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2016 SUMMER DEBATE CAMP REGISTRATION

Half Day Program (9-12PM)
EARLY REGISTRATION: $325/WEEK (EXPIRES 4/30)
$375/WEEK (AFTER 4/30)

Full Day Program (9-3PM)
EARLY REGISTRATION: $395/WEEK (EXPIRES 4/30)
$445/WEEK (AFTER 4/30)

REGISTRATION FORM

1. Student Information

Student's Name *

First

Last

Date of Birth (mm/dd/yr) *

Grade (2016-2017) *

Debate Experience *

School Name (2016-2017) *

City, State *

Student's Email *

2nd Student's Name *

First

Last

Date of Birth (mm/dd/yr) *

Grade (2016-2017) *

Debate Experience *

3rd Student's Name *

First

Last

Date of Birth (mm/dd/yr) *

Grade (2016-2017) *

Debate Experience *

2. Contact Information

Parent's Name *

First

Last

Phone Number *

Email *

Home Address *

City *

State *

Zip Code *

3. Camp Schedule (Location and Time)

The following LOCATIONS and TIMES are available for the summer camp. We will be adding more times and locations during the months of March and April. Please check back to see if we will be hosting a debate camp near you. If you are interested in bringing a debate camp to your city, please click here for more information.

Session 1 (6/27-7/1) *

Session 2 (7/5-7/9) *4 days *

Session 3 (7/11-7/15) *

Session 4 (7/18-7/22) *

Session 5 (7/25-7/29) *

Session 6 (8/1-8/5) *

Session 7 (8/8-8/12) *

Session 8 (8/15-8/19) *

Saturday Session 1 (7/9,16,23,30,8/6) *

Saturday Session 2 (7/23,30,8/6,13,20) *

4. Payment Information
A) All payments are Non-Refundable. Credit will be provided up to 1 year from the date of the event.
B) Half Day Program - $325 Before 4/30; $375 After 4/30
C) Full Day Program - $395 Before 4/30; $445 After 4/30
D) The discount for Early Registration will be automatically applied when you register before 4/30.

Option 1: Pay By Credit Card
Please fill out the credit card information below:

Name on Card *

Card Number *

Expiry Date (MM/YR) *

Security Code *

Zip/Postal Code *

Option 2: Pay By Check
If you are paying by check, please make the check payable to "AGAPE"

Address:
1333A North Ave, Suite #534
New Rochelle, NY 10804

By submitting this registration form, I hereby give permission for my child to participate in the above indicated program. I am also indicating my agreement to all terms and conditions of enrollment listed on this website, in particular, that tuition deposits and payments are non-refundable.