chesterbrook academy...big ideas and we want to see them in action. invention convention will focus...

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Chesterbrook Academy in North Raleigh Special Offer! Enroll by March 10 th to be automatically entered into our FREE CAMP RAFFLE. Every child that registers for camp by this date will receive 10 Raffle tickets, each a chance to win ONE FREE WEEK OF CAMP!* *Only 1 free week of camp is eligible per child 10200 Strickland Rd., Raleigh, NC 27615 (919) 847-3120 NorthRaleigh.ChesterbrookAcademy.com Open House & Camp Registration Kick-off! Saturday March 10th 2018 10am-1pm

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Page 1: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Chesterbrook Academy in North Raleigh

Special Offer! Enroll by March 10th to be automatically entered into our FREE CAMP RAFFLE. Every child that registers for camp by this date will receive 10 Raffle tickets, each a chance to win ONE FREE WEEK OF CAMP!*

*Only 1 free week of camp is eligible per child

10200 Strickland Rd., Raleigh, NC 27615 • (919) 847-3120 • NorthRaleigh.ChesterbrookAcademy.com

Open House & Camp Registration Kick-off! Saturday March 10th 2018 10am-1pm

Page 2: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Registration Dates & Special Offers

Chesterbrook Academy Summer Camp 2018

CBA Preferred Enrollment Dates

All Chesterbrook Academy Families (any location) can currently register for summer

camp during our preferred enrollment dates, which run from March 1st - March 9th 2018.

External Family Enrollment Dates

All families in the Raleigh Community are welcome to enroll in Chesterbrook Academy’s

Summer Camp Program beginning Saturday, March 10th 2018, at our Camp Kick-Off

Open House (10am-1pm)!

Special Offer

Enroll by March 10th to be automatically entered into a FREE CAMP RAFFLE.

Every child that registers for camp by this date will receive 10 Raffle tickets, each a chance

to win ONE FREE WEEK OF CAMP!

Note: Only 1 free week of camp is eligible per child

Page 3: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Welcome

Chesterbrook Academy Summer Camp 2018

Camp at Chesterbrook Academy offers fun-filled summer

programs for children in Rising 1st – Rising 6th Grades.

Each week, campers jump into action as they participate in outdoor and

indoor games and sports, get messy with exciting science projects,

become involved in performing and creative arts, learn sportsmanship

and teamwork, attend special events, and explore the natural world

around them.

Our campers have the opportunity to embark on fun adventures while

expanding their horizons during the summer. Our exceptional program

and dedicated staff create an environment that forges lifelong

friendships among our campers and create a summer experience that is

unforgettable!

It all starts with our outstanding camp counselors.

A camp is only as good as its staff, and we are extremely proud of ours.

Talent, creativity, love of children, leadership and devotion make our

camp counselors the heart and soul of the program. We take our camp

programs seriously and our staff members have been trained well to

provide the best experience for your child. Camp counselors and

specialists are doing exactly what they enjoy most: spending a summer

inspiring campers to explore, reach for new heights, and expand their

horizons.

Camp at Chesterbrook Academy gives you choices.

Camp includes five days of activities, from 8:30 am – 4:30 pm, with

extended care available at no cost. We offer a range of outdoor

activities, as well as indoor activities conducted in our fully air

conditioned facility. You can also choose to add specialty camps,

optional swim lessons and even catered lunch. These additional

enrichment options operate during regular camp hours, which offer even

more choices for our campers and provide a convenient parent

experience.

Core Camp Hours Monday through Friday 8:30am—4:30pm

Extended Care (included!) 7:00am — 8:30am ; 4:30pm—6:00pm

Sample Daily Schedule

7:00 — 8:30am Extended Care (no additional fee!) 8:30 — 9:00am Eat Morning Snack with Water or Juice 9:00 — 9:30am Morning Assembly: Counselor & Camper Bonding 9:30 — 12:00pm AM Activity Blocks Optional Specialty Camp for the Week Team Time 12:00 — 12:30pm Lunch in the gym or outdoor picnic tables 12:30 — 3:30pm PM Activity Blocks Field Trips and/or Special Guests Free Swim at the On-site Pool and Optional Swim Lessons for the Week 3:30 — 4:00pm Afternoon Assembly: Sharing Experiences & Awards 4:00 — 4:30pm Eat Afternoon Snack with Water or Juice 4:30 — 6:00pm Extended Care (no additional fee!)

Page 4: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Invention Convention Calling all inventors! We know our campers have

big ideas and we want to see them in action.

Invention Convention will focus on brainstorming,

designing and sharing invention ideas.

Chesterbrook Academy Summer Camp 2018

Ac

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ty B

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ks

Digital Vision Campers explore the tools necessary to

capture great images and videos, and refine

them through digital imaging.

Minute to Win It Campers will get a thrill from working together to

complete fun, and sometimes silly, tasks all

before time runs out on the clock. Ready, set, go!

Express Yourself Let your hidden talents shine! Campers

develop creativity and confidence through

singing, dancing, acting and more.

Rise Up Dream it. Build it. Wreck it. Repeat! Campers

build elaborate objects, structures and vehicles,

while exploring fundamental principles of

engineering and physics.

Domino Tricks The game of dominoes is fun, but we have a

little twist in store for our campers. We are

challenging campers to come up with their best

domino toppling tricks.

Recycled Beautifully Our campers will see how one person's trash

can be another person's treasure by turning

recycled materials into beautiful and useful

items.

STEAM Academy Challenging and fun projects encourage

collaboration, decision making, and innovation.

Students work together to solve problems,

while developing a love of science, technology,

engineering, art, and math.

Leave a Legacy Campers learn about how they can be heroes

in their communities, and find creative ways to

give back to those in need.

Game Changer We hope our campers are ready for some good

old fashioned fun. They’ll have a blast building

their skills in a variety of indoor and outdoor

games.

Food for Thought Campers learn kitchen fundamentals and

culinary techniques as they slip on their aprons

and create yummy snacks. They'll be a master

chef in no time!

Master Maker From painting, to sculpting, to drawing and

more, campers are empowered to express their

inner artist and let their imaginations soar.

Campers will engage in unique, activity blocks that focus on fun and offer relevant, meaningful experiences! Each block is an opportunity to engage, explore and make sense of the natural world through inquiry and project-based learning.

Page 5: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

10 Weeks of Camp 2018

WEEK 1 (6/12-6/15) Closed Mon

WEEK 2 (6/18-6/22)

WEEK 3 (6/25-6/29)

WEEK 4 (7/02-7/06) Closed Wed

WEEK 5 (7/9-7/13)

Free-Swim 4 times per week at our on-Site Pool

On-Site Nature Trail, Field, and Playgrounds

Spirit Days and Wacky Dress-Up

Flexible, Extended hours

Off-site Field Trips

On-site Special Guests/Events

Rewards/Prizes for displaying Points of Pride

Air-Conditioned Buildings

Well-rounded, Structured Activities

Two snacks provided daily

Indoor Gymnasium

Daily Assembly at the Amphitheatre

CBA Café Days; Optional Catered Hot Lunch

(Offered Tues-Fri; Details found on our website)

Weekly Features

WEEK 6 (7/16-7/20)

WEEK 7 (7/23-7/27)

WEEK 8 (7/30-8/03)

WEEK 9 (8/06-8/10)

WEEK 10 (8/13-8/17)

At Chesterbrook Academy, we believe camp is always better when you have off-site adventures! Every week, campers embark on an exciting off-site field trip that takes advantage of resources in the local area and provides an additional fun factor for kids!

In addition to weekly field trips, CBA also schedules weekly on-site Special Guests or Events! These guests and events offer new experiences, high energy activities, special treats, and a sense of wonder that peak academic interest!

Fabulous Field Trip Examples: * Launching Pad

* Bowling

* Galaxy Fun Park

* IMAX Film

* Moorehead Planetarium

* Pump it Up

* Frankie’s Fun Park

* Jelly Bean’s Roller-skating

Special Guests and Event Examples: * Mad Science

* NC Museum Outreach with live animals

* Birdman Dave’s Show

* Kona Ice Truck

* No Sleeves Magic

* Rags to Riches Theatre

* DJ Dance Party

* Giant Obstacle Course

* JAM Ice Cream Truck

Off-Site Field Trips & On-site Guests

Highlights at our North Raleigh Campus

Chesterbrook Academy Summer Camp 2018

Page 6: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Rising 1st to Rising 6th Grade Basketball with i9 Sports ON-SITE! Week 1

Nationally, basketball is one of the most popular team sports for girls and boys! It’s a great sport to build up coordination and self-esteem! Join i9 Sports

Basketball where campers learn the basics of dribbling, passing, and shooting, all while experiencing what it means to be part of a team. Though it is true that

campers will learn the rules of the game, who plays what position, and all about how to score, i9Sports believes the value they provide must go far beyond the

sport itself. They focus on how the game is played, how much fun they can make it for the kids, and provide an overall awesome athletic experience!

Dates: June 12-15, Tues - Fri Time: 9:00-11:00am Cost: $120.00

Rising 1st to Rising 6th Grade Movie Magic ON-SITE! Week 2

Ever wanted to be in a movie?! Get ready for your ‘spotlight moment’ in Movie Makers! Here, campers will be immersed in creating a summer camp movie that

will be shared with friends and family on the last day of camp! Everyone will receive a special script that the group must use to create some ‘movie magic’! This

movie making crew will be putting together props, delving into set and costume design, and exploring the world of acting while the camera is rolling! The final

product will be edited and each ‘Movie Maker’ camper will receive a copy of our summer blockbuster!

Dates: June 18-21, Mon - Thurs Time: 9:00-11:00am Cost: $80.00

Chesterbrook Academy Summer Camp 2018

Rising 1st to Rising 6th Grade Master Chef ON-SITE! Week 4

Do you have what it takes to be a Master Chef?! Our ‘competition kitchen’ will make cooking a truly cool experience! Join Mrs. Clemson in fun, hands-on culinary

projects where campers call the shots! Every day, young chefs will learn to create savory dishes and have the opportunity to put their own spin on the final

‘culinary masterpiece’ with an array of ingredients. Judges will be called to the Master Chef CBA Arena where they will view and taste test all delicious options and

award the Master Chefs of each day! Here, campers gain confidence, independence and new culinary ‘know-how’ that will be used for a lifetime!

Dates: July 2-6, Mon - Fri (closed Wed) Time: 9:00-11:00am Cost: $85.00

Rising 1st to Rising 6th Grade <MISSION:CODE> ON-SITE! Week 3

Join Mad Science on a CODING CHALLENGE! MISSION:CODE includes fun lessons with hands-on activities and game development. In the game, students practice programming concepts taught by trained instructors, get immediate feedback on solutions, and have lessons adjusted accordingly, based on access to a progress tool that shows how well students have mastered the programming concepts . Kids will develop computational thinking and problem solving skills! They will get creative by developing their own levels and have fun with peers when challenging their classmates to solve their own levels! Each student will also have at-home access to class content and to their game for 1 year so that they can continue to play and practice the coding skills they have learned. It’s cool to learn CODING!

Dates: June 25-28, Mon - Thurs Time: 9:00-11:00am Cost: $105.00

Enriching Specialty Camps : Weeks 1-4

Page 7: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Rising 1st to Rising 6th Grade Zoology & Ecology Club ON-SITE! Week 8

Join this interactive animal and nature themed specialty camp and become an honorary zoologist and ecologist for a week! The Museum of Natural Sciences

Outreach program will exclusively join our club and present amazing animals and insects, discussing habitats, food sources, biology and more. Members will get

a chance to meet creatures up close and personal, seeing and even sometimes touching live Mammals and Reptiles! We’ll take part in a Virtual Frog Program

hosted by the Museum, too! Club campers will meet with CBA STEM Instructor, Alex Rion, who will immerse them daily in hands-on projects and adventures out

on our nature trail. This unique specialty camp offers something incredible to all animal lovers and young aspiring scientists!

Dates: July 30- Aug 2, Mon - Thurs Time: 9:00-11:00am Cost: $85.00

Enriching Specialty Camps : Weeks 5-8

Rising 1st to Rising 6th Grade Play-Well TEKnologies with Lego® ON-SITE! Week 7

Play-Well TEKnologies offers campers the opportunity to explore mechanisms and structural design through the use of LEGO® ! Campers build motorized

machines, catapults, pyramids, demolition derby cars, truss and suspension bridges, buildings, and more! Each day begins with discussion and demonstration

then children are given design/building assignments. Instructors provide individual assistance that includes facilitating challenges and modifications, as well as

competitions! Students work individually, in teams, and as a group throughout the session. All materials are provided for this class.

Dates: July 23-26, Mon - Thurs Time: 9:00-11:30am Cost: $95.00

Rising 1st to Rising 6th Grade Artist’s Studio ON-SITE! Week 6

At the Artist’s Studio, creativity is unleashed! CBA Art Teacher, Ms. Backhaus, will take campers on a wild journey to explore the abstract, wacky and whimsical

world of American artist, Andy Warhol! Here, students will learn about unique ways to create a few of their own modern masterpieces in the style of this famously

celebrated artist! Painting, Printing, Sculpting and more will keep campers intrigued and excited at the Artist’s Studio! All treasures created (at least 2 detailed

projects) will go home at the end of the week!

Dates: July 16-19, Mon - Thurs Time: 9:00-11:00am Cost: $85.00

Chesterbrook Academy Summer Camp 2018

Rising 1st to Rising 6th Grade Geology & Paleontology Club ON-SITE! Week 5

Prepare to take a hands-on crash course in Science with CBA STEM Instructor, Alex Rion! Become a Geologist and Paleontologist in training this week! Through

cool experiments, science projects and unique lessons, campers will participate in activities that make earth science really fun! Have a blast making crystals,

exploring fossils, breaking your own geodes, delving into dinosaurs, and examining precious stones. Jump into the Rock Cycle, take a virtual tour of a Volcano and

‘go spelunking’! Find out what scientists actually do in the real world and get inspired to learn more! Don’t miss out on this amazing earth science journey!

Dates: July 9-12, Mon - Thurs Time: 9:00-11:00am Cost: $85.00

Page 8: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Rising 1st to Rising 6th Grade Swim Lessons at our On-Site Pool ON-SITE! Weeks 1-10

Camp Swim Lessons offer our campers a “cool” way to learn and stay fit this summer! Alana Utesch, CBA’s PE Teacher, will instruct and guide campers so that

they can feel comfortable and confident in social situations at the pool, learn new skills, and improve swim strokes. Your child will practice safety in our on-site,

aquatic environment! All lessons have a certified lifeguard present at all times,

Each 2 week session is Mon-Thurs (unless otherwise noted); 8 lessons. Each lesson is 45 minutes long (about 30-35 minutes in the water.)

Times vary. See CBA Office for more details. Cost: $75.00 per 2 week session (8 lessons)

Session Dates: 6/12-6/22 (Closed 6/11 – makeup Lesson 6/22) ; 6/25-7/6 (Closed 7/4 – makeup Lesson 7/6) ; 7/9-7/19 ; 7/23-8/2 ; 8/6-8/16

Enriching Specialty Camps : Weeks 9-10

Rising 1st to Rising 6th Grade Dance Revolution ON-SITE! Week 9

Join instructor, Cathy Syphers, in this high energy, hip hop style class where boys & girls can learn cool, modern dances & practice sweet moves with friends! Jam

to popular dance songs and get your groove on! Ms. Syphers is an expert at getting kids pumped up in an environment where exercise is exciting! She has a BS

in Dance Education, studied dance at UNCG, taught dance for 10 years, and is a personal trainer with an infectiously positive personality. Elements of disco,

zumba, jazz and hip-hop will be infused into dance sessions. Campers will be jiving all morning long, so be sure to wear comfy clothing, shoes for movement and a

water bottle. Join the Dance Revolution today!

Dates: Aug 6-9, Mon - Thurs Time: 9:00-10:30am Cost: $85.00

Chesterbrook Academy Summer Camp 2018

Rising 1st to Rising 6th Grade Bakery Bootcamp ON-SITE! Week 10

Ms. Clemson is recruiting campers for this year’s Bakery Bootcamp! Have a sweet tooth? Is dessert your favorite course of the day? WE WANT YOU! Be a

member of our Bakery Bootcamp Brigade and learn to bake your own pie, frost your own pastry, and roll your own cookies! Maybe you have a neat idea for a

cupcake filling or think you’d like to try and bake a cake from scratch. All recipes and most confectionary creations will be sent home to share with family! Come

test your sweet skills at Bakery Bootcamp!

Dates: Aug 13-16, Mon - Thurs Time: 9:00-11:00am Cost: $85.00

Multiple Week Swim Lessons

Page 9: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

New! Academic Connections

Chesterbrook Academy Summer Camp 2018

Rising 1st to Rising 6th Grade Brain Benders Club! ON-SITE! Weeks 1-10

Academic Enrichment Summer Program

Looking to give your brain superpowers this summer?! Prepare for academic adventures with Brain Benders! Get hyped for a program that highlights fun and

challenging activities with a focus on literacy skills, critical thinking, creative writing, problem solving, math skills and more!

Brain Benders is sure to get your child’s ‘gears turning’ and bridge the gap between summer and school academic involvement and exc itement! This enrichment

club will help to broaden your child’s academic horizons by offering activities that will highlight and concentrate on skills in the areas of logic and reasoning,

writing, math, reading comprehension, problem solving, and critical thinking!

