SWIM CAMP REGISTRATION

SWIM CAMP REGISTRATION

Camp will be FOUR 1-hour sessions, Monday through Thursday (6/08-6/11) $160 PER SESSION
Which Age Group?

8-10 (11am-12pm)11-14 (12pm-1pm)Other - Please advise..
Athlete Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Parent Name

First NameLast Name
Parent E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Additional Comments/Questions:
Relevant Experience:
Pricing & Charges

$160 PER SESSION - By submitting you will be responsible for paying our registration fee charged via an emailed invoice. You child will not be able to begin camp until this is paid.
Should be Empty:

Pricing & Charges