SwimGym Camp Registration - Child Detail Form

2010 Camp Registration - One child per form

SwimGym Home

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

If not paid in full, All balances are
due and must be paid in full by the
end of day, May 15, 2010.

Schedule and Prices :

MiniCamp#1 (June 14 – July 2, 2010) FULL
MiniCamp#2 (July 12 –July 23, 2010) FULL
MiniCamp#3 (July 26 –Aug 6, 2010) $575
MiniCamp#3&4 (July 26 –Aug 13, 2010) $850
MiniCamp#4 (Aug 9 –Aug 13, 2010) $300
----
AquaCamp#1 (June 14 – July 2, 2010) FULL
AquaCamp#2 (July 12 –July 23, 2010) FULL
AquaCamp#3 ((July 26 –Aug 6, 2010) $875
AquaCamp#3&4 (July 26 –Aug 13, 2010) $1305
AquaCamp#4 (Aug 9 –Aug 13, 2010) $460

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
My 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):