Spring Break Day Camp Registration Form

Spring Break Day Camp Registration Form
MARCH 1- 5, 2021
Child's Name
First NameLast Name
Birth Date
MonthDayYear
Date
School
Grade
Type down any allergies
Contact Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Parent & Guardian

Spring Break Day Camp Registration Form
MARCH 1- 5, 2021
CAMP TIME PRICE (daily)
Full Day 09.00 am - 07.00 pm $250.00
Half Day 08.30 am - 01.00 pm $170.00
Sports Camp 09.00 am - 08.00 pm $300.00
Funland 10.00 am - 07.00 pm $270.00
Full DayHalf DaySports CampFunland
Transportation?
YESNO
Please select a location
Jeremy ParkXYZ ElementaryCity StationSmith Street

Spring Break Day Camp Registration Form
MARCH 1- 5, 2021
I DECLARE I HAVE READ, UNDERSTOOD AND AGREE TO THE CONTENTS OF THIS INFORMED CONSENT AGREEMENT IN ITS ENTIRETY.
I AGREE TO FOLLOW ALL RULES / EXPECTATIONS.
Date
MonthDayYear
Date
Signature
Clear
Should be Empty: