ETM Summer Study 2009
1. Print and fill out this form and select the sessions you wish to attend.
2. Then fax or mail it to us! All the contact information you need is here.
Name: _______________________________________________
Address______________________________________________
City___________________Prov.________Postal Code_________
Home Phone:_________________Work # ___________________
Email_________________________________________________
| Payment: Fill out this form and mail it
along with your registration and deposit to: Richards
Institute P.O. Box 2122 Sarnia, ON N7T 7L1 You can pay by cheque, money order or VISA (only). If you choose to pay by VISA you may fax your registration to 519-344-3681 A deposit of $100 is required to register. The balance will be paid in the summer. How will you be paying your deposit? ____ Cheque or Money Order enclosed (payable to Richards Institute) _____VISA Credit Card Card No: _________________________________ Exp. Date: __________/____________ Name on Card: _______________________________ Signature:_____________________________________ |
Please register
before June 27
July 27 to July 31 Ottawa
Tuition: ¤ Adult _____ (# of adults) $300 (CAN)
Children's Program ( newborn to 16 years)
¤ Children ____(# of children) $120 (CAN) child for the week (Discount available for 2 or more children coming with the same adult: $100 for second child, $80 for third child, $60 for fourth child.)
Children attending Children's Program:
________________________ _______________________
Name and Age Name and Age
________________________ _______________________
Name and Age Name and Age
Choose One:
¤ I plan to stay on campus by making reservations as explained below.
¤ I am not planning to stay on campus.
Adult & Youth Camp
July 6 to 10 Oshawa, Ontario
Which camp are you registering for? ___ Oshawa ___
Tuition: ¤ Adult _____ (# of adults) $250 (CAN)
¤ Youth (8 to 18) _____(# of youth) $150 (CAN)
( Discount available for 2 or more youth coming with the same adult. $130 for 2nd child, $110 for 3rd child, $90 for 4th child.)
Youth attending Adult/Youth Camp
________________________ ________________________
Name and Age Name and Age
________________________ ________________________
Name and Age Name and Age
Choose One:
¤ I plan to stay on campus by making reservations as explained below.
¤ I am not planning to stay on campus.
Housing Reservations
Two-bedroom suites must be booked directly with the residence.
Call 1-877-225-8664 and ask for Algonquin College.
Indicate "Richards Institute" when booking your suite to receive the group rate of $79.95 (CAN) + taxes/night/up to 4 people
Rooms cannot be guaranteed after
Oshawa - Durham College
Two-bedroom suites must be booked directly with the residence.
Call 1-877-225-8664 and ask for Durham College.
Indicate "Richards Institute" when booking your suite to receive the group rate of $59.95 (CAN) + taxes/night/up to 2 people, $64.95 for 3 people over 12 years, $69.95 for 4 people over 12 years.
Rooms cannot be guaranteed after June 5th.
If you require only one bedroom in the two-bedroom suite, call the Richards Institute (1-800-859-6804) and we will try to arrange for someone to share the suite and the costs with you.
Visit www.checkintothecentre.com
for more details about the accommodations.