Registration Form - SUMMER CAMP 2022

Collina Italiana
1556 Third Avenue, Suite 602-603, New York, NY 10128

ITALIAN SUMMER CAMP

In-person Camp and Online Camp

Your Information

E-mail

First name

Last name

Phone

Additional Questions

Student Name

Date of birth

Beginner / Intermediate / Bilingual

Address - Apt, Ste, Unit

City - State - ZIP code

Caregiver's name and phone (optional)

Medical alerts or special needs (In-person camp) (optional)

SUMMER CAMP: June 20 - June 23

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: June 27 - June 30

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: July 5 - July 7 (No class Monday, July 4)

SKIP THIS WEEK $0.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: July 11 - July 14

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: July 18 - July 21

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: July 25 - July 28

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: August 8 - August 11

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: August 15 - August 18

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: August 22 - August 25

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

SUMMER CAMP: August 29 - September 1

SKIP THIS WEEK $0.00 IN PERSON: 4 Days 9-3pm $810.00 IN PERSON: 3 Days 9-3pm $600.00 IN PERSON: 2 Days 9-3pm $390.00 IN PERSON: 4 Days 9-12 pm $420.00 IN PERSON: 3 Days 9-12 pm $315.00 IN PERSON: 2 Days 9-12 pm $210.00 IN PERSON: 4 Days 9-11 am $280.00 IN PERSON: 3 Days 9-11 am $210.00 IN PERSON: 2 Days 9-11 am $140.00 ONLINE: 4 Days 9-10am: $150.00 ONLINE: 3 Days 9-10am $115.00 ONLINE: 2 Days 9-10am $80.00

CANCELLATION POLICY - All requests for full refunds (minus a non-refundable deposit of $40) must be submitted to Collina Italiana by mail, email or fax and received by CI prior to the first day of camp. Pro-rated refunds are allowed after the first day but no refund is given after the second day or for missed classes. Refunds are issued by check or credit card.

I have read and agree to the policies and disclaimers.

Order Total: $0.00

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