Rebound 2022 ESA Vacation Camp Registration Form

ESA REBOUND Summer Camp 2024 Registration Form

Thank you for choosing EXCEL Success Academy to enjoy an educational and epic-fun-pack vacation camp.
Form Instuctions: Please fill out the form in BLOCK letters Kindly complete one (1) form per participant. Please note that a non-refundable down payment of 50% of total camp fees must be paid in order to secure a spot for the participant by 8th July Payments can be facilitated via bank transfer, direct deposit or cash. Please fill out ALL AREAS.
Camper Name:*

First NameLast Name
Gender

MaleFemale
Age:
Email Address:*
Camper Mobile Number:

Area CodePhone Number
Desired Name Tag:*
Primary Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please state ANY medical conditions or dietary restrictions you may have:
How did you hear about Camp?:

Camp Fee Options

Per Week ($200) 5wk=$10005 Week Discount ($850)Sibiling Super Saver (2 or more kids) - $800 eachField Trip Transport - $50 per person.Camp T-Shirt - $150
Payment Details:

All payments can be made to the bank account info. below.

Please take a photo of all deposit reciepts and whatsapp to 1-868-738-9235 to confirm payment of fees.

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Bank Name: Republic Bank Limited

Account Number: 870800712301

Account Name: EXCEL Mentorship & Success Coaching

Account Type: Chequing Acct.

Account currency: TTD
Should be Empty:

ESA REBOUND Summer Camp 2024 Registration Form