2020 Dragon Gym BERWYN Summer Camp
DG BERWYN SUMMER CAMP Participant Information
Student's Name
*
First Name
Last Name
Student's Age
*
Student's Belt Rank
*
(Projected for the start of camp)
Parents' Names
*
Parent's Email:
*
example@example.com
Parent's Phone
*
-
Area Code
Phone Number
Parent's Cell
*
-
Area Code
Phone Number
Additional Emergency Contact
*
Food Allergies
*
Daily Medications
*
Other Specific Notifications
*
Full or Half Days?
*
Full Days
Half Days
Regular or Early Drop Off?
*
Early
Regular
Select How Many Weeks and Options
*
prev
next
( X )
1 Week FULL DAY Summer Camp
$
375.00
Quantity
1
2
3
4
5
6
7
1 Week HALF DAY Summer Camp
$
187.50
Quantity
1
2
3
4
5
6
7
Early Drop Off
$
25.00
Quantity
1
2
3
4
5
6
7
Enter coupon
Apply
Total
$
0.00
Credit Card
Choose Which Weeks
Week 1 BERWYN July 6th
Week 2 BERWYN July 13th
Week 4 BERWYN July 27th
Week 5 BERWYN August 17th
Submit
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