Summer Sports Camp
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Summer Sports Camp weekly fee
Please select this option for one child or the first child in a family
$
150.00
Sibling Discount for two children in a family
Please select this option for sibling #1
$
135.00
Parent Information
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Camper Information
First Name
Last Name
Birthdate
-
Month
-
Day
Year
Date
Grade
Emergency Contact Full Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Please list any allergies, medical conditions and/or food restrictions
Please list everyone who is ALLOWED to pick up your camper
Please list anyone who is NOT ALLOWED to pick up your camper
Please tell us anything we need to know to make your camper's day great
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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