Braemar Summer Camp 2023

PLEASE FILL OUT THIS FORM AND SOMEONE WILL REACH OUT TO CONFIRM YOUR REGISTRATION AND ARRANGE PAYMENT

We look forward to having your child attend Summer Daze Day Camp this Summer at Braemar Country Club! Please do a separate form for each child.
Child Name*

First NameLast Name
Age*
Name of School
T-Shirt Size*
Are you a Braemar Club member? If so, provide Member # *
Must provide a member number to receive member rate
PARENT/GUARDIAN INFORMATION:
1st Parent/Guardian Name*

First NameLast Name
Phone Number
Email*
example@example.com
2nd Parent/Guardian Name (optional)

First NameLast Name
Phone Number
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I would like to sign up for week(s):*

	Full Week	3x Week	Daily	Field Trip Day Only
1: June 12th- June 16th
2: June 20th-June 23th
3: June 26th-June 20th
4: July 3rd-July 7th
5: July 10th-July 14th
6: July 17th-July 21st
7: July 24th-July 28th
8: July 31st-August 4th
9: August 7th-August 11th
10: August 14th-August 18th

Once your form is submitted, we will contact you to confirm weeks and get days if you selected 3x a week or daily.

There is a $20 registration fee for all participants & $15 T-shirts that are required for campers attending field trips.

We offer extended care. If you are interested in care between 8:30-9:00 am or 4:00-4:30 pm for an additional fee of $45/week or $10/day please let us know when we confirm registration. You can always do extended care on a daily or weekly basis when camp begins.

Please allow 24 hours after completing this form to hear from us.

We will invoice you and payment is due within 5 days to confirm your child's registration.

If you have any question, please contact us:

SummerDaze@losangelesswim.com or 818.900.3319 call/text
In case of an emergency please contact if neither parent/guardian can be reached*

First NameLast Name
Emergency Phone Number*
Please list any adults authorized to pick up your child in your absence
Is your child water safe and able to swim on their own without assistance?*
If not, please inquire about lessons info@losangelesswim.com
Does your child have any allergies (food, medication, etc)?*
Does your child have any physical limitations, conditions of hearing, vision, etc?*
Any other information you'd like us to know about your child?
REGISTRATION POLICY
(MUST BE SIGNED TO CONFIRM REGISTRATION)

Refunds/Cancellations: 50% refund will be given if withdrawing from camp prior to June 1st. NO refunds will be given after June 1st

Missed Days: If your child is going to miss a scheduled day of camp, it is your responsibility to notify the Camp Director. If space permits, a makeup day can be arranged.

I hereby affirm I fully understand and accept the terms of registration and the refund/cancellation policy. I give my consent for my child to participate in Summer Daze Day Camp at Braemar Country Club.
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PLEASE FILL OUT THIS FORM AND SOMEONE WILL REACH OUT TO CONFIRM YOUR REGISTRATION AND ARRANGE PAYMENT

PARENT/GUARDIAN INFORMATION: