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| Holiday Camp Application 24th Annual Holiday Softball Camps For Girls Currently in Grades 4 - 12 |
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Holiday Camp - (For all players currently in 4th - 12th grade.)
Lunch will not be included.
Cost: *No refunds after December 1st 2008*
Registration:
Mail to:
Or Fax to:
Note : Parent's signature is required on the release form!
Camper Information Camper Name Mailing Address City State Zip Home Phone Business Phone Parent's Cell Phone Parent's E-Mail Address
Age Birthdate Grade Entering in Fall 2007 Primary Postion(s): T-Shirt Size : Small Medium Large X-Large High School Softball Letter Winner?: YesNo
Date of last tetanus shot: Insurance Company Insurance Company: Policy #:
You may pay with your VISA, Mastercard, or American Express.
Visa Mastercard American Express Name as it appears on your card Card Number: Expiration Date Amount: $
Mark the date of Dec. 20th & 21st on your calander.
I hereby authorize the staff of Southwest Camps, Inc., to act for me according to their best judgment in any emergency requiring medical attention and I hereby waive and release the camp from any and/or all liability for any injuries or illnesses incurred while at Camp or in transportation to a medical facility, except for injury directly resulting from gross negligence or willful misconduct. I have no knowledge of any physical impairment that would be affected by the above-named camper's participation in the Camp program, as outlined in the brochure/website. I also understand the Camp retains the right to use for publicity and advertising purposes photographs of campers taken at camp. Name of Parent or Guardian (please print)
Signature of Parent or Guardian (required)
Notes: - An enrollment conformation will be sent via email. - In case of rain, all attempts will be made to reschedule camp activities. No refunds will be given. - Fees include 12 hours of softball instruction, camp T- shirt and medical coverage.
www.candrea.com
For additional information
Phone: (520) 299-1613
Email: swcamps@msn.com |
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