Summer Day Camp Registration Form
Camp Dates: (Come to 1 or come to all 10) Week 1 Jun 2-6 Week 6 Jul 7-11 (Super Hero Week) (Nature Week) Week 2 Jun 9-13 Week 7 Jul 14-18 (Western Week) (Hawaiian Week) Week 3 Jun 16-20 Week 8 Jul 21-25 (Retro Week) (Under the Sea Week) Week 4 Jun 23-27 Week 9 Jul 28-Aug 1 (Space Week) (Holiday & Birthday Week) Week 5 Jun 30– Jul 4 Week 10 4-8 (Patriotic Week) (Olympic Week) (Please note, weekly themes & schedules may change without notice) Camp Times: 9:00 am - 5:00 pm (Please inquire regarding early drop off and late pick up) Each Camp Includes: Catered Lunch Daily >Arts & Crafts >Swimming >Racquetball >Mature Staff >Volleyball >Soccer >Some Field Trips >Basketball >Fitness & more We will also be visiting the Idaho Gymnastics Center! (Schedule available at a later date.) Camp Fees (per week): for kids ages 5 - 13 One time (per summer) registration fee of $10 per child $100/child/week - AAC Club Member $115/child/week - Non Member Registration: Registration is limited to 50 children. All camp fees must be paid at least one week before the camp starts. Fees are non refundable unless, illness, or family emergency occurs. Then consideration will be handled on an individual basis. *You MUST pre-register for each week, no same day registrations available.* Family discount, if 3 or more campers register for the same camp from the same family, you receive $2 off per child. Additional Information: We will provide lunch daily (catered by local restaurants). If a child doesn’t like a certain day’s menu, please be sure to pack a sack lunch. Children should bring swimsuits, towel & sunscreen everyday. Please be sure the child's name is on their swimsuit and other belongings. Apple Athletic Club reserves the right to cancel any camps due to insufficient registrations. Please send your completed registration form with payment to: Apple Athletic Club - ATTN: Liz 2030 Jennie Lee Drive Idaho Falls, ID 83404 Apple Athletic Club 2008 Summer Day Camp Registration Camper’s Name _______________________________________ Parent’s Name_________________________________________ Address____________________City_________Zip___________ Home Phone______________ Work Phone__________________ Email Address _______________________________________ Emergency Contact Name _____________________________ Phone # _______________ Birth date _____________Age_____ Please list any special needs or allergies of which we should be aware _________________________________________________________________________________________________________________________________________________________ Camp(s) Attending (Circle all that apply): Week: 1 2 3 4 5 6 7 8 9 10 Space is limited. (only 50 campers each week) This is to verify that I am the parent/legal guardian of _________________________ and hereby grant permission for my child to participate in Apple Athletic Club's Summer Camp. I accept full responsibility for my use or the use of my child of Apple Athletic Club; its equipment, pool, facilities and services. I also attest that the user is physically able to undertake any and all physical exercises that they may perform at Apple Athletic Club and agree to hold harmless Apple Athletic Club, it's agents, affiliates, and employees from any liability for any claims, injuries, damage, action or cause of action, whatsoever, arising to myself, child or property out of such usage from Apple Athletic Club. _______________________________________ Parent/Guardian Signature
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