Register for Summer Camp 2011

Registration will be taken on a first come, first serve basis. A non refundable registration fee and an activity fee are due at the time of registration for each child. Please call for rates and fee information. Fees will be waived for voucher families. Please submit payment with your registration form in order to reserve a spot for your child.

Child's First Name:		Last Name:
Birth Date:		Age:
Grade completed for the 2010/2011 school yr:		T-Shirt Size:
Gender:	M F	Race:
Parent's First Name:		Last Name:
Parent's First Name:		Last Name:
Who has legal Custody:		Payment type:
Address:		Address 2:
City:		ZIP:
Email:		Phone:
How did you hear about us:
Are you new to Berea Children's Home & Family Services?		Yes No
Please choose your location:

Lakewood

Due to an overwhelming response the enrollment for this location is now closed. Call 440-260-6001 if you are interested in being placed on the waiting list.

Register for Summer Camp 2011

Berea

Brook Park

Lakewood

Maple Heights