This program is offered weekly for 1 hour per day. (Total of 5 hours of Instruction) Brain Benders Club will meet daily, sometime between 9:00am and 4:00pm, as

the instruction time will be dependent upon the day’s camp activities and special events. This ensures that kids never miss Specialty Camps, Swim Lessons/Pool

time, Field Trips or Special Guests!

At the end of each week, parents will also receive a ‘Brain Bender Weekly Review’ email, discussing the academic activities that your child personally experienced,

as well as suggestions to further enrich his/her summer academic journey.

Each week’s session has a new general theme and new academic activities, so your child can enjoy being a Brain Bender all summer long! See themes below.

DATES/THEMES

Weekly Sessions: Mon-Fri, 1 Hour per day (Total of 5 hours of instruction)

Cost: $85 per weekly session (4 day week will still include 5 hour instruction)

Time: Daily time will scheduled between 9:00am-4:00pm; TBA depending upon camp activities so as not to overlap

This program embodies the perfect pairing of full camp activities with an academic hour per day, a combination that both children and parents are sure to love!

Don’t miss out, as registration will fill quickly due to limited enrollment space!

This Photo by Unknown Author is licensed under CC BY

Wk 6: July 16 – 20 THEME: Silly Stories (Reading Comprehension)

Wk 7: July 23 – 27 THEME: Young Authors Squad (Writing Workshop)

Wk 8: July 30 – Aug 3 THEME: Math Marvels (Math Skills)

Wk 9: Aug 6 – 10 THEME: Brain Gurus (Logic & Study Skills)

Wk 10: Aug 13 – 17 THEME: Camp Detectives (Critical Thinking)

Wk 1: June 12 – 15 (4 days only) THEME: Crazy Characters (Reading Comprehension)

Wk 2: June 18 – 22 THEME: Creative Writing Corner (Writing Workshop)

Wk 3: June 25 – 29 THEME: Magical Mathematics (Math Skills)

Wk 4: July 2 – 6 (4 days only) THEME: Terrific Tools for School (Logic & Study Skills)

Wk 5: July 9 – 13 THEME: Perfectly Puzzling (Problem Solving)

Page 10: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

1 2 3 4 5 6 7 8 9 10

6/12 6/18 6/25 7/2 7/9 7/16 7/23 7/30 8/6 8/13

$180 4 days only

(Closed MON)

$225 Mon-Fri

$225 Mon-Fri

$180 4 days only

(Closed WED)

$225 Mon-Fri

$225 Mon-Fri

$225 Mon-Fri

$225 Mon-Fri

$225 Mon-Fri

$225 Mon-Fri

i9 Sports

Basketball

Movie

Magic

Mission

CODING

Master

Chef

Geology &

Paleontology

Club

Painter's

Studio

Play Well

TEKnologies

with Lego

Zoology &

Ecology

Club

Dance

Revolution

Bakery

Bootcamp

$120 $80 $105 $85 $85 $85 $95 $85 $85 $85

Brain Benders

Crazy

Characters

Reading Skills

$85

Brain Benders

Creative Corner

Writing Skills

$85

Brain Benders

Magical

Mathematics

Math Skills

$85

Brain Benders

Terrific Tools

Study Skills

$85

Brain Benders

Perfectly

Puzzling

Problem Solving

$85

Brain Benders

Silly Stories

Reading Skills

$85

Brain Benders

Author's Squad

Writing Skills

$85

Brain Benders

Math Marvels

Math Skills

$85

Brain Benders

Brain Gurus

Logic Skills

$85

Brain Benders

Camp

Detectives

Critical Thinking

$85

*OPTION 1: GSK, Cisco, IBM, NC State, or Duke Employee & provide proof of current employment to receive a 10% camp tuition discount

*OPTION 2: I have multiple children registered at Chesterbrook and qualify to receive a 5% camp tuition discount for 1 child in my family (only)

Elementary Summer Camp

Rising 1st - Rising 6th Grade

7am-6pm

Extended Day Included!

Check Weeks

Attending →

Specialty Camps

On-site Enrichment Classes

Monday - Thursday

(unless otherw ise noted in specialty camp description )

Check Weeks

Attending →

8 Swim Lessons $75

6/25-7/6 (Closed 7/4: makeup Fri 7/6)

Check Sessions Attending →

*ELIGIBLE DISCOUNTS

8 Swim Lessons $75

7/9-7/19

If Yes: Check Here →

8 Swim Lessons $75

8/6-8/16

8 Swim Lessons $75

7/23-8/2

Academic Enhancement

On-site Enrichment Classes

Times vary based on specialty enrollment.

