Modeling Camp - Registration Form

Online Registration Please follow the three steps below to complete your online registration Step 1 Register using our online form located below. Step 2 Pay for your program using PayPal (you will be directed to their secure site). Step 3 Print Full 4 Page Registration Form here (Fill this out and mail it to our office). If you do not want to use the online Registration Form you can Fax or Mail your forms by clicking here to download the Registration Form and here to download the Credit Card Form. Our mailing address is: Modeling Camp P.O. Box 1246 Fairfax, VA 22038 Fax: (703) 273-2561 If you have any questions please call our office on (888)757-5575. 1. Online Registration
	Camper's Last Name:
	Camper's First Name:
	Camper's Middle Initial:
	Camper's Nickname:
	Address:
	City:
	State:
	Zip:
	Home Phone:
	Cell Phone:
	Age:
	Date of Birth:
	Returning Camper:
	Billing Name :
	Billing Email:
	Billing Address: (If different from above)
	City:
	State:
	Zip:
	How did you hear about Modeling Camp?			Magazine Which One? Camp Fair Which One? Friend, Who? Newspaper Which One?
	SESSION ENROLLMENT OPTIONS All programs have limited availability and are available on a first come first served basis. Please choose the appropriate sessions. All fees are for one complete session. Fees will not be prorated for partially attended sessions and sessions may not be split. Fees include all regular daytime activites, field trips and a nutritious lunch each day.
	VIRGINIA SUMMER CAMP PROGRAMS 2010 If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full. In this event, please select another session or call our office for additional options.

	1. Fashion Camp	Ages 11-17	$349
	2. Fashion Camp	Ages 7-10	$349
	3. Fashion Design Camp	Ages 11-17	$399
	4. Fashion Design Camp	Ages 7-10	$399
	5. Modeling Workshop	Ages 11-17	$499
	6. Behind the Scenes Camp	Ages 11-17	$399
	7. Miss Cotillion Camp	Ages 11-17	$399
	8. Miss Cotillion Camp	Ages 7-10	$399
	ADD ON PROGRAMS Ages 7-10 and 11-17 Please select a program and check the date that you would like to attend.
	Photo Shoot Camp VA	Ages 7-17	$399

	NYC SUMMER CAMP PROGRAMS 2010 If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full. In this event, please select another session or call our office for additional options.

	Modeling Camp NYC	Ages 13-18	$999

	Florida SUMMER CAMP PROGRAMS 2010 If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full. In this event, please select another session or call our office for additional options. ADD ON PROGRAMS Ages 7-10 and 11-17 Please select a program and check the date that you would like to attend.
	Photo Shoot Camp FL	Ages 7-17	$399


	EXTENDED DAY OPTIONS (Available to Virginia campers ONLY)
	Please check appropriate box ALL FEES ARE FOR ONE 5 DAY CAMP SESSION
	Morning extended care only: 7:30am-9:00am			$69
	Afternoon extended care only: 3:30pm-6:00pm			$89
	Morning & Afternoon extended care: 7:30am-9:00am & 3:30pm-6:00pm			$99
				An afternoon snack is offered at 4:15pm

	Car Pool List
	Would you like your name and phone number to be added to our car pool list?

	Refund Policy
	I understand that no refund will be given for withdrawal, suspension, illness, dismissal or absence from the camp.			Please Initial:

VIRGINIA SUMMER CAMP PROGRAMS 2010

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full.
In this event, please select another session or call our office for additional options.

NYC SUMMER CAMP PROGRAMS 2010

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full.
In this event, please select another session or call our office for additional options.

Florida SUMMER CAMP PROGRAMS 2010

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full.
In this event, please select another session or call our office for additional options.

VIRGINIA SUMMER CAMP PROGRAMS 2010

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full. In this event, please select another session or call our office for additional options.

NYC SUMMER CAMP PROGRAMS 2010

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full. In this event, please select another session or call our office for additional options.

Florida SUMMER CAMP PROGRAMS 2010

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full. In this event, please select another session or call our office for additional options.

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full.
In this event, please select another session or call our office for additional options.

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full.
In this event, please select another session or call our office for additional options.

If you do not see a session listed as an option in the drop down menus below, we are sorry but that session is full.
In this event, please select another session or call our office for additional options.