Reserve Session

   1) Use the form below to reserve the camp sessions of your choice.
   2) A $25.00 Non-Refundable Deposit to reserve your child's spot in Camp.
        Once filling out this form use the submit button below and you will get a conformation on all selections made.
   3) Use the link on the conformation page and print out form to complete the registration process, Please bring this form with you on the first day of camp. cccc If mailing a check for deposit please include printed form.
      Don't worry its very simple! We look forward to your response.
                               Questions/Comments

Book
aAa

Session selections Make Session Selections
Select any of the following options that apply: If you have more than one child attending the same session and time please check boxes 1, 2, or 3 below for each camper.

             # of campers

               1   2 3    Mon - Fri
                  Session (1) June 30th - July 4th        9:00 - 12:00
                  Session (2) July   7th - 11th            9:00 - 12:00
                  Session (3) July  14th - 18th            9:00 - 12:00
                  Session (4) July 21st - 25th             9:00 - 12:00
                  Session (5) July 28th - Aug 1st         9:00 - 12:00
                  Session (6) Aug 6th - Aug 8th         9:00 - 12:00

Ages 3 - 4 years 9:00 - 12:00 Ages 5 & up 9:00 - 12:00

Beginner Intermediate Advanced

# of campers

               1   2 3    Mon - Fri
                  Session (1) June 30th - July 4th       9:00 - 12:00
                  Session (2) July   7th - 11th            9:00 - 12:00
                  Session (3) July  14th - 18th            9:00 - 12:00
                  Session (4) July 21st - 25th             9:00 - 12:00
                  Session (5) July 28th - Aug 1st        9:00 - 12:00
                  Session (6) Aug 6th - Aug 8th         9:00 - 12:00

Ages 3 - 4 years 9:00 - 12:00 Ages 5 & up 9:00 - 12:00

Beginner Intermediate Advanced

Select any of the following options that apply: If you have more than one child attending the same session and time please check boxes 1, 2, or 3 below for each camper.




       # of campers

       1   2 3    Mon - Fri
         Session (1) June 30th - July 4th       9:00 - 12:00
         Session (2) July   7th - 11th            9:00 - 12:00
         Session (3) July  14th - 18th            9:00 - 12:00
         Session (4) July 21st - 25th             9:00 - 12:00
         Session (5) July 28th - Aug 1st        9:00 - 12:00
         Session (6) Aug 6th - Aug 8th         9:00 - 12:00


         Ages 5 & up 9:00 - 3:00pm

         Beginner     Intermediate     Advanced

Select any of the following options that apply: If you have more than one child attending the same session and time please     check boxes 1, 2, or 3 below for each camper.



         # of campers

         1   2 3   Mon - Fri
         Session 1 Clinic - Camp   July 21st - 25th         9:00am - 12:00 Noon

                   Beginner     Intermediate     Advanced d



                   RWhen Feserve Session


                     Back:

1 Camper First Name

2 Camper     First Name

Last Name

Date of Birth
   Example 10/01/00

Date of Birth

Example 10/01/00

Sex
Male Female

Sex

Male Female

3 Camper First Name

Date of Birth

Example 10/01/00

Sex

Male Female

Campers will receive 1 free tee-shirt, complements of Excel.

                  Youth Small
                Youth Medium
                Youth Large
                Adult Small
                Adult Medium
                Adult Large
                Adult Extra Large

                  Please provide the following credit card information:
                  Note:    For non credit card camp deposit. In credit card selection choose
                  A. Mailing check for deposit
                  $ 25.00 in form of a check please mark box.

Credit Card

Cardholder Name

Card Number

Expiration Date

   Example 00/00/00

First Name

Last Name

Work Phone

   Example 845-000-0000

Home Phone

      E-mail


Street Address
Address (cont.)
City
State/Province
Zip/Postal Code

Back to: Session selections Back to Camp: Page 1 Page 2

Page 4 of 4

1 Camper First Name		2 Camper First Name
Last Name		Date of Birth	Example 10/01/00
Date of Birth	Example 10/01/00	Sex	Male Female
Sex	Male Female

3 Camper First Name
Date of Birth	Example 10/01/00
Sex	Male Female


Credit Card
Cardholder Name
Card Number
Expiration Date	Example 00/00/00

First Name
Last Name
Work Phone	Example 845-000-0000
Home Phone	E-mail