TBTT Track out Camp - 10/04/2021
These forms are required for your children to attend camp.
Camper's Information
Please fill out your child's information. Fields with * are required
Camper Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date
Select Camp Dates
*
Oct 04 - Oct 08
Oct 11 - Oct 15
Oct 18 - Oct 22
1 day Camp
1/2 day Camp
Please provide any additional information that you think is important or may affect the camper's ability to fully participate in the camp program.
BACK
NEXT
Save
Parents' Information
Parent/Guardian 1
Parent/Guardian 1
*
First Name
Last Name
Relationship to Child
*
Relationship
E-mail
*
Cell Phone
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian 2
Parent/Guardian 2
First Name
Last Name
Relationship to Child
E-mail
Cell Phone
BACK
NEXT
Save
Emergency Contacts/Authorized Pickup
Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be within one hour of the center/home, able to take responsibility for the child in case the parent/guardian cannot be contacted and should be at least 18 years of age. The first emergency contact must live no more than 1 hour away and be over the age of 18.
Emergency Contact #1
Full Name
*
First Name
Last Name
Phone Number
*
Relationship to Child
*
Payment and Statement of Understanding
Acknowledgement I have filled out the online waiver of liability & reviewed Triangle Badminton & Table Tennis club rules. Enrollment is not complete unless payment for camp has been made.
*
Yes
No
Discounts Claimed (once verified will be refunded)
Sibling discount of 10%
Camp Director Name and Contact Info
My Products
prev
next
( X )
Half day Camp
$
45.00
Quantity
1 day Camp
$
75.00
Quantity
5 days Camp
$
325.00
Quantity
Enter coupon
Apply
Total
$
0.00
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
Save
SUBMIT
Should be Empty: