Summer Camp Registration Form
Child's one Name
*
First Name
Last Name
Dominant Hand
*
Please Select
Right Hand
Left Hand
Child's two Name
First Name
Last Name
Dominant Hand
Select camp week here
*
Week One (June 30-July 3)
Week Two (July 7-11)
Week Three (July 14-18)
Week Four (July 21-25)
Week Five (July 28-31)
Late Pick-Up Day
*
Monday
Tuesday
Wednesday
Thursday
Friday
NONE
Parent/Guardian Name
*
First Name
Last Name
Name of the person who will pick-up, if different than parent/guardian
First Name
Last Name
Parent Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
List any Allergies here (write "none" if not applicable)
Acknowledgment
*
I acknowledge a fee of $15.00/hour to be added to my day camp for late pick-up
Pick-up/drop off times will be marked on a sheet and must be signed daily by the pick-up person.
Olympia Fencing Center is not responsible for people who leave unannounced.
The phone number provided will be available for emergency calls during camp hours.
Submit
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