Name: 2019 Summer Sports Camp Enrollment
SKU: 5151
Availability: InStock

2019 Camp Enrollment

Camper*

First Last

Age*

Age

Gender*

Male
Female

Additional Camper

First Last

Age

Gender

Male
Female

Additional Camper

First Last

Age

Gender

Male
Female

Additional Camper

First Last

Age

Gender

Male
Female

Parents

Mom's Name

First Last

Dad's Name

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone*

Mom's Work

Mom's Cell

Dad's work

Dad's cell

Email*

Camp Dates

Weeks*

Payment Guarantee

I have read and understand that I am committed the dates I have selected.

I/We the parents of the above camper(s) understand that if our child (children) is absent for any reason (sickness, vacation, other commitments, etc) we are responsible for paying for all weeks we commit to at the time of registration. I/We understand fees will be collected every Monday with the exception of Monday, May 27th due to the Memorial Holiday. Weeks of May 27th & July 4th will not be pro-rated.

Terms & Conditions*

I Agree

I/we, the participant and parent (s), do hereby release MVH LLC dba Arctic Edge Ice Arena and its directors, counselors, staff, and instructors of personal property losses, accidents, or injuries of any kind occurring while I/my child is participating in any and all programs, acknowledging that each will inspect the facilities and equipment to be used, and if they believe anything is unsafe, they will immediately advise their coach, counselor, or supervisor of such conditions and refuse to participate.

Registration Fee

A $25 non-refundable registration fee is required for each camper. The registration fee will hold your child's spot in our camp. Weekly fees including lunches will be collected every Monday of camp, for that week.

Registration Fee*

Total

$0.00

Pick-Up List

Please List anyone (Including Parents) who will be allowed to pick your child/children at the end of each day. For the protection of your children, we will only release your children to the names listed below. Please advise the people of your pick up list that they will need to bring a picture ID at time of Pick-up. The safety of your children is very important to us!!!

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Medical Information

If your child has a medication that will need to be administer by our staff. There will be a separate form that you will need to fill out on your child's 1st day of camp.

Child's Name:

First Last

Physician's Name:

First Last

Physician's Phone Number:

Emergency Contact*

First Last

Emergency Contact Phone Number*

Allergies*

Please list any allergies that your child may have.

Notes