2022 Seahorse Camp Registration

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June 20 -24
Times: Mon - Fri 9 a.m. to 6 p.m

Regular Registration until June 5 : $550 member / $750 non-mem
Late Registration Fee after May 30 is an additional $100
Registration closes on June 8
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

2021 - 22 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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