2021 BA Summer Day Camp Registration

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Please complete the information below to begin the registration process and hold your spot until deposits are due. We will be in touch with payment, deposit, and final registration steps shortly.

Child's Full Name *

Grade child is entering next school year 2021-2022: *

1st

2nd

3rd

4th

Other:

4 day (Mon-Thu) option or 5 day (Mon-Fri) option. *Note, 4 day option will include two days of hockey, 5 day option will have three days of hockey. If unsure at this time, please designate which you are leaning towards in the "Other" line. *

4 Day Mon-Thu ($1600)

5 Day Mon-Fri ($1800)

Other:

Parent name #1 (This is the first parent we will contact in case of an emergency) *

Parent #1 Phone Number *

Parent #1 Email *

Parent #1 Alternate Phone Number

Emergency Contact/Parent #2 Name *

Emergency Contact/Parent #2 Phone Number *

Emergency Contact/Parent #2 Email *

Emergency Contact/Parent #2 Alternate Phone Number

Primary Address of Child *

Secondary Address of Child

Child's Date of Birth *

YYYY

Years playing organized hockey *

Medical conditions or allergies? (If yes, please explain) *

Anything we need to know academically, socially, or emotionally about your child: *

Parent willing to chaperone a field trip? (If applicable) *

Yes

Any days/weeks you know the child will not be attending camp (Note: Due to staffing and facility costs, we will not be able to pro-rate tuition fees) *

Special requests to be paired in class with a friend or family member (Requests are not guaranteed)

Submit

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