Day Camp at Maximum Athletics (March 5, 2024) / 9:00AM-3:00PM / $45 / $5 non-refundable deposit due upon registering / Ages 4-14
Start Date/Time: End Date/Time:
Fee per Student: Room:
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Family Information
First Name:* Last Name: *
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
Any allergies or additional information we should know of?
Who will be picking up your child? (ID required)*
By answering yes, I am confirming that I will be providing my child with a snack, lunch, and water.*
There will be no refunds for any reason. By enrolling in this Day Camp, you are confirming that you have read and understand our no refunds policy.*
Additional Information:
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: