2023 Summer Splash

Camper's Name*

First NameLast Name

Grade*

Camper's Age*

Gender*

What school does your child attend?*

Does your child have a sibling participating in Summer Splash Camp? If so, please provide the siblings name.*

Camper's T Shirt Size*

Has your child participated in a prior Camp25 event?*

Camper's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number*

Email*

example@example.com

Which week(s) does your child plan to attend Summer Splash Camp? Please check all that apply.*

Week 1, GymnasticsWeek 2, BakingWeek 3, BowlingWeek 4 Swimming

Informed Consent and Acknowledgement

By signing this form, I understand that I have registered my child to participate in Camp25 activities. Participation is completely voluntary, and I understand that I assume all risk and accept responsibility for all injuries or permanent loss that may be incurred while participating. I hereby attest and verify that I have been advised of the potential risks. I am granting permission for her/him/they to participate despite possible risks, to include all risks associated with a pandemic or COVID-19. I further release and indemnify Camp25 and Franklin Department of Park and Recreation, all volunteers, agents, or any other related entities of all responsibilities to include any expenses regarding care should my child get injured.

I understand and agree that Camp25 is not responsible for property that is lost, stolen, or damaged. I further understand that participation in Camp25 activities may result in a camper being interviewed, photographed, or video-recorded which would result in my child’s photo being posted on Camp25’s website, social media, and other media websites for promotion of the organization.

Signature*

Clear

There is a one-time registration fee of $45.00. This fee holds a slot in camp for your child and includes a Camp25 T Shirt. The weekly fee for Summer Splash Camp is $65.00 per week (this does not include field trips). The weekly fee for Summer Camp is due two days prior to the start of each week. You may pay for any camp at this time however the only fee that is due at this time is the one-time $45.00 registration fee.

My Products

Registration Fee$45.00 Registration Fee + $5.00 PayPal Processing Fee

$50.00

Gymnastics, June 26th - 29th

$65.00

Baking, July 3rd, 5th, 6th

$65.00

Swimming, July 17th - 20th

$65.00

Bowling, July 10th - 13th

$65.00

Total

$0.00

Pay with Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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