Registration
This registration is for a week of half days of camp 12pm-4pm.
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(s) Name / Phone
 
 
Students entered below will be added to your family's account
 
Questions/Options:
What is child's t-shirt size?
I understand this registration is for the half day, full week camp 12pm-4pm.*
I understand there may be outdoor water activities during the week.*
I understand there will be a late fee of $15 if my child is picked up late.*
Does your child have any medical conditions and/or allergies we need to be made aware of? Please list.
 
Additional Information:
 
  (Show-Hide Details)
I've read the above and agree.
 
Photo Consent / Release Waive
  (Show-Hide Details)
I've read the above and agree.
 
Gym Participation
  (Show-Hide Details)
I've read the above and agree.
 
Billing Agreement
  (Show-Hide Details)
I've read the above and agree.
 
Assumption of Risk
  (Show-Hide Details)
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:*