Application for Admission
Bristol Academy
Mail to:
Bristol Academy
11940 Alpharetta Hwy., Suite 144
Alpharetta, GA 30004
Please use (1) application per camp
Camper's Name:_______________________________________________________________Date________________
Birth Date________________________ 2007 - 08 Grade Level___________________Male________Female_________
Parent(s)Name(s)__________________________________________________________________________________
Street________________________________________City_________________________Zip Code________________
Phone: Home_______________________ Cell (Mom) ___________________Cell (Dad)_________________________
E-mail:_______________________ Additional Emergency Contact (optional) ___________________________________
How did you find out about Bristol Academy?_____________________________________________________________
Please include anything else that might be helpful in working with your camper.
Title of Camp ___________________________________________ Start Date of Camp _________________________
Deposit ($50) ............................................................_______
OR
Balance / Full Payment ............................................________
TOTAL ______________ Ck.# ________
A $50 deposit (non-refundable) is required (per camp) with the application. The balance of camp fees are due by May 1st. Registration
can be transferred to another Bristol Academy camp session (other than I Camp), based on availability. Fees (less $50 deposit) is only
refundable up to 3 weeks before camp start date. Registration is open throughout the summer as long as there is availability.
Parent's Signature ____________________________________ Date ______________