Please print out and mail this form along with your check payable to BACDS
to:
BACDS
c/o Denis Thalson
1105 Talbot Ave.
Albany, CA 94706
For further information about registration, call (510) 528-7953, or e-mail tcolton@berkeley.edu.
Please send a $150 deposit along with all scholarship applications.
All applications postmarked by March 17th will be deemed to have arrived on that date.
Please send one registration form per person.
Key Deadlines
• Feb 2 - Registration opens ($25 cancellation fee)
• March 17 - Lottery postmark; $150 deposit due
• March 28 - $150 cancellation fee retained
• April 3 - Notification of acceptance mailed
• June 2 - Final balance due; $400 cancellation fee retained
• July 3 - No refund upon cancellationKey Contacts
• Registrar, Denis Thalson
(510) 704-9561, dthalson@earthlink.net
• Scholarships and Manager, Tom Colton
(510) 528-7953, tcolton@berkeley.edu
• Program Director, Brooke Friendly
(541) 482-9586, friendsack@opendoor.com
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| Name(s) | |
|---|---|
| Address | |
| City, State, ZIP | |
| Home Phone | |
| Work Phone | |
| Email Address |
| Male | Female |
| Couple (I will attend only if attends) |
| ECD |
| Display dance |
| Music workshops |
| I would like to room with |
| I am a smoker (for room assignments). |
| I would like vegetarian meals. |
| I need a special diet. |
| I can offer a ride to camp. |
| Please help me find a ride. |
I would like to apply for a scholarship.
Work scholarship. |
| I would like to offer my skills in first aid. |
| My name | ||
| My email | ||
| My address | ||
| My phone number | ||
|
$775 full tuition
|
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|
$150 deposit
(Send a deposit along with all work scholarship applications.) |
||
|
I enclose a tax-deductible gift to BACDS for $____________.
|
||
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We have a full camp, with a short waiting list. To inquire about the waitlist, or to get on the mailing list for next year, please check with our camp manager, Tom Colton (510-528-7953, tcolton@berkeley.edu) or our camp registrar, Denis Thalson (510-704-9561, dthalson@earthlink.net) |
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