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Summer Camp Registration Form

Choose the camp(s) you are registering for: *
Student's Name *
Student's Name
Student's Date of Birth *
Student's Date of Birth
Parent/Guardian's Name at Student Address
Parent/Guardian's Name *
Parent/Guardian's Name
Parent/Guardian's Address *
Parent/Guardian's Address
Parent/Guardian's Home Phone
Parent/Guardian's Home Phone
Parent/Guardian's Cell Phone *
Parent/Guardian's Cell Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
I give permission to Presser PAC to use any photographs or media of student in promotional materials, commercials, and on web site *
Release
I, the undersigned parent/guardian of this student, a minor, do hereby release and discharge PPAC from any and all claims for personal injuries. By entering your name in the section below you agree to these terms.
Parent/Guardian Release Agreement *
Parent/Guardian Release Agreement
Most camp times 9:00-4:00 unless stated differently. Sibling Discount 10% discount for 2nd sibling after first student’s full tuition in same camp 20% discount for the 3rd , 4th, etc. Tuition due no later than 10 days prior to classes beginning. No refunds.