This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in
2014 Rhythm Rage Camp Registration Form
Please note that all fields followed by an asterisk must be filled in.
Parent/Guardian First Name*
Parent/Guardian Last Name*
Please list ADA Accommodations needed
Transportation To and From Camp*
Parent Drop off/Pick up
Total Registration Fees *
Payment in full by June 5th Payment Type
Statement of Understanding*
By checking this box I accept and understand that this is a 4 day camp (Mon-Th) beginning June 16th-June 19th from 9:00am-4:00pm. Any portion of the camp that my child can not attend shall be forfeited without refund or credit. I also understand that I am responsible for picking up my child from camp on time unless they are a walker. If I am more than 10 minutes late, I accept and understand that fees will be applied.
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