SwimGym Camp Registration - Child Detail Form

2011 Camp Registration - One child per form

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Note:
*Prices are inclusive of Insurance,
Registration, Franchise and Sales
Tax.

All balances are due in full by May 15, 2011,
Or on the registration date for any
new registrations.

Schedule and Prices :

MiniCamp#1 (June 13 – July 1, 2011) FULL
MiniCamp#2 (July 11 –July 21, 2011) FULL
MiniCamp#3 (July 25 –Aug 6, 2011) $575
MiniCamp#3&4 (July 25 –Aug 12, 2011) $850
MiniCamp#4 (Aug 8 –Aug 12, 2011) $300
----
AquaCamp#1 (June 13 – July 1, 2011) FULL
AquaCamp#2 (July 11 –July 22, 2011) FULL
AquaCamp#3 ((July 26 –Aug 6, 2011) $885
AquaCamp#3&4 (July 26 –Aug 12, 2011) $1315
AquaCamp#4 (Aug 8 –Aug 12, 2011) $470

Note:
This year, session 1 is 3 wks long, and
session 4 is shortened to 1 week.
Session 2 and 3 remain at 2 weeks.
So you can combine camps to have
a 1,2,3 or even 4 week experience.

You can sign up for multiple sessions by
picking the combination of sessions
under the Session drop down box.

If camp fees are not paid in full, you may
reserve a spot by paying a non-refundable
$100 deposit per child, per camp session,
after the specials have expired until
May 15th when all camp fees are
due in Full.

Payment arrangements appear on the
screens following this one.

Camp Registration - Child #1    Attributes in bold are required.

Camper First Name: *

Last Name: *

Gender: *

Male    Female

BirthMonth: *

BirthDate: *

BirthYear: *

Age in August 2010: *

Grade In September: *

Address: *

City: *

State: *

Zip *:

Mother's First Name *:

Mother's Last Name *:

Mother's Home Phone *:

Mother's Work Phone:

Father's First Name *:

Father's Last Name *:

Father's Home Phone (if different):

Father's Work Phone:

Email Address *:

Fax Number:

Have you been to this camp before?:

Yes     No

Country of Origin:

Please try to group me with:

and/or:

and/or:

Camp Type :

Aquatic Sports Camp     Mini Swim Camp

Session:

Choose Bus Route - $50/wk:

After Care ($10 Daily):