Registration
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This is for weekly JR Camp registration for MEMBERS. If you'd like to sign up PER DAY, please put which days in the comments section. The system will not run your card. The receipt you are receiving is only registration confirmation. If there are any discounts to be deducted, we will subtract them before we run your card. You will receive a second receipt once the card has been ran. You will receive a receipt via email when your card has been charged. Members $65/day Non-members $70/day Members $255/wk Non-Members $265/wk
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: *
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
MEDICAL TREATMENT AUTHORIZATION
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I've read the above and agree.
 
MINOR CONSENT AND ASSUMPTION OF RISK STATEMENT FORM
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I've read the above and agree.
 
RELEASE
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I've read the above and agree.
 
FINANCIAL AGREEMENT/CANCELLATION POLICY
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I've read the above and agree.
 
LATE PICK UP POLICY
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I've read the above and agree.
 
FIELD TRIP RELEASE
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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:*