2023 Seahorse Camp Registration

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June 12 - 16
Times: Mon - Fri 9 a.m. to 5 p.m. Specific times may be extended due to evening activities.

Regular Registration until May 29 : $600 member / $800 non-member
Late Registration after May 29 $650 member / $850
Registration closes on June 5
Multi Child discount of $50 on second and third child from same family

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Email *

Sailor's First Name *

Sailor's Last Name *

Sailor's Date Of Birth *

YYYY

Sailor's Gender *

Female

Male

2022 - 23 School Grade *

Sailor's Home Address *

City *

State *

Zip Code *

Mother's Name (Parent 1) *

Mother's Cell Phone Number *

Mother's Email *

Father's Name (Parent 2)

Father's Cell Phone Number

Father's Email

Emergency Contact Name *

Relation To Sailor *

Cell Phone Number *

T-shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

Adult Large

Other:

LYC Membership *

Member: Sailor is a child or a grandchild of a member

Non-Member: Sailor is a child of a non-member

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