SBW Spring Break Camp 2018

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SBW Spring Break Camp

Please note that all fields followed by an asterisk must be filled in.

Parent/Guardian First Name*

Parent/Guardian Last Name*

E-Mail Address*

Street Address*

City*

State/Prov*

Zip/Postal Code*

Cell Phone*

Student's Name*

Age*

School

Please list ADA Accommodations needed

Please check the day(s) you wish to participate:*

March 23 Drama / Comedy Improv (One day / $50)

Transportation To and From Camp*

Approved Child Pick Up (Please list names, phone number and relation)

Emergency Contact (Please list names, phone number and relation)

Payment due by Friday, March 16

	Check
	Cash
	Online
	CC

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 3 days in Spring Break Camp. Camp runs from 9:00am-3:00pm. 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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SBW Spring Break Camp

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