Swim Camp Registration

Registration is now available!

To register for Swim Camp, complete the form below. PLEASE fill in all applicable fields. You must know Camp Session and Cost, in order to register. Please review the 2007 Swim Camp Schedule prior to filling in this form. When you submit your registration, you will be contacted only if your Session is NOT available. Otherwise, feel free to contact the Aquatic Center to verify your Swim Camp Registration.

Please provide the following information: All fields in yellow are required.

First Name
Last Name

Participant's Name
Participant Age

Street Address

City
Zip

These numbers will be used for Emergency Contact:

Cell or Alt Phone
Work Phone

Home Phone E-mail

Does your child have asthma? No Yes
If yes, explain

2008 Summer Swim Camps

Session 1	May 27 - 30	Tues - Fri	$200
Session 2	June 2 - 6	Mon - Fri	$250
Session 3	June 9 - 13	Mon - Fri	$250
Session 4	June 16 -20	Mon - Fri	$250
Session 5	June 23 - 27	Mon - Fri	$250
Session 6	June 30 - July 3	Mon - Thurs	$200
Session 7	July 7 - 11	Mon - Fri	$250
Session 8	July 14 - 18	Mon - Fri	$250
Session 9	July 21 - 25	Mon - Fri	$250
Session 10	July 28 - Aug 1	Mon - Fri	$250
Session 11	Aug 4 - 8	Mon - Fri	$250

Please provide the following Swim Camp Session information:

Camp Session

Fee

Camp Session

Fee

Camp Session

Fee

Camp Session

Fee

Would you like a camp T-Shirt? If Yes, enter size here. Please add $10.60 to your total below.

Comments Enter any additional information here.

Please provide the following Billing information... please ensure your fee total is correct... Add All Camp Session Fees Plus T-Shirt Fee if applicable

BILLING

Credit Card

Acct. Number

Expires

Total $

You must agree to the SeaVentures Terms and Conditions as stated in the Participation and Release Agreement. By Pressing the Submit button below, you state you have read and agree with the terms as stated in the agreement, and you authorize SeaVentures to charge your credit card for the correct amount for the Camp(s) for which you would like to register.

If you have read and agree to the terms in the Participation and Release Agreement, please type the word yes here: (lower case only)

*First Name*		*Last Name*
Participant's *Name*		*Participant Age*
*Street Address*
*City*		*Zip*

	These numbers will be used for Emergency Contact:
*Cell or Alt Phone*		*Work Phone*
*Home Phone*		*E-mail*

Does your child have asthma? No Yes		If yes, explain

*Camp Session*
Fee

*Camp Session*
Fee

*Camp Session*
Fee

*Camp Session*
Fee

*Would you like a camp T-Shirt? If Yes, enter size here. Please add $10.60 to your total below.*

*Comments*	Enter any additional information here.

BILLING
*Credit Card*
*Acct. Number*
*Expires*
*Total $*

Copyright © 2004 SeaVentures, Inc. All rights reserved. Revised: 01/18/08

Copyright © 2004 SeaVentures, Inc. All rights reserved.
Revised: 01/18/08