Wellspring Camp La Jolla
Summer 2010 		Wellspring Camp La Jolla
42675 Road 44
Reedley,CA 93654
Tel 866 364 0808
Fax 559 638 2685
www.camplajolla.com

A P P L I C A T I O N

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Please choose a camp session: •

Wellspring Camp La Jolla (women over the age of 18)

2-Weeks
Session 2a: June 20 - July 3
Session 2b: June 27 - July 10
Session 2c: July 11 - July 24
Session 2d: July 18 - July 31
Session 2e: July 25 - August 7
Session 2f: August 1 - August 14
3-Weeks
Session 3a: June 20 - July 10
Session 3b: June 27 - July 17
Session 3c: July 11 - July 31
Session 3d: July 18 - August 7
Session 3e: July 25 - August 14
4-Weeks
Session 4a: June 20 - July 17
Session 4b: June 27 - July 24
Session 4c: July 11 - August 7
Session 4d: July 18 - August 14
5-Weeks
Session 5a: June 20 - July 24
Session 5b: June 27 - July 31
Session 5c: July 11 - August 14
6-Weeks
Session 6a: June 20 - July 31
Session 6b: June 27 - August 7
7-Weeks
Session 7a: June 20 - August 7
Session 7b: June 27 - August 14
8-Weeks
Session 8: June 20 - August 14

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Date of birth (mm/dd/yyyy) •
Age •
 
Primary phone •
 Secondary phone •
 Email Address •
Home address (street address) •
Town •
State/Country •
Zip/Postal Code •
How did you hear about Wellspring La Jolla?

C O S T S
Tuition
Tuition before reimbursement by health insurance is $4,495 for 2 weeks, $6,495 for 3 weeks, $8,495 for 4 weeks, $9,995 for 5 weeks, $11,395 for 6 weeks, $12,695 for 7 weeks, and $13,695 for 8 weeks.

Continuing Care Fee (refundable)
Year-round Continuing Care program until June 1, 2011 - $600 (refunded in full if you complete first 180 days and provide verified height/weight)

Note: (optional for Camp La Jolla alumni)

Deposit
2-4 weeks - $750
5-8 weeks - $1,500



P A Y  B Y: •
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S U B M I T T I N G  A P P L I C A T I O N
Please check the box and click the Submit Application button below. You will be contacted by the Wellspring Admissions Office within 24 hours to confirm receipt of the application, and to provide you with the full enrollment package.
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By checking this box, I acknowledge the deposit is credited towards Wellspring tuition,
and that it is non-refundable.