Patron ($500-$999)


D. Add after-camp care at $15/day (Monday-Thursday, 3-5 pm only) Indicate days and weeks needed and add total after-camp care cost.


E. I’d like to donate! Your contribution to our scholarship fund helps make arts experiences accessible to everyone!


F. (A minus B, plus C, plus D, plus E, plus F) = Total Enclosed: +$ +$ $


PAYMENT INFO: I understand that full camp tuition is due 6/1. Please  charge my card on 6/1 or  expect my check.


Today’s Payment:  Check payable to FLYNN CENTER  VISA  Mastercard  American Express  Discover


Card #


Name on Card Signature


 I am applying for a scholarship in the amount of $ and have enclosed my


25% deposit and a brief description of what my child hopes to gain from the camp and why they are interested in taking the camp. Note: Scholarships are awarded on a rolling basis so apply early.


 I’d like a payment plan and have enclosed my 50% deposit. Please expect my checks or charge my credit card the remaining 25% installments on June 1 and July 1. I understand that submitting this form makes me responsible for the full tuition, regardless of my class attendance record or withdrawal.


Signature 14 Expiration Date Security Code


$ $ -$ +$


CUT AND RETURN WITH PAYMENT INFO


Want to guarantee your spot? Become a member today!


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