Neal Studd Swim Camp at Florida State University Registration Form
Email address *
Camper's Full Name *
Your answer
Sex *
Adult T-shirt Size *
Club Team Name
Your answer
Home Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Age as of 1st day of Camp *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Roommate Request
Your answer
Emergency Contact Number *
Your answer
How did you hear about us?
Your answer
Please choose the Session(s) you wish to attend. *
Required
Please choose the type of camp(s) you wish to attend. *
Required
Multiple Child Discount?
Group Discount (8 or more, fill in Group/Team Name)
Your answer
Underwater Video Analysis - $75
Private Lessons - $50 for 30 minutes (how many)
Your answer
Airport Transportation - $40 round trip per camper
Sales Authorization Any outstanding balance that is unpaid after payment deadline will be charged to your credit card on file. All camp fee charges made for the payment of camp will automatically be charged to the credit card number on file. The Neal Studd Swim Camp at FSU has an open application policy of non-discrimination on the basis of race, sex, religion, ethnic origin, and employment. The Neal Studd Swim Camp at FSU is hereby granted permission to use any individual or group photographs taken at camp showing your child or children in camp activities for publicity and brochure purposes. The $25 application fee is non-refundable. The application fee is not part of the tuition. I agree to pay the balance of my fees by 14 days prior to the first day of camp. I understand that the camp has NO REFUND POLICY for cancelations within 14 days of your scheduled camp for any reason. I have read all the applicable information and understand the policies as stated. *
Required
Choose One *
Card Number
Your answer
Expiration Date
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Full Name (as it appears on card)
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VCODE (Security Code)
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Billing Zip Code
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Signature (Type your full legal signature below) *
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(Make Checks Payable to: Neal Studd Swim Camp). Please check one of the following *
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A copy of your responses will be emailed to the address you provided.
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