Registration
SUMMER CAMP RHYTHMIC: Full day camp (for all Team ) $380 (by/before 7/24/2018) REG on/after WED 7/25/2018 is $400.00 *Full week camp (from Monday through Friday) Before and after care (n/a) **Athletes must bring their own lunch. **No regular practice during Rhythmic Camp weeks. All athletes will be prorated automatically.
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
CHILD'S NAME:
DATE OF BIRTH:
AGE:
PRIMARY PHONE NUMBER:
EMAIL ADDRESS:
FULL DAY (ALL TEAM OR PRE-TEAM ATHLETES) (9:30AM-4PM): (checked=yes)
HALF DAY (9:30AM-12:30PM) - ONLY BEGINNERS OR PRE-TEAM ATHLETES: (checked=yes)
I. IMMUNIZATION INFORMATION: I agree that my child is current on all immunizations.
BEFORE & AFTER CARE
HEALTH INSURANCE CARRIER:
 
Additional Information:
 
PAYMENT POLICY
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I've read the above and agree.
 
MEDICAL RELEASE AGREEMENT AND PARENTAL CONSENT
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I've read the above and agree.
 
Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*