Summer Camp Sign-Up
Complete the form below to sign your child up for Summer Camp at The Athletic Zone
**IF REGISTRATION IS COMPLETED AFTER 7PM ON FRIDAY YOU WILL NOT RECEIVE A REGISTRATION PACKAGE UNTIL AFTER MONDAY AT 8AM**
  • Daily:  Full Day: $45
  • Daily:  Half Day: $35
  • Week: Full Day: $180
  • Week: Half Day: $130
  • Early Drop Off: $7/Day
  • Late Pick Up: $7/Day
  • Early & Late: $10/Day
Drop-In's are accepted with a 24hr notice
Email *
Has your child been here before? *
Referred by:
Name of the school your child attends *
Attendance Frequency *
Required
Full Days / Half Days *
Required
Please select the days you'd like to apply for *
Required
Will you need Early Drop-off or Late Pick-up
***Early/Late options will be charged at the beginning of each week (Mondays)
Participant's Information
Camper's Name (First, Last) *
Camper's Date of Birth *
MM
/
DD
/
YYYY
Camper's Address (Address, City, State, Zip) *
Parent / Guardian
Parent / Guardian Name (First, Last) *
Email
Cell Phone *
Work Phone
Notes / Conditions
Please List the people approved to pick up your child(ren) below: *
Special needs or medical conditions
Medication(s) needed to be administered during the day?
Food Allergies?
Confirmation
Signature & Date

***Knowing both the physical and health condition of my child, I give my approval of him/her to participate  with The Athletic Zone/Vardy HPC and their staff. I hereby assume all risks and hazards incidental to the conduct of the activities and transportation to and from such events. I understand that participant's individual accident insurance is required by The Athletic Zone/Vardy HPC in order to participate and certify that my child is covered as indicated below. I give permission to use my child's photo in any publication and/or website. By entering my child in The Athletic Zone/Vardy HPC camp, I do hereby release The Athletic Zone/Vardy HPC and their staff, any sponsors and any other associated with this camp in any form.
 *
Insurance Company *
Policy Number *
Deposit Information

***There is a $25 Nonrefundable or Transferable Deposit required for each week requested. Please attach the credit card information below. The deposit will be drafted within 24hrs of registration submission. 
Pay per Week or Pay in Full? *
Required
Credit Card Number *
Expiration Date *
CVC *
Zip Code *
Submit
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