N313029 2827 C312625 C312625 V2926242324223121242827 20 AMEX 19 1830311717 2014618 2827 232 ID: 819660
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N C C V AMEX - ’ VISA/MC ’ S\r \f L\fH S\f P \r R \r \n\t\bS\f ’ N A S ZP / G\f N W P C P E A P \r \f \f - \f . \r / \r \f .T NO REFUND A \t\b \r \r \f\r S L\fHS\f C . \r \f \f .Y \f \r \f \r \f .C C E D T I
\t\t B R , NY \t\t P : \t- -\t\t\n\n F : \t- -\nG /\t\bD BH P M F W P C P E A T A CS ZP / G\f N C P N I C C I L\f ProgramSession ISession IISession IIISession IVBaseballBasketball, BoysRising StarsBoysBoysAcademyBasketball, GirlsEliteShootersEliteCheerleadingEliteCross CountryADanceBGEquestrianFencingFishingGolfABABGymnasticsKickline/Dance & PomLacrosse, BoysSailingSoccerBGBGBGTennisVolleyballAdventures on the RoadCounselor-in-Training (CIT)Cultural FusionFlexFuntastics!Here’s to MeMarine ExplorationNature and Outdoor DiscoverySamplerRookieRookie, AdvancedRookie, LadyTikes and TotsDigital ArtsEngineering“Next Generation” GIFTRoboticseatre and Performing ArtsVideo Game DesignVisual ArtsPlease complete both sides of this form and return to LuHi at the following address:LuHi Summer Programs131 Brookville RoadBrookville, NY 11545A $250 deposit for each session enrolled must accompany this application.ere is a $25 fee to change a program aer June 16this deposit is NON-REFUNDABLE aer April 15th, 2017Please make all checks payable to:Lutheran High School AssociationEarly Bird registrations before 3/1/17 will receive a $25 discount per programEarly Bird Multi-Session Discounts2 Sessions, Same Student: $200 o total3 Sessions, Same Student: $450 o total4 Sessions, Same Student: $700 o totalRegular Multi-Session Discount2 Sessions, Same Student: $100 o total3 Sessions, Same Student: $350 o total4 Sessions, Same Student: $550 o totalNote any discounted amounts will bededucted from the last sessionattendancePlease Note: Discounts will be forfeited if accounts are not paid in full by June 15th. Registrations aer June 15th must be paid in full to be eligible for discounts.DISCOUNTS MAY NOT BE COMBINED. Discounts will be adjusted if any scheduling changes are made.Late registrations aer 6/15/17 will have an addition-al $25 per program charge. Note: students registered before 6/15/17 may add programs at the regular priceLuHi Summer Programs is permitted to operate by the Nassau County Health D epartment and is inspected twice yearly with reports led at:200 Country Seat Dr.Mineola, NY 11501