Braemar Winter Camp 2024

WINTER CAMP 2024 REGISTRATION
PLEASE FILL OUT THIS FORM AND SOMEONE WILL REACH OUT TO CONFIRM YOUR REGISTRATION AND ARRANGE PAYMENT

We look forward to having your child join us for Winter camp!
Child Name*

First NameLast Name
Age*
Name of School*
* If child attends HSH please provide both, if an off campus child, just grade please.
Are you a Braemar member?*
*Must be a Braemar member 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
Week 1 (Dec 16th-Dec 20th)
Week 2 (Dec 23rd-Dec 27th)
Week 3 (Dec 30th-Jan 3rd)

If 3x per week, please specify the days:
Do you need extended care (8:30-9:00 am and/or 3:30-4:00 pm)?

YESNO
Once your form is submitted, we will contact you to confirm. If you signed up for 3x a week, we will ask you for the days of the week and if you need extended care please let us know at this time as well to ensure proper staffing.

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

We will invoice you and payment is due within 2 days to confirm your child's registration.

If you have any question, please contact us:

summerdaze@losangelesswim.com or call/text 818.900.3319
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
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?
PHOTO RELEASE

At Summer Daze, we would be from time to time taking photos of campers during their activities. In this regard, we seek your consent for the publishing or use of photos which your child may be included.

The photos may/will be used for bulletin boards, marketing or advertising, and/or marketing updates posted via social media and our website.

For protection of privacy of the child, we guarantee that names will NOT be included.
I hereby grant and authorize Summer Daze Day Camp to make use of photos involving my childI do not allow the use of the photos taken involving my child
Signature

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WINTER CAMP 2024 REGISTRATION

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

PARENT/GUARDIAN INFORMATION: