Henry’s Junior Kitchen Summer Camp 2022 Registration for ages 6-12 
    Name of Child: _____________________________________ Age: ______ Grade in fall 2022___________ 
    Sex:_____
    Parent 1: _____________________________E-mail: ________________________ Cell Phone #: 
    __________________
    Parent 2: _____________________________E-mail: ________________________ Cell Phone # : 
    __________________
    Emergency Contact Info (name/cell #): ______________________________   Allergies: 
    ________________________ 
    Has child been vaccinated for Covid19? ________     Date of vaccination ______________
    Classes are Monday thru Thursday,  10am – 1pm.  Please choose which week below:
    ____WEEK 1: June 20-23   HOLLYWOOD
    ____ WEEK 2: June 27- 30    THE GREAT OUTDOORS
    ____WEEK 3: July 11-14   HOLLYWOOD  
    ____WEEK 4: JULY 18-21  THE GREAT OUTDOORS
    ____WEEK 5: July 25-28  HOLLYWOOD
    ____WEEK 6: August 1-4  THE GREAT OUTDOORS
    ____WEEK 7: August 8-11  HOLLYWOOD
    COVID POLICIES:  Mask policy will be directed by County guidelines.  If masks are required in 
    summer 2022, we cannot accommodate children that can’t abide by the mask policy.  Vaccinations are
    required.
    CAMP FEES AND PAYMENT POLICY: Camp is $300 plus tax ($18) each week.  $50 non-refundable 
    deposit to reserve a spot.  Additional non- refundable $100, made 4 weeks prior to start of class.  
    Remainder of $150 due on the first day of class.  If student cannot attend due to COVID reasons (proof
    will be required), a refund of $100 will be given if we can fill that spot.   
    LUNCH: We provide lunch each day and we will eat outside if at all possible.  Campers may also bring 
    their own lunch.  
    PHOTO RELEASE:I authorize the release of photos taken for camp 2022. Photos may be used for Henry’s Sweet
    Retreat social media and promotional material only.
    *Children are to be dropped off no earlier than 10 minutes before camp and picked up no later than 
    10 minutes after camp finishes.*If your child is sick, we ask that they not attend class. We will work 
    with you to reschedule.*Henry’s Sweet Retreat has the right to cancel and reschedule a class if 
    there is a lack of attendance for any given camp. 
   Sign here for above consent: 
   METHOD OF PAYMENT: CHECK: please make out to: Henry’s Sweet Retreat 
   CREDIT CARD NO: ________________________________ EXP DATE: _____ / _____  CVV Code: _________________
   BILLING ZIP CODE: ________________   Signature_____________________________________________________ 
                  4823 St Elmo Avenue | Bethesda MD 20814 | 240 483.0485 l patty@henryssweetretreat.com