Summer camp registration sheet

2018 Summer Camp Pre-Registration Form

Student Name:____________________________                                              Phone:________________________________

________________________________________

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Pre-Registration Price: $140 for Pre-Registration (Deadline May 15^th)

Late-Registration Price: $155 for late Registration (After May 15^th)

Camp Hours are 9:00am – 3:00pm.  Early drop off starting at 7:30am and late pick-up until 5:00 are available at no extra charge. 

To reserve your spot you must complete this form along with an auto debit form of payment which will be collected on the Monday prior to your camp week.  There is also a $25 nonrefundable deposit due at the time of registration to reserve your spot.  This will go toward the price of your camp but is nontransferable to other camps.

Please check the box below of the camp or camps you are attending.

__________Camp 1 June 4^th- 8^th DC vs Marvel

____Camp 2 June 11^th-15^th Nerf Battle Royale

____Camp 3 June 18^th – 22^nd Dodgeball Week

____Camp 4 June 25^th – 29^th Gamer Week

____Camp 5 July 9^th-13^th Jedi Training Week

____Camp 6 July 16^th-20^th Water War Week

I authorize Rock Solid karate to collect the balance due for each camp week on the Monday prior to each camp by:

Credit/Debit Card______

Payment information is as follows.

Name on Credit/Debit card:____________________________

Credit Card Number: __________________________________          Exp. Date:____________   CCV:__________

________ I authorize Rock Solid Karate to debit the credit card account above.

Signature: _________________________________________  Date:__________________________

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