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Summer Program 2022
Registration form
Student Information
Student name (First Last)
*
Gender
*
Male
Female
Student Age
*
What size tee shirt does your child wear?
*
Child's Small
Child's Medium
Child's Large
Child's Extra Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Adult XXL
Does your child(ren) have any health or concerns we should be aware of? * (i.e. asthma, allergies (food or animal),hearing or vision difficulties, special needs etc.?)
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No
Yes
Please use this space to provide any other information you feel helpful about your child(ren). Please specify which child if registering more than one.
Marketing Release
We want your Vet in Training to be Facebook famous, but we need your permission first. Please review the terms and select the consent option below which applies to all students you are registering for this program.
I grant permission to HousePaws Mobile Veterinary Service and HousePaws Vets in Training Program, its employees and authorized representatives to take photographs and/or video of me and/or my son(s)/daughter(s), to copyright, use and publish the same in print and/or electronically. Student name information will not be used without advance permission from parents. I agree that HousePaws may use such photographs, videos or stories including me and/or my son/daughter with or without our names and for any lawful purpose, including for example such purposes as social media, publicity, advertising, and other Web content.
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No
Yes
Parent/Guardian signature
*
clear
Parent/Guardian Information
Name
*
Cell Phone #
*
Email Address
*
Address
*
City
*
State
*
Zip
*
Registration & Refund Policy Information
Vets In Training Payment & Refund Policy
Acknowledgement of registration, payment and refund policies. Please see the link above to review these policies.
*
Yes
Registration Order & Payment Information
Please indicate your choice of payment. Registration is not complete unless payment made in full. Contact VIT@HousePawsMobileVet.com if you wish to pay by cash or check. Please note if paying by cash or check that registration is not complete until payment is made in full. Please click the 'Calculate' button to total your order before clicking 'Continue' to proceed to payment if paying by credit card.
*
Credit Card (pay below)
Gift Certificate/Check/Cash
Week 1: Summer with the Animals Kick-Off week!
June 27 - July 1
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
Week 1 Camp: 9:00am-3:30pm ($420.00)
Week 2: Caring for Companion Animals **This shorter week has a reduced cost of $320**
July 5 -July 8
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
Week 2 Camp: 9:00am-3:30pm ($320.00)
Week 3: Veterinary Science Exploration
July 11- July 15
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
Week 3 Camp: 9:00am-3:30pm ($420.00)
Week 4: All Creatures Great & Small
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
July 18 - July 22
Week 4 Camp: 9:00am-3:30pm ($420.00)
Week 5: Art With Animals
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
July 25 - July 29
Week 5 Camp: 9:00am-3:30pm ($420.00)
Week 6: Pet Preparedness
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
August 1 - August 5
Week 6 Camp: 9:00am-3:30pm ($420.00)
Week 7: Veterinary Science Exploration II
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
August 8 - August 12
Week 7 Camp: 9:00am-3:30pm ($420.00)
Week 8: More Art With Animals
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
August 15 - August 19
Week 8 Camp: 9:00am-3:30pm ($420.00)
Week 9: Exotics and Endangered Animals
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
August 22 - August 26
Week 9 Camp: 9:00am-3:30pm ($420.00)
Week 10 : Say Goodbye to Summer!
August 29 - September 2
***I'm sorry, this week is currently full - please email vit@housepawsmobilevet.com to be placed on the waitlist***
Week 10 Camp: 9:00am-3:30pm ($420.00)
Subtotal:
$0.00
Calculate
Early Care / Late Care Options
Early Care Option. Please Indicate how many weeks of early care you will need. Early care is 7:30am-9am ($50/week).
Early Care Week 1 ($50)
Early Care Week 2 ($50)
Early Care Week 3 ($50)
Early Care Week 4 ($50)
Early Care Week 5 ($50)
Early Care Week 6 ($50)
Early Care Week 7 ($50)
Early Care Week 8 ($50)
Early Care Week 9 ($50)
Early Care Week 10 ($50)
Late Care Option. Please Indicate how many weeks of early care you will need. Late care is 3:30pm-5pm ($60/week).
Late Care Week 1 ($60)
Late Care Week 2 ($60)
Late Care Week 3 ($60)
Late Care Week 4 ($60)
Late Care Week 5 ($60)
Late Care Week 6 ($60)
Late Care Week 7 ($60)
Late Care Week 8 ($60)
Late Care Week 9 ($60)
Late Care Week 10 ($60)
Current Total before discounts:
$0.00
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Discounts--Two Discount Limit
I'm sorry, you have missed the deadline for the Early Registration AND PAYMENT Discount
Register AND PAID IN FULL by March 1 (5% Discount)
Same-week Sibling Registration Discount
Sibling Discount (5% Discount on second child)
Please place sibling names here if using same-week sibling discount.
Military Family Discount
Child from Military Family (5% Discount)
Multiple Week Discount
Attend 2-4 Weeks (5% Discount)
Attend 5+ Weeks (10% Discount)
Total discounts to be applied. *Please note, a maximum of 2 discounts may be applied*
5%
10%
15%
CLICK HERE TO CALCULATE TOTAL:
$0.00
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