Check Weeks

Attending →

ELEMENTARY Camp at CBA - FEE SCHEDULE & REGISTRATION

REGISTRATION: Complete and print both registration pages, attach a copy of your health insurance card & payment, and return to the Office.

CAMPER'S NAME:__________________________ Rising Grade in 2018-19 (1st-6th):_____________ T-Shirt Size:_____________

If Yes: Check Here →

8 Swim Lessons $75

6/12-6/22 (Closed 6/11: makeup 6/22)

On-site Swim Lessons

Monday-Thursday; Times TBA

(2 week enrollment required)

Times vary based on specialty enrollment.

*only 1 discount will be applied per week *no discounts can be combined *discount cannot be combined with Special Offer Incentive

*discount applies to Summer Camp tuition ONLY and cannot be applied to swim lessons or specialty camps

A Registration Fee of $25 (non-refundable) is required to enroll for Summer Camp.

A Deposit ($ based on final week pricing), pays for your final week of camp, must be paid at the time of registration (non-refundable). Check#_________ TOTAL $ PAID_________

*ALL further camp payments MUST be processed through our Auto-Draft System (unless otherwise arranged with Principal) $25 Fee + Deposit Money is REQUIRED to Register

*Weekly payment will be drafted on Monday evening of each camp week. *If payment is not received by the 3rd day of a camp week, a $30 late fee will be added to the balance.

*Since all camp programs are pre-scheduled, any CHANGES (additions/deletions) to originally selected programs must be made TWO WEEKS IN ADV ANCE of requested change. *All requests FOR CANCELLATIONS made after this deadline will not be accomodated and payment will be required. Email the Office to make any additions or changes to your schedule.

(Pre-scheduling programs include vendor agreements, cost of supplies, staffing according to registration ratios, etc. which are all time-sensitive.)

Page 11: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Elementary Camp Registration Form 2018

Page 12: Chesterbrook Academy...big ideas and we want to see them in action. Invention Convention will focus on brainstorming, designing and sharing invention ideas. Chesterbrook Academy Summer

Nobel Learning Communities, Inc. ®

Automatic Payment Authorization Agreement

Student(s) Name(s): __________________________________ Name of Parent or Guardian: ________________________________

Billing Address: __________________________________________ City: ______________________________ Zip: _____________

Phone #: ___________________________________________ Work #: _____________________________________________

Fax #: ________________________ Email (for billing purposes): ___________________________________________________

Name on bank account: ____________________________________________________ Type of Account: For School#1122

Account Number: ________________________________________________________ ____ Checking ____ Savings

ABA Bank Routing Number: ________________________________________________ Bank Name: _______________________________

I hereby authorize Nobel Learning Communities, Inc. to debit the above-referenced bank account, for the amounts of all invoices. The auto draft will occur automatically on the 1st business day of each billing period after a successful prenote test is done on the specified bank account provided. Please note that it may take a day or two for the draft to hit your bank account. This payment option will continue until we have received notification from you to terminate the Automatic Payment Option as payment for your invoices.

PLEASE STAPLE VOIDED CHECK HERE →

I acknowledge that it is my responsibility to notify Nobel Learning Communities, Inc. if I change bank accounts, and to provide Nobel Learning Communities, Inc. with updated information. If failure to do so results in the invoice not being paid within seven days of the due date, attendance at the school will no longer be permitted until the invoice is paid in full. Any returned auto draft payments will be subject to our normal returned payment fee as specified in your fee schedule. If an auto draft payment is returned, you are responsible for making payment by check for the amount of the invoice along with the returned payment fee. If an auto draft payment is returned three or more times, we reserve the right to discontinue the auto draft payment option and all future billings must be paid by certified funds.

By signing this authorization form, I agree to all of the above terms and conditions.

Date: __________________ Printed Name: ______________________________ Authorization Signature:_______________________________________

Notes: Normally, it will take one to three business days after your invoice is due for the automatic payment to post to your account. Payment will be shown on your monthly account statement from your financial institution. The statement will indicate the payment date and amount. Please contact the school if you see any discrepancy between the amounts owed for any billings and the amount reflected on your monthly bank statement.

If you currently use Auto-Draft with CBA, you do not need to fill out this form.

Thank you!