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The 2023 Ultimate Summer Diving Camp- June 26- July 1st. Open to all Divers: High School, Club, Boys and Girls- Fun Diving Drills, Dryland Training, Trampoline Belts, Dry board Belts, Conditioning, Mental Toughness, Flexibility, Video Review. This event runs Monday June 26th- Saturday, July 1st (Even though the sign up only shows 6/26 date) Non Refundable Deposit: $100 Day Campers:$450, Resident Campers staying with Host family: $675, Non Refundable Deposit: $100 Early Bird Special- (Prior to April 1st, 2023)- Day campers- $425, Resident Campers staying with host family- $625.
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
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- denotes required fields
Family Information
First Name:
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Last Name:
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Type
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Caregiver
Childcare Center
Childcare Center Director
Father
Grandparent
Guardian
Mother
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
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(Emails are kept confidential)
Address:
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City:
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State:
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AZ
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DC
DE
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GA
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IA
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Zip:
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Emergency Contact Info (Not Contact #1 or #2)
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Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
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Last Name:
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Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
Allergies :
Medications :
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
Allergies :
Medications :
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
Allergies :
Medications :
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
Allergies :
Medications :
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities :
Allergies :
Medications :
Questions/Options:
Is your athlete going to be a Day Camper - $450, (Early bird pricing- before April 1st- $425), or a Resident Camper staying with a host family - $650, (Early bird pricing- before April 1st- $625)-
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What prior experience if any does your athlete have with diving
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Does your child have an allergies that we need to be aware of
Additional Information:
Other Questions/Comments:
Credit Card Verification:
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Name as it appears on card:
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Nickname:
Card Expiration Month:
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Exp Year:
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Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
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