This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in
SBW Holiday 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
Please check the week(s) you wish to participate:*
January 2-4 (Wed-Fri)
Transportation To and From Camp*
Parent Drop off/Pick up
Approved Child Pick Up (Please list names, phone number and relation)
Emergency Contact (Please list names, phone number and relation)
Payment due by Friday, December 28
OPMI Payment Policy*
I understand that any portion of the camp that my child cannot attend shall be forfeited without refund or credit. Payments are due before camp starts and any payment made on the first day of camp is subject to late fees.
Statement of Understanding*
By checking this box I accept and understand that there are three days of camp. Camp runs from 9:00am-4:00pm. Any portion of the camp that my child cannot attend shall be forfeited without refund or credit. I also understand that I am responsible for picking up my child from camp on time. If I am more than 10 minutes late, I accept and understand that fees will be applied.
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