Name (camper)
*
First Name
Last Name
Are you registering with friends or siblings?
If so list name(s)
Age, grade & school of camper
*
Please share any health or learning conditions
*
If none, type none. Please share challenges such as short attention span or hyper activeness. This will help us anticipate and teach accordingly.
General Contact Info
Parent or guardian
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Parent Email
*
*Required. You will receive program information at this email.
How did you hear about our camp?
Emergency Contact
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Waiver of Liability & Photo Release
By signing below I agree and understand that Spring Day Camp involves some physical activities and inherently may have a small risk of injury. In consideration for my child’s participation in this activity, I hereby agree to hold T3 Triple Threat Youth Mentors (T3), or any of its affiliates harmless for any injury to myself/my child resulting from me/my child’s participation. I will not sue T3 or any of its affiliates for any injury, loss of property, or damage resulting from my child’s participation in this activity. I agree that participants are expected to follow all rules and instructions set out by the instructors at T3. Additionally, I give my permission and understand T3 may use any photos and video footage taken for future promotional purposes.
Name
*
First Name
Last Name
Today's Date
*
Program Fees
Program fees are $250 and will increase to $350 for registration on the day of camp. Help us keep the cost down and plan accordingly by registering here and now.
My Products
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Spring Day Camp Registration $250 ( offer ends March 27)
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Total
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