Prorated Fee/Discount Approval

Name of the Camp:*

Submitter Name:*

Submitter Email Address:*

CAMPER INFORMATION

Name of Camper:*

Age of Camper:*

Amount being charged for camp:*

Reason for the discount:

Child of a UGA Staff Member
Child of a Camp Worker
Child is not prospect-aged

If reason for discount not included above, please describe here:

Is this camper of prospective age?*

Yes
No

Do you have an addtional camper with a prorated fee?*

Yes
No

ADDITIONAL CAMPER

Name of Camper:*

Age of Camper:*

Amount being charged for camp:*

Reason for the discount:

Child of a UGA Staff Member
Child of a Camp Worker
Child is not prospect-aged

If reason for discount not included above, please describe here:

Is this camper of prospective age?*

Yes
No

Do you have an addtional camper with a prorated fee?*

Yes
No

ADDITIONAL CAMPER

Name of Camper:*

Age of Camper:*

Amount being charged for camp:*

Reason for the discount:

Child of a UGA Staff Member
Child of a Camp Worker
Child is not prospect-aged

If reason for discount not included above, please describe here:

Is this camper of prospective age?*

Yes
No

Do you have an addtional camper with a prorated fee?*

Yes
No

ADDITIONAL CAMPER

Name of Camper:*

Age of Camper:*

Amount being charged for camp:*

Reason for the discount:

Child of a UGA Staff Member
Child of a Camp Worker
Child is not prospect-aged

If reason for discount not included above, please describe here:

Is this camper of prospective age?*

Yes
No

Do you have an addtional camper with a prorated fee?*

Yes
No

ADDITIONAL CAMPER

Name of Camper:*

Age of Camper:*

Amount being charged for camp:*

Reason for the discount:

Child of a UGA Staff Member
Child of a Camp Worker
Child is not prospect-aged

If reason for discount not included above, please describe here:

Is this camper of prospective age?*

Yes
No

CAMPER INFORMATION

ADDITIONAL CAMPER

ADDITIONAL CAMPER

ADDITIONAL CAMPER

ADDITIONAL CAMPER

Contact Us:

Follow Us on Twitter!